干预的多样性预测了治疗社区在放电时的社会康复指标
Kátia Isicawa de Sousa Barreto1, Clarice Sandi Madruga2, André Constantino Miguel3
1Department of Psychiatry, Federal University of São Paulo, 740, Street Botucatu, São Paulo 04023-900, Brazil.
Journal of substance use and addiction treatment
|April 19, 2024
概括
巴西的治疗社区模式通过提供多样化的干预措施和更长的停留时间来改善物质使用障碍的恢复. 综合护理显著提高了弱势群体的社会康复结果.
科学领域:
- 成研究研究成研究
- 公共卫生倡议 公共卫生倡议
- 社会工作干预措施社会工作干预措施
背景情况:
- 治疗社区模式针对巴西弱势群体的物质使用障碍 (SUD).
- 巴西政府正在实施SUD服务的治疗指南和监测.
- 巴西历史上缺乏基于证据的SUD治疗方法.
研究的目的:
- 分析关于圣保罗住宅SUD治疗有效性的现实数据.
- 评估干预多样性,治疗持续时间和社会康复结果之间的关联.
- 为改善SUD治疗指南和监测系统提供证据.
主要方法:
- 分析了2014-2016年间48所机构录取的8109名个人现实世界的数据.
- 利用了来自圣保罗最大的公共资助SUD治疗网络的监控系统的数据.
- 检查了参与娱乐,精神,教育和自我护理活动与治疗完成之间的关系.
主要成果:
- 不到一半的参与者接受了所有建议的治疗活动.
- 21%的参与者获得了社会康复结果 (SRO),平均停留时间为82.6天.
- 治疗持续时间和干预措施的多样性与SRO有显著的关联. 提供所有干预领域增加了SRO的近5倍.
结论:
- 结果支持遵守治疗指南,并实施SUD住院治疗的监测系统.
- 增加治疗时间和各种干预措施对于改善社会康复结果至关重要.
- 基于证据的实践和监测对于提高巴西治疗社区模式的有效性至关重要.
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