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首页> 外文期刊>Journal of substance abuse treatment >Fair hearing outcomes of patients recommended discharge from methadone maintenance
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Fair hearing outcomes of patients recommended discharge from methadone maintenance

机译：公平听力结果的患者推荐从美沙酮维修中排出

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摘要

Abstract A system known as fair hearings is a due process opportunity for patients who are involuntarily discharged from methadone maintenance treatment to challenge the discharge recommendation. We know very little about the processes and outcomes of fair hearings. For this study, we used a mixed methods approach to retrospectively analyze 73 fair hearing reports that were documented from a California methadone maintenance treatment program between 2000 and 2014. The aims of the study were to identify the reasons for involuntary discharge recommendation from methadone maintenance, describe the factors involved when fair hearing outcomes decided in favor of the clinic, and describe the factors involved when fair hearing outcomes decided in favor of the patient. We found that patient attendance at the fair hearing meeting was significantly related to the outcome ruling in favor of the patient. We organized the reasons for discharge recommendations into five categories: 1) suspected diversion, 2) behavioral/interpersonal, 3) repeated, unexcused absences, 4) co-occurring substance use, and 5) multiple sources of opioids. For each category, we use excerpts from fair hearing reports to provide context to the circumstances involved in an outcome favoring the patient or the clinic. Highlights ? We identify factors involved in patient discharge from methadone maintenance. ? Patient attendance at the fair hearing meeting was related to rulings in their favor. ? Different factors were involved in outcomes in favor of the clinic versus the patient.
机译：摘要作为公平听证会称为公平听证的系统是从美沙酮维护治疗不由自主地排出的患者的到期的过程机会，以挑战排放推荐。我们对公平听证会的流程和结果很少了解。对于这项研究，我们使用了混合方法来回顾性分析了从2000年至2014年之间的加州美沙酮维护治疗计划中记录的73个公平听证报告。该研究的目的是确定来自美沙酮维护的非自愿排放推荐的原因，描述公平听​​证结果当诊所决定有利于诊所时描述的因素，并描述公平听​​证结果决定有利于患者时所涉及的因素。我们发现公平听证会议的患者出勤与患者有利于患者的结果裁决大大相关。我们组织了向五类提出的提出提出的原因：1）疑似转移，2）行为/人际关系，3）重复，无污染，4）共同发生的物质使用，5）多种阿片类药物来源。对于每个类别，我们使用公平听证报告中的摘录来为有利于患者或诊所的结果所涉及的情况提供背景。强调 ？我们识别来自美沙酮维护的患者排出的因素。还公平听证会议的患者出勤与他们有利的裁决有关。还不同的因素涉及诊所对患者的结果。

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