Loneck B, Garrett J A, Banks S M
School of Social Welfare, State University of New York at Albany, USA.
Am J Drug Alcohol Abuse. 1996 May;22(2):233-46. doi: 10.3109/00952999609001656.
The Johnson Intervention is a therapeutic technique in which members of the person's social network confront him or her about the damage the drinking or drug use has caused and the action they will take if treatment is refused. It is highly effective in engaging and retaining clients in inpatient treatment, but, since initial evaluations, two trends have emerged in the field. First, there has been an increase in the use of outpatient treatment and, second, a number of variations of the Johnson Intervention have been developed. The purpose of this study was to compare the effectiveness of the Johnson Intervention with four other methods of referral to outpatient treatment. The other methods included two naturally occurring types of referral (coerced and non-coerced) and two less intense and less costly variations of the Intervention (Unrehearsed and Unsupervised). Effectiveness was determined by both entry into and completion of treatment. A retrospective study was conducted on a sample of 331 cases drawn from an alcohol and other drug treatment agency. Those who had undergone the Johnson Intervention were more likely to enter treatment than those in any of the four other groups. Of those that entered treatment, the Johnson Intervention and the coerced referral groups were equally likely to complete treatment, and both groups were more likely to complete treatment than those in the other three types of referral. Although the Johnson Intervention was the most effective, the variations did show some measure of success and can be viewed as part of an Intervention continuum.
约翰逊干预法是一种治疗技术，即让当事人社交网络中的成员与其对峙，指出饮酒或吸毒所造成的危害，以及若拒绝治疗他们将采取的行动。它在使住院治疗的患者参与并坚持治疗方面非常有效，但自最初评估以来，该领域出现了两种趋势。第一，门诊治疗的使用有所增加；第二，已开发出约翰逊干预法的多种变体。本研究的目的是比较约翰逊干预法与其他四种门诊治疗转诊方法的有效性。其他方法包括两种自然发生的转诊类型（强制和非强制）以及两种强度较低且成本较低的干预变体（无预演和无监督）。有效性通过治疗的进入和完成情况来确定。对从一家酒精和其他药物治疗机构抽取的331个病例样本进行了回顾性研究。接受约翰逊干预法的人比其他四个组中的任何一组更有可能进入治疗。在进入治疗的人中，约翰逊干预法组和强制转诊组完成治疗的可能性相同，且这两组比其他三种转诊类型的组更有可能完成治疗。尽管约翰逊干预法是最有效的，但这些变体也显示出了一定程度的成功，可以被视为干预连续体的一部分。
