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Completion rates and psychosocial intervention effectiveness in an Australian substance use therapeutic community

机译:澳大利亚物质使用治疗社区的完成率和社会心理干预效果

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Program attrition is a major problem in substance use treatment. It is not clear which client and treatment variables are related to successful completion. This study aimed to identify client variables associated with Therapeutic Community (TC) completion. A secondary aim was to investigate changes in entry and exit scores on psychosocial outcome measures. Retrospective quantitative analysis of data collected from 193 Australian TC residents, over 3.5?years. Variables measured included: demographics; Depression, Anxiety, Stress Score (DASS-21) and World Health Organisation Quality of Life 8 questions (WHOQOL-8). Completion rates were 30.6%. High Money WHOQOL-8 scores, suggestive of minimal financial stressors, positively predicted completion. Multivariate analyses showed that negative predictors of completion were: amphetamine being primary substance of concern, aggression, high Relationship WHOQOL-8 scores, suggestive of positive relationships, and younger or older age. Those in the program demonstrated clinically significant psychological improvement and significant improvement in all quality of life scores over time. The degree of psychometric improvement was most pronounced in those who completed the course, with the exception of depression, stress, and money problems. The findings provide an understanding of specific predictors of program completion which may help to identify high-risk clients and inform program improvement. Early attrition rates may be reduced by monitoring and supporting high-risk clients. Overall, psychometric improvement occurred amongst both completers and non-completers overtime but is most prominent amongst course completers, with the exception of depression, stress, and money problems. Future research could potentially focus on amphetamine users and shortened TC programs, focusing on acute psychosocial intervention.
机译:程序损耗是药物使用治疗中的主要问题。目前尚不清楚哪些客户和治疗变量与成功完成相关。这项研究旨在确定与治疗性社区(TC)完成相关的客户变量。第二个目的是调查心理社会结果测度的入学分数和出学分数的变化。回顾性定量分析从3.5年内从193名澳大利亚TC居民那里收集的数据。测量的变量包括:人口统计数据;抑郁,焦虑,压力评分(DASS-21)和世界卫生组织生活质量8个问题(WHOQOL-8)。完成率为30.6%。最高的WHOQOL-8分数暗示了最低的财务压力,可以肯定地预测完成率。多变量分析表明,完成的负面预测因素是:安非他明是关注的主要物质,攻击性,较高的人际关系WHOQOL-8评分,暗示正向关系以及年龄较大或年龄较大。该计划的参与者证明了随着时间的流逝,临床上心理上的显着改善以及所有生活质量评分的显着改善。除抑郁,压力和金钱问题外,完成课程的人的心理测验程度最明显。研究结果有助于了解计划完成的特定预测因素,这可能有助于识别高风险客户并为计划改进提供信息。通过监视和支持高风险客户可以降低早期的流失率。总体而言,完成者和未完成者的心理计量学改善都发生在加班时间上,但除抑郁,压力和金钱问题外,在课程完成者中最为突出。未来的研究可能会集中在苯丙胺使用者和缩短的TC计划上,着重于急性心理社会干预。

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