Ridgely M S, Jerrell J M
Department of Mental Health/Health Law and Policy, Florida Mental Health Institute 33612-3899, USA.
Community Ment Health J. 1996 Dec;32(6):561-72. doi: 10.1007/BF02251066.
Severely mentally ill people with co-occurring substance abuse disorders are difficult to treat and the course of their psychiatric treatment is worsened by substance abuse. Despite increased attention to the problem, few studies of specialized treatment are reported in the literature and most lack detail about the specialized interventions employed. Qualitative data, gathered as part of a larger study of the cost-effectiveness of three substance abuse interventions for severely mentally ill people, are presented which describe the interventions, their implementation in four community mental health centers over 18 months of the study, and their relationship to the quantitative outcomes. Illustrated is the difficulty of implementing innovative programs and the need for vigilance concerning program fidelity.
患有共病物质使用障碍的重症精神病患者难以治疗，物质滥用会使他们的精神治疗过程恶化。尽管对该问题的关注度有所提高，但文献中报道的专门治疗研究很少，而且大多数缺乏对所采用专门干预措施的详细描述。本文呈现了定性数据，这些数据是对三种针对重症精神病患者的物质滥用干预措施的成本效益进行更大规模研究的一部分，描述了这些干预措施、它们在研究的18个月内在四个社区心理健康中心的实施情况，以及它们与定量结果的关系。说明了实施创新项目的困难以及对项目保真度保持警惕的必要性。
