Galanter M, Dermatis H, Egelko S, De Leon G
Department of Psychiatry, New York University Medical Center, Nathan Kline Institute, New York 10016, USA.
Psychiatr Serv. 1998 Apr;49(4):533-5. doi: 10.1176/ps.49.4.533.
The combined problems of substance abuse, mental illness, and homelessness among the urban poor represent a major public health issue. The study evaluated 340 patients attending a cocaine day treatment program that integrates peer leadership and professional supervision. Thirty-six percent of the sample had a major mental illness, and 39 percent were homeless. Sixty-nine percent achieved an acceptable final urine toxicology status, and the median number of program visits was 46. Homelessness, a longer history of cocaine use, and a diagnosis of schizophrenia were associated with positive treatment outcomes. The results support the feasibility of a cocaine abuse treatment model combining professional and peer leadership.
城市贫困人口中药物滥用、精神疾病和无家可归等综合问题是一个重大的公共卫生问题。该研究评估了340名参加可卡因日间治疗项目的患者，该项目整合了同伴领导和专业监督。样本中有36%患有严重精神疾病，39%无家可归。69%的患者最终尿液毒理学状态达到可接受水平，项目就诊次数的中位数为46次。无家可归、可卡因使用史较长以及精神分裂症诊断与积极的治疗结果相关。研究结果支持了一种结合专业和同伴领导的可卡因滥用治疗模式的可行性。
