Alterman A I, McLellan A T
VA Medical Center, and University of Pennsylvania School of Medicine, Philadelphia 19104.
J Subst Abuse Treat. 1993 May-Jun;10(3):269-75. doi: 10.1016/0740-5472(93)90074-c.
We compared the treatment services provided male cocaine and alcohol dependent patients in a one month day hospital and a one month inpatient rehabilitation program. The quantity of medical, employment, alcohol, drug, legal, family/social, and psychiatric treatments were ascertained using the recently developed Treatment Services Review instrument. The day hospital program provided more drug and alcohol treatments to alcoholic patients than the inpatient program, but the inpatient program provided more employment services. By contrast, the inpatient program provided more alcohol, medical, employment, and psychiatric services to cocaine dependent patients, although more drug treatments were provided by the day hospital. The day hospital also appeared to provide a greater differentiation of services for the two patient groups than the inpatient program. The evidence provides interesting information concerning the nature of treatments provided by different programs and also supports the validity and utility of the TSR as a measure of treatment provided.
我们比较了在为期一个月的日间医院和为期一个月的住院康复项目中，为男性可卡因和酒精依赖患者提供的治疗服务。使用最近开发的治疗服务审查工具确定了医疗、就业、酒精、药物、法律、家庭/社会和精神治疗的数量。日间医院项目为酗酒患者提供的药物和酒精治疗比住院项目多，但住院项目提供了更多就业服务。相比之下，住院项目为可卡因依赖患者提供了更多的酒精、医疗、就业和精神服务，尽管日间医院提供了更多的药物治疗。与住院项目相比，日间医院似乎也为这两组患者提供了更具差异化的服务。这些证据提供了有关不同项目所提供治疗性质的有趣信息，也支持了治疗服务审查作为衡量所提供治疗的一种方法的有效性和实用性。
