A daily client check-in system for outpatient substance abuse treatment

门诊药物滥用治疗的每日客户登记系统

基本信息

批准号：
8647889
负责人：
Steven Bernard Carswell
金额：
$ 14.77万
依托单位：
COG ANALYTICS, LLC
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-05-15 至 2016-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8647889
关键词：
Abstinence Address Alcohol or Other Drugs use Alcohols Behavior Caring Case Manager Client Clinical Collaborations Communities Computer software Counseling Data Development Diagnostic Dimensions Dropout Drug usage Effectiveness Emotional Bonds Empathy Enrollment Epidemiology Face Feedback Focus Groups Frequencies Funding Group Therapy Health Personnel Healthcare Illicit Drugs Individual Intervention Lead Left Methods Modality Monitor Motivation Nature Outcome Outpatients Pharmaceutical Preparations Phase Population Professional counselor Public Health Recovery Relapse Reporting Research Research Infrastructure Risk Sampling Services Small Business Technology Transfer Research Social Desirability Social Workers Staging Substance Use Disorder Substance abuse problem Summary Reports Surveys System Systems Development Technology Telephone Testing Therapeutic United States Substance Abuse and Mental Health Services Administration Voice base craving design experience improved innovation meetings novel premature programs prototype public health relevance reduced substance use response software systems substance abuse treatment treatment center treatment program

项目摘要

Abstract Alcohol and illicit drug use remain highly prevalent in the US, and epidemiological surveillance surveys estimate that over 20.6 million individuals (~ 8% of the US population) meet standard diagnostic thresholds for substance use disorders (SAMHSA, 2011). Outpatient substance abuse treatment is the predominate method of treatment in the US for SUDs, typically involving intermittent contact between clinician and client through weekly individual and/or group therapy sessions (SAMHSA, 2012). Unfortunately, relapse and premature treatment discontinuation are quite common in outpatient treatment (Scott et al., 2005; White, 2008). However, a strong emotional bond between clinician and client (i.e., therapeutic alliance) early in treatment has been found to enhance treatment retention and effectiveness (Barber et al., 2001; Meier et al., 2005; Miller et al., 2006; Thompson et al., 2007). Establishing and maintaining a strong therapeutic alliance in outpatient treatment is challenging due to the intermittent nature of weekly contact, leaving clinicians with a deficit of information regarding client recovery. Regular client monitoring between weekly sessions could correct such deficits and reduce the likelihood of client relapse by giving clinicians timely and accurate data to inform client- centered treatment. The proposed client check-in monitoring system (CIMS) will use phone-based interactive voice response (IVR) technology to obtain client data between weekly treatment sessions regarding motivations, cravings, risk/protective factors, and substance use behaviors. The system will generate automated brief summary reports to assist clinicians in assessing treatment needs and tailoring services. The proposed technology could ultimately be deployed throughout the national network of outpatient substance abuse treatment providers to facilitate the delivery of client-centered care, strengthen therapeutic alliance, enhance client engagement, and improve treatment retention and outcomes. Thus, the proposed technology could have high public health impact.

抽象的在美国，酒精和非法药物使用仍然很普遍，并且流行病学监测调查估计超过2060万个人（约8％的美国人口）符合标准的诊断门槛药物使用障碍（Samhsa，2011年）。门诊药物滥用治疗是主要方法美国的治疗方法，通常涉及临床医生与客户之间的间歇接触每周的个人和/或小组治疗课程（Samhsa，2012年）。不幸的是，复发和过早在门诊治疗中停用治疗非常普遍（Scott等，2005； White，2008）。然而，临床医生和客户（即治疗联盟）在治疗的早期一直存在牢固的情感联系。发现可以增强治疗保留和有效性（Barber等，2001; Meier等，2005; Miller等， 2006; Thompson等，2007）。建立和维持强大的门诊治疗联盟由于每周接触的间歇性质，治疗是具有挑战性的，使临床医生的不足有关客户端恢复的信息。每周会议之间的定期客户监控可以纠正通过给临床医生及时，准确的数据来通知客户，赤字和减少客户复发的可能性 - 中心治疗。拟议的客户登机手续监控系统（CIMS）将使用基于电话的交互式语音响应（IVR）技术，以在每周治疗会话之间获得客户数据动机，渴望，风险/保护因素和药物使用行为。系统将生成自动简短的摘要报告，以协助临床医生评估治疗需求和裁缝服务。这提议的技术最终可以在整个国家门诊物质的国家网络中部署滥用治疗提供者，以促进以客户为中心的护理，加强治疗联盟，增强客户参与度，并改善治疗保留和结果。因此，提议的技术可能对公共卫生产生巨大影响。