作为潜在的药物使用障碍干预措施的信托分配:回顾性图表审查
Amanda von Horn1, David Hathaway2, Janet Richmond3
1Division of Addiction Psychiatry, Tufts Medical Center, Boston, MA, USA.
The American journal of drug and alcohol abuse
|February 1, 2024
概括
对患有药物使用障碍的退伍军人进行信托分配显示了就业增加和海洛因使用减少,但也增加了芬太尼使用. 需要进一步的研究来证实这种干预措施的临床影响.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 药物使用障碍治疗 药物使用障碍治疗
- 退伍军人健康的医疗服务
背景情况:
- 退伍军人残疾支付的信托分配旨在提高生活质量.
- 人们担心,退伍军人有物质使用障碍 (SUD) 可能滥用资金.
- 在SUDs管理中信托分配的临床有效性需要严格的评估.
研究的目的:
- 在信托分配之前和之后评估SUDs的退伍军人的临床状态变化.
- 评估信托转让对物质使用和心理社会功能的影响.
主要方法:
- 对50名SUD退伍军人进行了回顾性图表审查,分配了一个信托机构.
- 与SUD相关的数据 (治疗,毒理学,心理社会功能) 的比较,用于信托分配前和后的三年.
主要成果:
- 在信托转让后观察到任何就业率的增加 (p=0.02).
- 减少了海洛因的阳性查 (p=0.01),但增加了芬太尼的阳性查 (p=0.02).
- 趋势表明心理健康预约遵守和就业的潜在改善,但这些并没有统计学意义.
结论:
- 信托分配可能会影响SUD退伍军人的就业和特定物质使用模式.
- 退伍军人福利的信托分配对SUD管理的整体临床影响仍然没有确定性.
- 需要进一步的研究才能充分了解这种干预措施的有效性.
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