Treatment goals in addiction healthcare: the perspectives of patients and clinicians
العنوان: | Treatment goals in addiction healthcare: the perspectives of patients and clinicians |
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المؤلفون: | G.H. de Weert-van Oene, C.P.F. van der Staak, Tom Sensky, C.A.J. de Jong, E.A.G. Joosten |
المصدر: | International Journal of Social Psychiatry, 57, 3, pp. 263-276 International Journal of Social Psychiatry, 57, 263-276 |
سنة النشر: | 2010 |
مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Patient Dropouts, Attitude of Health Personnel, Substance-Related Disorders, media_common.quotation_subject, Temperance, Experimental Psychopathology and Treatment, Patient Education as Topic, Intervention (counseling), Surveys and Questionnaires, Health care, Interview, Psychological, Secondary Prevention, Medicine, Humans, Patient participation, Psychiatry, media_common, Netherlands, business.industry, Illicit Drugs, Addiction, Public health, Social environment, Abstinence, Middle Aged, Mental health, Hospitalization, Psychiatry and Mental health, Alcoholism, Q-Sort, Female, Substance Abuse Treatment Centers, Patient Participation, business, Goals |
الوصف: | Background: Little is known about the perspectives of either patients or clinicians regarding treatment goals in addiction healthcare. In general, treatment goals involve abstinence or at least reduction of substance use. Aim: To examine and compare the treatment goals indicated by both patients and clinicians at baseline, interim and exit measurement. Method: A descriptive study was performed with multiple measurements of treatment goals. Patients ( n = 111) and clinicians ( n = 20) were recruited from three addiction treatment centres in the Netherlands. A Shared Decision Making Intervention (SDMI) was undertaken to promote and evaluate treatment agreement. Results: Patients identified treatment goals of daytime activities and abstinence or reduced alcohol consumption as most important. Clinicians indicated psychological distress, daytime activities and substance use as most important. Differences between patients and clinicians were found for the treatment goals of physical health (patient > clinician) and psychological distress (clinician > patient). The results further showed that treatment goals of both patients and clinicians become more closely aligned during the course of treatment. Conclusion: SDMI provides a method to explore and discuss discrepancy between patients’ and clinicians’ goals of treatment which leads to convergence. Such convergence is likely to be a necessary prerequisite for positive treatment outcomes. |
تدمد: | 1741-2854 0020-7640 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7f9f40b1815c218334677ca50a71a6dd https://pubmed.ncbi.nlm.nih.gov/20068024 |
Rights: | RESTRICTED |
رقم الانضمام: | edsair.doi.dedup.....7f9f40b1815c218334677ca50a71a6dd |
قاعدة البيانات: | OpenAIRE |
تدمد: | 17412854 00207640 |
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