Dunn C W, Ries R
Harborview Medical Center, University of Washington Seattle 98104-2499, USA.
Am J Drug Alcohol Abuse. 1997 Feb;23(1):1-13. doi: 10.3109/00952999709001684.
This paper presents the results of implementing on-site alcohol or drug (AOD) brief intervention services across several medical, surgical, and psychiatric services in a county hospital. These integrated brief interventions (IBI) included patient substance abuse assessment, feedback to patient, and referral/recommendations. Three hundred sixty-three patients were referred by hospital staff to these services and 95% of these patients were subsequently confirmed by chemical dependency specialists as having diagnoses of psychoactive substance abuse or dependence. Seventy-nine percent of chemically dependent patients were without current substance abuse treatment, even though 54% were partially motivated and 20% were fully motivated for getting treatment. Of patients contacted at follow-up, 35% reported involvement in some kind of substance abuse treatment or 12-step meetings. Implications for implementing integrated brief intervention services are discussed in light of recent trends in publicly funded treatment availability and brief intervention outcome studies.
本文介绍了在一家县医院的多个医疗、外科和精神科服务部门实施现场酒精或药物（AOD）简短干预服务的结果。这些综合简短干预（IBI）包括患者药物滥用评估、向患者反馈以及转诊/建议。医院工作人员将363名患者转介至这些服务部门，其中95%的患者随后被化学依赖专家确诊为存在精神活性物质滥用或依赖。79%的化学依赖患者目前未接受药物滥用治疗，尽管54%的患者有部分动机、20%的患者有完全动机接受治疗。在随访中联系到的患者中，35%报告参与了某种药物滥用治疗或12步戒酒互助会。根据公共资助治疗可及性的最新趋势和简短干预结果研究，讨论了实施综合简短干预服务的意义。
