了解复杂的支持客户访问酒精和其他药物治疗的独特目标
Emily Deans1,2, Wing See Yuen3, George Economidis3
1National Drug and Alcohol Research Centre, University of New South Wales, Sydney, 2052, Australia. e.deans@unsw.edu.au.
酒精和其他毒品 (AOD) 服务中客户选择的治疗目标提高了参与度,并使预期保持一致. 虽然总体上是有效的,但基于目标的结果方法需要考虑识字或认知挑战的客户.
科学领域:
- 成治疗研究研究成治疗研究
- 以客户为中心的护理模式
- 健康心理学健康心理学
背景情况:
- 客户参与制定酒精和其他毒品 (AOD) 治疗目标可以提高参与度.
- 探索目标类型,进展和可接受性对于有效的AOD服务至关重要.
研究的目的:
- 在AOD服务中调查客户选择的治疗目标.
- 评估客户和临床医生对目标进展和跟踪可接受性的观点.
主要方法:
- 混合方法研究涉及目标设定和基于目标的结果 (GBO) 评级工具.
- 对客户和临床医生的定性访谈进行主题分析.
- 对目标频率和GBO评级的描述性分析.
主要成果:
- 客户通常设定3个目标,重点关注心理健康和复发预防.
- 大多数客户报告了目标改进;没有GBO得分下降.
- 对于文盲或认知障碍较低的人来说,GBO方法是明确和可接受的,但具有挑战性.
结论:
- 基于目标的结果促进了客户所重视的共享决策.
- 需要对同时患有精神疾病或记忆问题的客户进行考虑.
- 优先考虑特定时间的,现实的目标将降低动机丧失的风险.
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