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物质成瘾母亲的特征可预测其能否从家庭治疗法庭毕业。

Characteristics of substance-addicted mothers that predict graduation from the family treatment court.

机构信息

Wellstar School of Nursing, Kennesaw State University, Kennesaw, Georgia.

School of Data Science and Analytics, Kennesaw State University, Kennesaw, Georgia.

出版信息

J Nurs Scholarsh. 2023 May;55(3):637-645. doi: 10.1111/jnu.12890. Epub 2023 Mar 16.

Abstract

INTRODUCTION

In the United States, substance addiction is a major contributing factor to incarceration of mothers and separation of children from their families. Five hundred Family Treatment Courts (FTC) operate across the country to combat the growing problem of women addicted to drugs. The FTC model provides mothers with substance addiction treatment, intensive judicial monitoring, repeated drug testing, counseling, incentives or sanctions, and case management with the goal of reaching long-term sobriety and reunification with their children.

DESIGN

This retrospective study examined the relationship between sociodemographic characteristics and substance use characteristics, in predicting participants' graduations from the FTC program.

METHODS

Data were gathered from 317 participants from five Family Treatment Courts in the southeastern United States and analyzed using logistic regression.

RESULTS

Participants who completed the FTC program were more likely to be older, completed Cognitive Behavioral Training, completed high school, and Caucasian.

CONCLUSION

Age and completion of Cognitive Behavioral Therapy were the greatest predictors of graduating from the Family Treatment Court. These results convey the need for development of interventions tailored to each participant's age to maximize the success of the FTC participants. In addition, Cognitive Behavioral Therapy should be integrated into all FTC programs.

CLINICAL RELEVANCE

The findings from this study will offer research scholars a foundation for designing future studies, aid researchers in creating interventions to increase success in substance addiction treatment programs, and contribute to the framework for theory development. In addition, understanding characteristics that may influence graduation from the Family Treatment Court will provide valuable information on developing interventions to support participants' success.

摘要

简介

在美国,物质成瘾是导致母亲入狱和子女与家人分离的一个主要因素。全国有 500 个家庭治疗法庭(FTC)运作,以应对女性吸毒成瘾问题的日益严重。FTC 模式为有药物成瘾的母亲提供治疗、密集的司法监督、反复的药物测试、咨询、激励或制裁以及案件管理,以达到长期戒酒和与子女团聚的目标。

设计

这项回顾性研究考察了社会人口特征和物质使用特征与参与者从 FTC 项目毕业之间的关系,以预测参与者的毕业情况。

方法

数据来自美国东南部五个家庭治疗法庭的 317 名参与者,使用逻辑回归进行分析。

结果

完成 FTC 项目的参与者更有可能年龄较大、完成认知行为培训、完成高中学业和白种人。

结论

年龄和完成认知行为疗法是从家庭治疗法庭毕业的最大预测因素。这些结果表明,需要针对每个参与者的年龄制定干预措施,以最大限度地提高 FTC 参与者的成功率。此外,认知行为疗法应纳入所有 FTC 项目。

临床相关性

这项研究的结果将为研究学者提供设计未来研究的基础,帮助研究人员制定干预措施以提高物质成瘾治疗计划的成功率,并为理论发展框架做出贡献。此外,了解可能影响从家庭治疗法庭毕业的特征将为制定干预措施以支持参与者的成功提供有价值的信息。

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