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Perceptions of denial among pregnant and parenting chemically dependent women enrolled in treatment

SUBSTANCE USE & MISUSE 1999年第6期34卷 867-885页

作者： Davis, SK Lanz, JB Perinatal Treatment Serv Seattle WA 98122 USA Univ Washington Sch Social Work Social Dev Res Grp Seattle WA 98195 USA

This study combined both qualitative and quantitative methodologies to examine the perceptions of denial in a sample of pregnant and parenting chemically dependent women enrolled in treatment. Interview data revealed that the women in the study had no trouble recognizing denial as a negative influence on the recovery process and were highly critical of denial behaviors displayed by other women in treatment. Learning opportunities, such as special focus groups (e.g., denial recognition, anger management), were identified by participants as the most helpful strategies utilized by treatment staff in dealing with issues of denial. Perceptions of denial were compared across selected demographic and psychosocial variables. No significant differences emerged, with one exception: women who reported recent histories of physical or sexual abuse were more likely to report positive feelings while in denial, such as feeling "normal" and "in control." than women who denied recent abuse histories.

关键词：人口统计学否认(心理学) 抑郁/心理学敌意行使父母职责/心理学妊娠并发症/心理学妊娠并发症/康复问卷调查自我概念自我揭露社会支持物质滥用治疗中心/组织和管理物质相关性障碍/心理学物质相关性障碍/康复青少年成年人女(雌)性人类妊娠

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Complementary treatment of drug addicts in Malaysia

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TROPICAL DOCTOR 2000年第2期30卷 105-106页

作者： Razali, SM Univ Sains Malaysia Sch Med Sci Dept Psychiat Kubang Kerian 16150 Kelantan Malaysia

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A provider assessment of the Massachusetts Medicaid Managed Behavioral Health Program: Year four

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ADMINISTRATION AND POLICY IN MENTAL HEALTH 1998年第4期25卷 411-426页

作者： Beinecke, RH Lockhart, A Suffolk Univ Dept Publ Management Boston MA 02108 USA

A stratified, random sample of 80 providers in the Massachusetts Medicaid Managed Mental Health/Substance Abuse Program were interviewed by phone to assess their views of the program in year four. Providers continued to believe that access and quality were the same or better than a year earlier, that client severity continued to increase while length of stay decreased, that readmissions and emergency room admissions were the same as a year earlier, and that aftercare was the same or better than a year earlier. Substantial problems were reported in the integration of services, in linkages with support services, and with administration of the program.

关键词：医务工作者的态度卫生保健提供联合/组织和管理卫生服务易得程度/标准住院时间/统计学和数值数据住院时间/发展趋势管理医疗规划/组织和管理马萨诸塞 Medicaid/组织和管理精神卫生服务/组织和管理方案评价卫生保健质量问卷调查州卫生计划/组织和管理物质滥用治疗中心/组织和管理美国成年人儿童人类

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Provision of drug treatment services in the juvenile justice system: A system reform

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JOURNAL OF BEHAVIORAL HEALTH SERVICES & RESEARCH 2000年第2期27卷 194-214页

作者： Terry, YM VanderWaal, CJ McBride, DC Van Buren, H Andrews Univ Dept Social Work Berrien Springs MI 49104 USA Andrews Univ Dept Behav Sci Berrien Springs MI 49104 USA

This article proposes a systemic I reform of the organizational structure and delivery of substance abuse services for adolescents within the juvenile justice system. It first discusses the impact of substance use on the juvenile justice system and then reviews which drug treatment programs and services are currently available. Following an evaluation of the mast effective drug treatment programs and modalities, recommendations for system reform are given. The recommendations are based on a graduated sanctions framework, supported by systems collaboration and comprehensive case management. Systems collaboration between service providers must exist for juvenile;to receive appropriate and comprehensive services. Case managers (CMs) both assess juveniles and help them move through and between judicial, drug treatment, and social service systems. lit this way, juveniles receive the most suitable and complete services a community can offer while remaining:firmly under juvenile justice system supervision.

关键词：病例管理/立法和法学指导方针(主题) 青少年犯罪/立法和法学青少年犯罪/预防和控制地区医疗规划/立法和法学地区医疗规划/组织和管理社会工作/组织和管理物质滥用治疗中心/立法和法学物质滥用治疗中心/组织和管理物质相关性障碍/康复物质相关性障碍/治疗美国青少年儿童人类

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Conversation with Jim Rankin.

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Addiction (Abingdon, England) 2000年第5期95卷 667-676页

作者： Rankin, J.

In this occasional series we record the views and personal experience of people who have specially contributed to the evolution of ideas in the Journal ’s field of interest. Jim Rankin is an Australian physician. Both in his own country and in Canada he has made outstanding contributions to service development and professional education in the alcohol and drugs field.

关键词：加拿大教育医学/组织和管理新南威尔士物质滥用治疗中心/组织和管理物质相关性障碍/预防和控制人类

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Program variation in treatment outcomes among women in residential drug treatment

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EVALUATION REVIEW 2000年第4期24卷 364-383页

作者： Grella, CE Joshi, V Hser, YI Univ Calif Los Angeles Los Angeles CA 90024 USA

Multilevel modeling was used to assess the program characteristics associated with treatment retention among 637 women in 16 residential drug treatment programs in the Drug Abuse Treatment Outcome Study. Women who were pregnant or had dependent children had higher rates of retention in programs in which there were higher percentages of other such women. Longer retention was associated,vith higher rates of postreatment abstinence Bivariate analyses showed that programs with higher proportions of pregnant and parenting women provided more sen ices related to women's needs. The findings support the provision of specialized services and programs for women in order to improve outcomes of drug abuse treatment.

关键词：结果评价(卫生保健) 方案评价寄托治疗/组织和管理物质滥用治疗中心/组织和管理物质相关性障碍/治疗美国青少年成年人女(雌)性人类妊娠

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Third generation information systems: Integrating costs and outcomes. Tools for professional development and program evaluation

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ADMINISTRATION IN SOCIAL WORK 1996年第1期20卷 1-+页

作者： McCready, DJ Pierce, S Rahn, SL Were, K COMMUNITY ALCOHOL & DRUG SERV GUELPH ON CANADA

The authors present specific procedures for obtaining cost per closed case and a case outcome rating for each closed case, computer generated, yielding a cost-outcome report for single cases and aggregated cases. The procedures are illustrated with field data from an alcohol and drug addiction service. Cost per closed case is seen as the new unit cost datum. Combined with case outcome information, the cost-outcome report is seen as a promising new measure of efficiency. The potential of the cost-outcome report as a new basis for professional self-development, increased treatment effectiveness, and program evaluation is discussed.

关键词：预算加拿大费用分配/方法数据说明统计效率组织/经济学管理信息系统结果评价(卫生保健) 方案评价社会工作精神病/经济学物质滥用治疗中心/经济学物质滥用治疗中心/组织和管理时间和运动研究美国人类

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Definition of service areas for substance abuse treatment agencies

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ADMINISTRATION AND POLICY IN MENTAL HEALTH 1998年第4期25卷 449-454页

作者： Rohrer, JE Westermann, J Iowa Consortium Subst Abuse Res & Evaluat Iowa City IA 52242 USA Dept Prevent Med Iowa City IA 52242 USA

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HIV and other infectious disease prevention activities at mental health and substance abuse treatment agencies in Alaska

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ADMINISTRATION AND POLICY IN MENTAL HEALTH 2003年第4期30卷 355-359页

作者： Brems, C Johnson, ME Watkins, K Univ Alaska Alaska Comprehens & Specialized Evaluat Serv Anchorage AK USA

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Disciplining addictions: The bio-politics of methadone and heroin in the United States

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CULTURE MEDICINE AND PSYCHIATRY 2000年第2期24卷 165-195页

作者： Bourgois, P Univ Calif San Francisco Dept Anthropol Hist & Social Med San Francisco CA 94143 USA

Biomedical understanding of methadone as a magic-bullet pharmacological block to the euphoric effects of heroin is inconsistent with epidemiological and clinical data. An ethnographic perspective on the ways street-based heroin addicts experience methadone reveals the quagmire of power relations that shape drug treatment in the United States. The phenomenon of the methadone clinic is an unhappy compromise between competing discourses: A criminalizing morality versus a medicalizing model of addiction-as-a-brain-disease. Treatment in this context becomes a hostile exercise in disciplining the unruly misuses of pleasure and in controlling economically unproductive bodies. Most of the biomedical and epidemiological research literature on methadone obscures these power dynamics by technocratically debating dosage titrations in a social vacuum. A foucaultian critique of the interplay between power and knowledge might dismiss debates over the Swiss experiments with heroin prescription as merely one more version of biopower disciplining unworthy bodies. Foucault's ill-defined concept of the specific intellectual as someone who confronts power relations on a practical technical level, however, suggests there can be a role for political as well as theoretical engagement with debates in the field of applied substance abuse treatment. Meanwhile, too many heroin addicts who are prescribed methadone in the United States suffer negative side effects that range from an accentuated craving for polydrug abuse to a paralyzing sense of impotence and physical and emotional discomfort.

关键词：行为成瘾/心理学海洛因依赖/康复纽约市惩罚旧金山社会控制政策社会知觉物质滥用治疗中心/组织和管理美国成年人人类男(雄)性

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