Wells E A, Fleming C, Calsyń D A, Jackson T R, Saxon A J
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, USA.
J Subst Abuse Treat. 1995 Jan-Feb;12(1):13-8.
At a community-based methadone clinic in Seattle, WA, 360 opiate-addicted individuals were enrolled in a treatment demonstration project. The treatment slots were free to clients and, unlike other funded treatment slots, did not require proof of eligibility based on documentation of indigence. The clients were compared with 70 clients enrolled in a research project begun 2 years earlier in which the sample was drawn from a population using normal funding sources at the same program. Subjects in the later demonstration project were older and had fewer years of education. A higher percentage of the demonstration project subjects were African American. These differences indicate that introduction of free treatment opened opportunities to individuals who have difficulty accessing treatment under normal circumstances. Subjects in the treatment demonstration project were more likely to have obtained needles from legal sources and used bleach to clean needles. These findings probably reflect the impact of needle exchange and outreach programs, established in the year prior to the demonstration project.
在华盛顿州西雅图市一家社区美沙酮诊所，360名阿片类药物成瘾者参与了一项治疗示范项目。治疗名额对客户免费，与其他资助的治疗名额不同，不需要根据贫困证明来证明资格。将这些客户与两年前开始的一个研究项目中的70名客户进行了比较，该研究项目的样本来自同一项目使用正常资金来源的人群。后来示范项目中的受试者年龄更大，受教育年限更少。示范项目中的受试者中非洲裔美国人的比例更高。这些差异表明，免费治疗的引入为在正常情况下难以获得治疗的个人提供了机会。治疗示范项目中的受试者更有可能从合法来源获得针头并使用漂白剂清洁针头。这些发现可能反映了在示范项目前一年设立的针头交换和外展项目的影响。
