The treatment of substance addicts: a judgement analysis of therapists' matching strategies

Westenberg, M.R.M.; Koele, Pieter; Kools, Elisabeth

doi:10.1002/(sici)1099-0879(199803)5:1<39::aid-cpp142>3.0.co;2-h

Cited by 5 publications

(2 citation statements)

References 8 publications

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“…A variation in professionals' practice, both within and between individuals, is not unique to occupational therapy. Several studies have found that clinicians' decision making can be inconsistent and that agreement regarding the relevant factors for a particular decision is often limited (Westenberg et al 1988, Skaner et al 1998, Holzworth and Willis 1999. This may be magnified in occupational therapy owing to the absence of rigorous evidence concerning the effectiveness of interventions, and hence the absence of a gold standard for 'correct behaviour'.…”

Section: Implications For Practice and Professionmentioning

confidence: 99%

To Provide or Not to Provide Treatment? That is the Question

Kolehmainen

Francis

McKee

2008

British Journal of Occupational Therapy

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Section: Implications For Practice and Professionmentioning

confidence: 99%

To Provide or Not to Provide Treatment? That is the Question

Kolehmainen

Francis

McKee

2008

British Journal of Occupational Therapy

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“…However, clinicians are not qualified to predict differential treatment efficacy for substance abuse patients [17]. Without using objective matching strategies, therapists employ idiosyncratic, intuitive and non‐transparent matching strategies [18]. Patient placement strategies used for assigning patients to different LOCs were developed by the American Society of Addiction Medicine patient placement criteria (ASAM PPC) [19].…”

Section: Introductionmentioning

confidence: 99%

Allocation of substance use disorder patients to appropriate levels of care: feasibility of matching guidelines in routine practice in Dutch treatment centres

Merkx¹,

Schippers²,

Koeter³

et al. 2007

Addiction

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The feasibility of guideline-based treatment allocation is seriously limited due to inadequate data collection of patient characteristics and suboptimal guideline-based treatment allocation. As a consequence, only 24.4% of the patients could be evaluated as being matched properly to the treatment planned. The results indicate several barriers which limit the adequate implementation of patient-treatment-matching guidelines: problems in the infrastructure of data collection and storage and the inertia of intake staff who did not adhere to the guidelines for assessment and matching.

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Factors Predicting Patient’s Allocation to Short- and Long-Term Therapeutic Community Treatments in the Italian VOECT Cohort Study

Vigna‐Taglianti

Mathis

Diecidue

et al. 2017

Community Ment Health J

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The Evaluation of Therapeutic Community Treatments and Outcomes (VOECT) study was conducted in 131 Italian Therapeutic Communities (TCs) in 2008/2009. All of the patients entering residential treatment for drug or alcohol dependence were invited to participate. Data regarding patient socio-demographic characteristics, drug and alcohol consumption, health and psychopathological status, prior treatments and outcomes, and their motivation score were collected upon enrolment onto the study. The aim of this work was to identify the factors associated with allocation to short- versus long-term programmes in drug or alcohol dependent patients entering TCs in Italy. Of the 2470 patients included in the analysis, 30.8% were allocated to short-term treatment and 69.2% to long-term treatment. Several factors were significantly associated with the allocation to short- and long-term treatments: unstable living conditions; entering the TC when not detoxified; a high Symptom Checklist-90 somatization score; prior cessation episodes; previous in-patient detoxification treatments; psychosocial treatments; entering the TC by oneself; and a low motivation score.

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The treatment of substance addicts: a judgement analysis of therapists' matching strategies

Cited by 5 publications

References 8 publications

To Provide or Not to Provide Treatment? That is the Question

To Provide or Not to Provide Treatment? That is the Question

Allocation of substance use disorder patients to appropriate levels of care: feasibility of matching guidelines in routine practice in Dutch treatment centres

Factors Predicting Patient’s Allocation to Short- and Long-Term Therapeutic Community Treatments in the Italian VOECT Cohort Study

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