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首页> 外文期刊>Drug and alcohol review >Programme factors that influence completion of residential treatment.
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Programme factors that influence completion of residential treatment.

机译：影响完成住院治疗的程序因素。

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The aim of this study was to predict retention in residential rehabilitation (RR) services for drug users, focusing on service provider factors. A national postal survey of RR services in England and Wales was carried out and information was obtained from 57 of 87 services identified (65.5%). Service managers were asked to complete a questionnaire asking about treatment philosophy, treatments provided, staff characteristics and staffing levels, as well as overall service size and funding. Services also provided information on the number of clients admitted and the number who had completed, dropped out and been asked to leave in the past year. Completion rates varied widely, from 3% to 92%, with an average of 48%. Higher completion rates were associated with lower counsellor caseloads, fewer beds, single rooms, shorter scheduled treatment durations, higher fees per client and provision of what could be termed a balanced treatment programme containing adequate amounts of individual counselling and programme-free time, and with only moderate demands for domestic duties. Programmes with more drug than alcohol users had lower completion rates, but the proportion of dual diagnosis or criminal justice referred clients did not appear to affect retention. Completion rates varied as a function of a number of service factors that are amenable to manipulation. To retain clients successfully, programmes should not be too large and should have adequate levels of therapeutic staff, a well-developed treatment schedule which is not too demanding for the client in terms of duties or overall time spent in structured activities, and which incorporates sufficient levels of individual counselling. [Meier PS, Best D. Programme factors that influence completion of residential treatment. Drug Alcohol Rev2006;25:349 - 355].
机译：这项研究的目的是预测针对毒品使用者的住院康复（RR）服务的保留率，重点是服务提供者因素。对英格兰和威尔士的RR服务进行了一次全国邮政调查，从确定的87个服务中的57个（65.5％）获得了信息。服务经理被要求填写一份调查表，询问治疗理念，所提供的治疗方法，人员特征和人员配备水平以及整体服务规模和资金。服务还提供了有关过去一年中被接纳的客户数量以及完成，退出和被要求离开的客户数量的信息。完成率差异很大，从3％到92％，平均为48％。较高的完成率与辅导员案件量减少，床位数少，单间病房，预定的治疗时间较短，每位客户的费用更高以及提供所谓的平衡治疗计划有关，该计划包含足够的个人咨询和无计划时间，并具有仅适度要求家务。吸毒者多于酒精使用者的计划的完成率较低，但是双重诊断或刑事司法推荐人的比例似乎并未影响保留率。完成率根据许多易于操纵的服务因素而变化。为了成功留住客户，计划不应太大，并应具有足够的治疗人员水平，制定完善的治疗时间表，就职责或在结构化活动中花费的总时间而言，对客户的要求不是很高，个人辅导的水平。 [Meier PS，最佳D。影响完成住院治疗的计划因素。药物酒精评论2006; 25：349-355]。

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