12-Step Facilitation for the Dually Diagnosed
为双重诊断患者提供 12 步便利
基本信息
- 批准号:7115813
- 负责人:
- 金额:$ 33.64万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2005
- 资助国家:美国
- 起止时间:2005-09-01 至 2010-05-31
- 项目状态:已结题
- 来源:
- 关键词:alcoholism /alcohol abuse therapybehavior therapybehavioral /social science research tagclinical researchcomorbiditydrug abuse therapyhuman subjecthuman therapy evaluationmajor depressionmental disordersmental health counselingoutcomes researchpatient care managementpatient oriented researchself helpsocial support networksubstance abuse related disordertherapy compliance
项目摘要
DESCRIPTION (provided by applicant): Although there has been relatively little work on 12-step treatment for seriously mentally ill patients, extant literature indicates that dually diagnosed individuals attend traditional 12-step programs such as AA, NA, and CA at rates comparable to singly diagnosed substance abusers, and that participation is associated with decreases in substance use. Specialized 12-step programs for the dually diagnosed, developed over the past 10 years, may offer additional benefits. In order to maximize the effectiveness of specialized and traditional 12-step programs for dually diagnosed individuals, specially adapted 12-step facilitation (TSF) treatment for the dually diagnosed should be developed and tested. Standard TSF should be modified to address the special needs of dually diagnosed individuals, mesh with specialized 12-step programs available in the area, and address barriers to attendance, participation, and engagement experienced by the dually diagnosed. We have developed a modified TSF based on the Project MATCH TSF manual.
Modifications to this 12 week individual therapy include: emphasis on specialized 12-step program attendance; readings primarily from specialized 12-step program literature; participation in the second session by a community specialized 12-step program member; case management to assist participants in finding and attending meetings; omission of work on the fourth step; and the addition of topics covering medication compliance and specific social skills needed to negotiate 12-step meetings. In a pilot study with 10 dually diagnosed individuals, participants showed significant decreases in substance use and significant increases in 12-step attendance after receiving the specialized TSF. Building on this pilot study, the proposed study is a larger Stage Ib study of the modified TSF for seriously mentally ill patients engaged in dual diagnosis treatment. Participants with a psychotic or major affective disorder will be randomized to modified TSF (n=90) vs. treatment as usual (n=45). Participants will be followed for a total of 48 weeks. Assessments will include rigorous diagnosis and measures of alcohol and other drug use, consequences, psychiatric symptoms, 12-step behaviors, 12-step specific and non-specific change mechanisms, and social support. Specific Aims of the study include assessment of the integrity of the planned intervention and assessment battery; tests of the effectiveness of the adapted TSF relative to treatment as usual; determination of whether psychiatric diagnosis moderates treatment response; and investigation of causal mechanisms of response to treatment.
描述(由申请人提供):尽管对严重患者的12步治疗的工作相对较少,但现有的文献表明,双重诊断的个体以与单独诊断的药物滥用者相当的速度参加了传统的12步计划,例如AA,NA和CA,并且该参与与药物使用的减少有关。在过去10年中开发的双重诊断的专门12步计划可能会带来其他好处。为了最大程度地提高针对双重诊断的个体的专业和传统12步计划的有效性,应开发和测试针对双重诊断的12步促进(TSF)治疗。 应修改标准TSF,以满足双重诊断的个人的特殊需求,与该地区可用的专门的12步计划网格,并解决出勤,参与和参与的障碍。我们根据项目匹配TSF手册开发了一个修改的TSF。
对这12周的个人疗法进行修改包括:强调专门的12步计划出勤;读物主要来自专业的12步计划文献;由社区专业的12步计划成员参加第二届会议;案件管理协助参与者查找和参加会议;第四步的省略工作;并增加了涵盖药物合规性和谈判12步会议所需的特定社交技能的主题。在一项针对10个双重诊断的个体的试点研究中,参与者在接受专门的TSF后,参与者的药物使用量显着降低,而12步出勤率显着增加。在这项试点研究的基础上,拟议的研究是对经过双重诊断治疗的严重患者的改良TSF进行更大的IB研究。患有精神病或主要情感障碍的参与者将被随机分配给修改的TSF(n = 90)与治疗一样(n = 45)。参与者将持续48周。评估将包括严格的诊断和酒精和其他药物使用的方法,后果,精神病症状,12步行为,12步的特定和非特定的变化机制以及社会支持。该研究的具体目的包括评估计划的干预和评估电池的完整性;像往常一样相对于治疗的适应性TSF的有效性的测试;确定精神诊断是否会调节治疗反应;以及对治疗反应的因果机制的研究。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
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Michael Parks Bogenschutz其他文献
Michael Parks Bogenschutz的其他文献
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