无家可归人口中物质使用障碍的外展模型:系统性审查和网络元分析
Mohammad Ghafouri1, Terence Meyerhoefer1, Dina N Ali1
1Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN.
Psychiatric services (Washington, D.C.)
|January 1, 2026
概括
社区强化方法 (CRA) 在治疗无家可归者的物质使用障碍方面最有效. 建议采取综合,多方面的干预措施,以实现长期的康复和支持.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 心理健康服务研究 心理健康服务研究
背景情况:
- 无家可归人群中物质使用障碍 (SUD) 的外展模型的有效性尚不清楚.
- 无家可归和SUD是重大的公共卫生挑战,需要有效的干预措施.
研究的目的:
- 对无家可归人口中SUD的各种外展干预措施的有效性进行系统审查和网络元分析.
- 为了比较使用物质频率和严重程度的结果在1年和2年的随访.
主要方法:
- 在PubMed,Embase,PsycInfo和Cochrane图书馆进行系统搜索 (1990年1月至2024年1月).
- 网络元分析比较物质使用频率和严重程度.
- 干预措施使用P分数进行排名;效应以平均差异标准化.
主要成果:
- 社区加强方法 (CRA) 显示出最高的有效性 (P分数=0.81-0.83).
- 结合强有力的社区治疗和密集的病例管理,在2年后改善了结果 (P评分=0.79).
- 观察到相当大的异质性 (I2=76.3%-84.7%).
结论:
- 像CRA这样的全面,综合的方法在无家可归人群中对SUD最有效.
- 支持应对即时和长期需求的多方面的干预措施.
- 调查结果强调了需要强大的支持系统在恢复.
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