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Contingency management: perspectives of Australian service providers.

机译:应急管理:澳大利亚服务提供商的观点。

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Given the very positive and extensive research evidence demonstrating efficacy and effectiveness of contingency management, it is important that Australia explore whether contingency management has a role to play in our own treatment context. Qualitative interviews were conducted with 30 experienced alcohol and drug practitioners, service managers and policy-makers in Victoria. Interviewees were selected to represent the range of drug treatment services types and included rural representation. A semi-structured interview schedule, covering their perceptions and practices of contingency management was used. All interviews were transcribed verbatim and analysed using N2 qualitative data analysis program. The majority of key informants were positively inclined toward contingency management, notwithstanding some concerns about the philosophical underpinnings. Concerns were raised in relation to the use of monetary rewards. Examples of the use of contingency management provided by key informants demonstrated an over-inclusive definition: all the examples did not adhere to the key principles of contingency management. This may create problems if a structured contingency management were to be introduced in Australia. Contingency management is an important adjunctive treatment intervention and its use in Australia has the potential to enhance treatment outcomes. No unmanageable barriers were identified in this study.
机译:鉴于非常积极而广泛的研究证据证明了应急管理的有效性和有效性,因此澳大利亚探索应急管理是否在我们自己的治疗环境中发挥作用至关重要。对维多利亚州30位经验丰富的酒精和毒品从业人员,服务经理和政策制定者进行了定性采访。选择受访者代表毒品治疗服务类型的范围,并包括农村代表。使用半结构化的访谈时间表,涵盖他们对应急管理的看法和做法。所有访谈均逐字记录,并使用N2定性数据分析程序进行分析。尽管对哲学基础有些担忧,但大多数关键线人还是积极地对应急管理持偏见。有人对金钱奖励的使用表示关注。关键线人提供的使用应急管理的示例显示了一个过于笼统的定义:所有示例均未遵循应急管理的关键原则。如果在澳大利亚引入结构化的应急管理,可能会造成问题。应急管理是重要的辅助治疗干预措施,在澳大利亚,应急管理的使用可能会增强治疗效果。在这项研究中没有发现难以控制的障碍。

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