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Titolo:
A comparative evaluation of substance abuse treatment: I. Treatment orientation, amount of care, and 1-year outcomes
Autore:
Moos, RH; Finney, JW; Ouimette, PC; Suchinsky, RT;
Indirizzi:
VA Hlth Care Syst, Program Evaluat & Resource Ctr, Palo Alto, CA USA VA Hlth Care Syst Palo Alto CA USA uat & Resource Ctr, Palo Alto, CA USA VA Hlth Care Syst, Ctr Hlth Care Evaluat, Palo Alto, CA USA VA Hlth Care Syst Palo Alto CA USA Hlth Care Evaluat, Palo Alto, CA USA Stanford Univ, Med Ctr, Palo Alto, CA 94304 USA Stanford Univ Palo Alto CA USA 94304 iv, Med Ctr, Palo Alto, CA 94304 USA
Titolo Testata:
ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH
fascicolo: 3, volume: 23, anno: 1999,
pagine: 529 - 536
SICI:
0145-6008(199903)23:3<529:ACEOSA>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
REHABILITATION PROGRAM; TREATMENT ELEMENTS; HOMELESS VETERANS; ALCOHOLISM; DETERMINANTS; EXPECTANCY; SCALE; TIME; COST;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
45
Recensione:
Indirizzi per estratti:
Indirizzo: Finney, JW VAwPalo Alto Hlth Care Syst, Menlo Pk Div, Ctr Hlth Care Evaluat, 795 Willo VA Palo Alto Hlth Care Syst 795 Willow Rd,152 MPD Menlo Park CA USA 94025
Citazione:
R.H. Moos et al., "A comparative evaluation of substance abuse treatment: I. Treatment orientation, amount of care, and 1-year outcomes", ALC CLIN EX, 23(3), 1999, pp. 529-536

Abstract

This article first explains the conceptual framework and plan of a naturalistic, multisite evaluation of Department of Veterans Affairs (VA) substance abuse treatment programs. It then examines the effectiveness of an index episode of inpatient treatment and the effectiveness of continuing outpatient care and participation in self-help groups. The study was conducted among 3018 patients from 15 VA programs that emphasized 12-Step, cognitive-behavioral (CB), or eclectic treatment. Casemix-adjusted 1-year outcomes showedthat patients in 12-Step programs were the most likely to be abstinent, free of substance abuse problems, and employed at the 1-year follow-up. Patients who obtained more regular and mom intensive outpatient mental health care, and those who participated more in 12-Step self-help groups, were more likely to be abstinent and free of substance use problems at the 1-year follow-up. These findings support the effectiveness of 12-Step treatment and show that patients with substance use disorders who become more involved in outpatient care and self-help groups tend to experience better short-term substance use outcomes. Subsequent papers in this section focus on the proximal outcomes of treatment, patients with psychiatric as well as substance use disorders, patient-treatment matching effects, and the link between program treatment orientation end patients' involvement in and the influence of12-Step self-help groups.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/11/20 alle ore 15:50:10