Howard D L, McCaughrin W C
Department of Epidemiology and Biostatistics, School of Medicine, Case Western Reserve University, Cleveland, Ohio 44106-4945, USA.
Subst Use Misuse. 1996 May;31(7):895-926. doi: 10.3109/10826089609063962.
Do outpatient substance misuse treatment organizations have different outcomes for court-mandated and voluntary clients depending on the mix of those clients? Do client characteristics, organizational factors, and treatment practices predict organizational treatment outcome rates? A nationally representative sample of 330 nonmethadone outpatient substance misuse treatment organizations was surveyed in 1990. Sixty-four of the organizations had 75% or more court-mandated clients; 122 of the organizations had 25% or less court-mandated clients. Organizations with 75% or greater court-mandated clients had a greater rate of clients failing to comply with their treatment plan than organizations with 25% or less court-mandated clients, but there were no differences in clients meeting the goals of their treatment. Client characteristics, organizational factors, and treatment practices are evaluated through multivariate regression to determine their impact on organizational rates of treatment success and failure among clients.
门诊药物滥用治疗机构对于法院强制要求和自愿前来的客户，其治疗结果是否会因这些客户的构成比例不同而有所差异？客户特征、组织因素和治疗方法能否预测机构的治疗成功率？1990年，对全国范围内具有代表性的330家非美沙酮门诊药物滥用治疗机构进行了调查。其中64家机构有75%或更多的法院强制要求客户；122家机构有25%或更少的法院强制要求客户。法院强制要求客户比例达到或超过75%的机构，其客户未遵守治疗计划的比例高于法院强制要求客户比例为25%或更低的机构，但在客户实现治疗目标方面没有差异。通过多元回归评估客户特征、组织因素和治疗方法，以确定它们对客户治疗成功和失败的机构比例的影响。
