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Titolo:
Outcomes of four treatment approaches in community residential programs for patients with substance use disorders
Autore:
Moos, RH; Moos, BS; Andrassy, JM;
Indirizzi:
Dept Vet Adm Hlth Care Syst, Ctr Hlth Care Evaluat 152, Palo Alto, CA 94304 USA Dept Vet Adm Hlth Care Syst Palo Alto CA USA 94304 alo Alto, CA 94304 USA Dept Vet Adm Hlth Care Syst, Program Evaluat & Resource Ctr, Palo Alto, CA94304 USA Dept Vet Adm Hlth Care Syst Palo Alto CA USA 94304 Palo Alto, CA94304 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:
PSYCHIATRIC SERVICES
fascicolo: 12, volume: 50, anno: 1999,
pagine: 1577 - 1583
SICI:
1075-2730(199912)50:12<1577:OOFTAI>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
FOLLOW-UP OUTCOMES; ABUSE PATIENTS; THERAPEUTIC COMMUNITIES; TREATMENT RETENTION; DATOS; PSYCHOPATHOLOGY; REHABILITATION; PARTICIPATION; READMISSION; FACILITIES;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
42
Recensione:
Indirizzi per estratti:
Indirizzo: Moos, BS Dept Vet Adm Hlth Care Syst, Ctr Hlth Care Evaluat 152, 3801 Miranda Ave, Palo Alto, CA 94304 USA Dept Vet Adm Hlth Care Syst 3801 Miranda Ave Palo Alto CA USA 94304
Citazione:
R.H. Moos et al., "Outcomes of four treatment approaches in community residential programs for patients with substance use disorders", PSYCH SERV, 50(12), 1999, pp. 1577-1583

Abstract

Objective: Treatment approaches used in community residential facilities for patients with substance use disorders were identified, and patients' participation in treatment and case-mix-adjusted one-year outcomes for substance use, symptoms, and functioning in facilities with different treatment approaches were examined. Methods: A total of 2,376 patients with substance use disorders treated ina representative sample of 88 community residential facilities were assessed at entry to and discharge from the facility and atone-year follow-up. The community residential facilities were classified into four types based on the major emphasis of the treatment program: therapeutic community, psychosocial rehabilitation, 12-step, and undifferentiated. Results: Patients in programs that used the therapeutic community, psychosocial rehabilitation, and 12-step approaches had comparable one-year outcomes in symptoms and functioning that were better than those of patients in undifferentiated programs. A more directed treatment orientation, a longer episode of care, and completion of care were independently related to better one-year outcomes. These findings held for patients with only substance use disorders and for patients with both substance use and psychiatric disorders. Conclusions: Community residential programs that have a more directedtreatment orientation and that motivate patients to complete treatment have better substance use outcomes. As an increasingly important locus of specialized care, community residential facilities need to develop and maintainmore differentiated and distinctive treatment orientations.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/07/20 alle ore 21:02:08