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首页> 外文期刊>Drugs: education, prevention, and policy >The needs of problematic drug misusers not in structured treatment - A qualitative study of perceived treatment barriers and recommendations for services
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The needs of problematic drug misusers not in structured treatment - A qualitative study of perceived treatment barriers and recommendations for services

机译：有问题的滥用毒品者的需求不在结构化治疗中-对感知到的治疗障碍和服务建议的定性研究

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Aims: Little is currently known regarding treatment barriers amongst problematic drug users not in structured treatment. Much previous work accessed samples entering treatment or predates recent service changes. This study sought to access a 'hard to reach' out of structured treatment population, exploring reasons for not seeking treatment. Methods: A total of 43 drug users, self-selected as problematic and not currently in structured treatment, were identified via advertising at low-threshold services in Norfolk, and using snowballing methods. Qualitative focus groups and interviews were conducted. Data were thematically analysed aided by NVivo software. Findings: Key reported barriers to treatment are organized around system, social and personal/interpersonal dimensions. Barriers included perception of a long waiting time, stigma, and a perceived lack of understanding. Social barriers relating to localized group membership were particularly important. Conclusions: Identified barriers confirm previous research, sampling a new out of structured treatment rural population. Perceived barriers persist despite recent changes to treatment services. This could be addressed by improved advertising of service expectations and waiting times. Participants suggested, amongst other things, drop in clinics, increased primary care provision and outreach services to capture problematic drug users not in treatment. Simple practices including appointment reminders and flexibility over urine testing may improve treatment retention.
机译：目的：目前尚不了解有问题的吸毒者的治疗障碍，而并非结构性治疗。许多以前的工作访问了进入治疗的样本，或者早于最近的服务更改。这项研究试图从结构化治疗人群中获得“难以达到的”机会，探索不寻求治疗的原因。方法：通过在诺福克郡的低门槛服务处投放广告，并使用滚雪球的方法，确定了总共43名自选为有问题且目前尚未进行结构治疗的吸毒者。进行了定性焦点小组和访谈。 NVivo软件辅助对数据进行专题分析。调查结果：围绕系统，社会和个人/人际关系组织了报告的主要治疗障碍。障碍包括等待时间长，污名化和缺乏理解。与本地团体成员身份有关的社会障碍尤其重要。结论：已发现的障碍证实了先前的研究，对结构化治疗农村人口进行了抽样调查。尽管最近对治疗服务进行了更改，但感知障碍仍然存在。这可以通过改进广告服务期望和等待时间来解决。与会者建议除其他事项外，应减少诊所数量，增加初级保健服务和扩大服务范围，以捕捉未得到治疗的有问题的吸毒者。简单的做法，包括约会提醒和灵活的尿液检查，可以改善治疗效果。

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