ALCOHOLISM TREATMENT SERVICES BY WOMEN

女性酗酒治疗服务

• 批准号: 2046895
• 负责人: JACQUELINE WALLEN
• 金额: $ 18.97万
• 依托单位: UNIV OF MARYLAND, COLLEGE PARK
• 依托单位国家: 美国
• 财政年份: 1994
• 资助国家: 美国
• 起止时间: 1994-09-20 至 1997-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2046895
• 关键词: alcoholic beverage consumption; alcoholism /alcohol abuse; alcoholism /alcohol abuse therapy; case history; drug abuse; female; health care cost /financing; health care facility; health care policy; health care referral /consultation; health care service evaluation; health care service utilization; health insurance; human subject; longitudinal human study; mental disorder diagnosis; mental health epidemiology; mental health information system; mental health services; patient /disease registry; psychological stressor; psychological tests; social support network; women's health; alcoholic beverage consumption; alcoholism /alcohol abuse; alcoholism /alcohol abuse therapy; case history; drug abuse; female; health care cost /financing; health care facility; health care policy; health care referral /consultation; health care service evaluation; health care service utilization; health insurance; human subject; longitudinal human study; mental disorder diagnosis; mental health epidemiology; mental health information system; mental health services; patient /disease registry; psychological stressor; psychological tests; social support network; women's health

The question of what kinds of alcoholism treatment services should be covered by health insurance is an important topic in health services research and it has received increased attention as proposed health care reforms are debated. Central to the debate over what alcoholism treatment services should be covered is an understanding of how alcoholism treatment services are presently used. Very little research has been carried out on women's use of alcoholism treatment or on how health insurance coverage affects their use of alcoholism treatment services. This study will employ a sample of Maryland alcoholism treatment units and female patients in these units to investigate patterns of alcoholism treatment utilization among women and among particular subpopulations of women in different treatment settings. Information on the women included in the study will be gathered at two points in time: shortly after entry into treatment and after six months. Though the present study is designed to stand alone, its design is also consistent with that of the planned National Treatment Study and can supplement that study's findings by providing a special analysis of women in treatment. The proposed study will assess the individual and combined effects of patient characteristics such as previous treatment, referral source, insurance coverage, age, race, severity of alcoholism, drug use, presence of psychiatric comorbidities, motivation for treatment, treatment goals, and social network on pathways to treatment and on services received. Services received by each client will be measured using an adaptation of McClellan's Treatment Services Review that includes measures of services addressing needs specific to women, such as child care, sexual abuse counseling, family programs, etc. The effects of treatment facility characteristics (e.g. public vs. private; inpatient vs. outpatient; specialized for women vs. mixed; hospital-based vs. free-standing) on alcoholism treatment services received by women will also be studied, both separately and as they may interact with patient characteristics. Pathways to alcoholism treatment and patterns of treatment services utilization will be characterized, for women in general and for particular subpopulations of women.

哪种酗酒治疗服务的问题应该是 健康保险涵盖是卫生服务中的重要主题 研究，它已受到拟议的医疗保健的关注 改革是辩论的。关于酗酒待遇的辩论的核心 服务应涵盖对酒精中毒的理解 服务目前使用。很少进行研究 妇女使用酒精中毒治疗或健康保险范围 影响他们对酒精中毒治疗服务的使用。这项研究将采用 马里兰州酒精中毒治疗单位和女性患者的样本 这些单位研究酒精中毒治疗的模式 在妇女中以及在不同的妇女中的特定亚群中 治疗环境。有关研究中包括的女性的信息将是 聚集在两个时间点：进入治疗后不久 六个月后。尽管本研究旨在独自一人 设计也与计划的国家待遇一致 研究并可以通过提供特殊 分析治疗中的妇女。拟议的研究将评估 患者特征的个人和组合效应，例如 以前的治疗，推荐来源，保险，年龄，种族， 酒精中毒，吸毒，精神病合并症的严重程度， 治疗，治疗目标和社交网络的动机 进行治疗和接收的服务。每个客户收到的服务 将使用McClellan治疗服务的改编来衡量 审查包括解决特定需求的服务措施 妇女，例如育儿，性虐待咨询，家庭计划等。 治疗设施特征的影响（例如公共与 私人的;住院与门诊；专门用于女性与混合物； 基于医院的与独立的）关于酒精中毒治疗服务 女性收到的也将分别研究 与患者特征相互作用。酒精中毒途径 并且将表征治疗服务的模式，因为 妇女总体上，特定的女性亚人群。