Methodological and clinical challenges in evaluating treatment outcome of substance-related disorders and comorbidity

被引:5
作者
El-Guebaly, N
Hodgins, DC
Armstrong, S
Addington, J
机构
[1] Univ Calgary, Dept Psychiat, Calgary, AB T2N 1N4, Canada
[2] Addict Ctr, Calgary, AB, Canada
[3] Foothills Med Ctr, Addict Ctr, Calgary, AB T2N 2T9, Canada
来源
CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE | 1999年 / 44卷 / 03期
关键词
substance-related disorders; substance-related comorbidity; outcome evaluation;
D O I
10.1177/070674379904400307
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: To review the steps required to develop an outcome evaluation package and to report on the 12-month outcome of an integrated day program. Method: Based on the identification of salient outcome predictors, standardized instruments were selected. A cohort of 78 patients was assessed at the time of admission to the program, at discharge, and 3, 6, and 12 months afterward. Results: Improvements were sustained over I year in all areas including treatment needs, quality of life, readiness to change. Conclusions: The gap between the "cultures" of treatment anti research must be narrowed Following evidence of a program's general effectiveness through outcome monitoring, a randomized control design is optimal for specific interventions. The optimal length of follow-up depends on the perceived confounds.
引用
收藏
页码:264 / 270
页数:7
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