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Client Incentives versus Contracting and Staff Incentives: How Care Continuity Interventions in Substance Abuse Treatment can improve Residential to Outpatient Transition

机译：客户奖励与合同和员工激励措施：物质滥用治疗中的连续性干预措施如何改善住宅到门诊过渡

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Interventions for improving transition from short-term residential to outpatient treatment were examined. Usual care (UC; N = 114) was referral to a preferred outpatient program with advance appointment optional. Client Incentive (CI; N = 97) offered up to $100 in gift cards for intake and attendance during the first 30 days of treatment. Contracting with staff incentives (CSI; N = 49) consisted of meeting with an outpatient counselor prior to residential discharge, signing an attendance contract, receiving an appointment and payment to staff if clients attended. CSI significantly improved rates of successful transition (84%) and admission (74%) compared to UC (64% contact; 49% admitted). CI did not result in significantly improved outcomes (74%; 60%). CSI was likely mediated by the reliability (92% vs 52% in UC) and immediacy (1.0 vs 3.9 days) of appointment scheduling. This study supports use of CSI for improving rates of transition between residential and outpatient continuing care treatment.
机译：审查了改善从短期住院到门诊治疗过渡的干预措施。通常护理（UC； N = 114）转诊至首选门诊计划，并且可以选择提前预约。客户奖励计划（CI; N = 97）在治疗的前30天内提供高达$ 100的礼品卡用于入场和出诊。签订员工奖励计划（CSI； N = 49）包括在出院前与门诊顾问会面，签订出勤合同，接受任命并向客户付款（如果客户参加）。与UC（64％接触； 49％入院）相比，CSI显着提高了成功过渡（84％）和入院（74％）的比率。 CI并未显着改善预后（74％； 60％）。 CSI可能受约会安排的可靠性（92％vs UC中52％）和即时性（1.0 vs 3.9天）影响。这项研究支持使用CSI改善住院和门诊持续护理治疗之间的过渡率。

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