Bromet E J, Moos R H, Bliss F
Arch Gen Psychiatry. 1976 Aug;33(8):910-6. doi: 10.1001/archpsyc.1976.01770080028002.
The social climate of four residential alcoholism treatment programs was assessed with the Community-Oriented Programs Environment Scale (COPES). The programs differed in terms of their treatment orientations (aversion-conditioning, milieu therapy) and the sociodemographic characteristics of the patients admitted. Results showed that (1) COPES profiles distinguished between the four alcoholism programs in ways that were consistent with their respective treatment orientations; (2) the type of patient admitted to these programs did not systematically affect their treatment environment; and (3) changes occurring within an alcoholism program resulted in corresponding changes in relevant dimensions of the treatment environment. We also discuss the practical utility of the COPES for assessing alcoholism programs.
使用社区导向项目环境量表（COPES）对四个住院酒精成瘾治疗项目的社会氛围进行了评估。这些项目在治疗方向（厌恶疗法、环境疗法）以及入院患者的社会人口学特征方面存在差异。结果表明：（1）COPES概况以与其各自治疗方向一致的方式区分了这四个酒精成瘾治疗项目；（2）进入这些项目的患者类型并未系统地影响其治疗环境；（3）酒精成瘾治疗项目内部发生的变化导致治疗环境的相关维度出现相应变化。我们还讨论了COPES在评估酒精成瘾治疗项目方面的实际效用。
