A preliminary study of the effects of individual patient-level feedback in outpatient substance abuse treatment programs

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• 作者：Paul Crits-Christoph ; Ph.D.^a ; ^{crits@mail.med.upenn.edu} ; Sarah Ring-Kurtz ; M.S.^a ; Jessica L. Hamilton ; B.A.^a ; Michael J. Lambert ; Ph.D.^b ; Robert Gallop ; Ph.D.^c ; Bridget McClure ; M.A.^d ; Agatha Kulaga ; M.S.W.^d ; John Rotrosen ; M.D.^d
• 关键词：Substance abuse ; Feedback ; Outcome Questionnaire-45 ; Quality improvement
• 刊名：Journal of Substance Abuse Treatment
• 出版年：2012
• 出版时间：April, 2012
• 年：2012
• 卷：42
• 期：3
• 页码：301-309
• 全文大小：182 K

文摘

The purpose of this study was to examine the effects of feedback provided to counselors on the outcomes of patients treated at community-based substance abuse treatment programs. A version of the Outcome Questionnaire (OQ-45), adapted to include drug and alcohol use, was administered to patients (N = 304) in 3 substance abuse treatment clinics. Phase I of the study consisted only of administration of the assessment instruments. Phase II consisted of providing feedback reports to counselors based on the adapted OQ-45 at every treatment session up to Session 12. Patients who were found to not be progressing at an expectable rate (i.e., ¡°offtrack? were administered a questionnaire that was used as a second feedback report for counselors. For offtrack patients, feedback compared with no feedback led to significant linear reductions in alcohol use throughout treatment and also in OQ-45 total scores and drug use from the point of the second feedback instrument to Session 12. The effect for improving mental health functioning was evident at only 1 of the 3 clinics. These results suggest that a feedback system adapted to the treatment of substance use problems is a promising approach that should be tested in a larger randomized trial.