Historique
Périodique
Network therapy for addiction: assessment of the clinical outcome of training
(La thérapie en réseau de l'addiction : évaluation des conséquences cliniques de la formation)
Auteur(s) :
GALANTER, M. ;
KELLER, D. S. ;
DERMATIS, H.
Année
1997
Page(s) :
355-367
Langue(s) :
Anglais
Refs biblio. :
42
Domaine :
Drogues illicites / Illicit drugs
Note générale :
American Journal of Drug and Alcohol Abuse, 1997, 23, (3), 355-367
Résumé :
FRANÇAIS :
Cet article présente une étude de lefficacité de la formation de thérapeutes débutants sur la thérapie en réseau, une approche comportementale qui vise labstinence et la prévention des rechutes. 19 psychiatres nayant pas dexpérience dans le traitement de labus de drogues ni de la thérapie en ambulatoire et 24 patients dépendants à lhéroïne ayant suivi une thérapie en réseau de 24 semaines, ont participé à létude. Les patients sont restés en traitement en moyenne 15,4 semaines. 79 % des analyses durine à la cocaïne ont été négatives et 42 % des patients avaient une urine normale dans les trois semaines précédents la fin du traitement. Lensemble des résultats est comparable avec ceux obtenus après traitement par des thérapeutes confirmés.
ENGLISH :
Mental health practitioners in the office setting are often seen as deficient in addiction treatment skills. Relevant training is often quite limited, and trainees are generally not introduced in an effective office-based modality, We studied the feasibility of teaching beginning therapists how to apply Network Therapy, a cognitive-behavioral approach to achieving abstinence and preventing relapse that augments individual therapy with support from family and friends. The therapists were 19 psychiatric residents without experience in substance abuse treatment or outpatient therapy, and the patients were 24 cocaine-dependent patients who received a 24-week course of Network treatment. The patients remained in treatment for an average of 15.4 weeks. Seventy-nine percent of their observed weekly urine toxicologies were negative for cocaine, and 42% of patients produced clean urines in the 3 weeks immediately before termination. The overall outcome compares favorably with that reported in studies on cocaine treatment where experienced therapists were employed. Our results suggest that naive mental health trainees can be taught to apply Network Therapy for effective substance abuse management. This is particularly relevant to technology transfer for general mental health trainees, who are often thought to be perceived to be refractory to learning about the outpatient management of addiction. (Author' s abstract)
Cet article présente une étude de lefficacité de la formation de thérapeutes débutants sur la thérapie en réseau, une approche comportementale qui vise labstinence et la prévention des rechutes. 19 psychiatres nayant pas dexpérience dans le traitement de labus de drogues ni de la thérapie en ambulatoire et 24 patients dépendants à lhéroïne ayant suivi une thérapie en réseau de 24 semaines, ont participé à létude. Les patients sont restés en traitement en moyenne 15,4 semaines. 79 % des analyses durine à la cocaïne ont été négatives et 42 % des patients avaient une urine normale dans les trois semaines précédents la fin du traitement. Lensemble des résultats est comparable avec ceux obtenus après traitement par des thérapeutes confirmés.
ENGLISH :
Mental health practitioners in the office setting are often seen as deficient in addiction treatment skills. Relevant training is often quite limited, and trainees are generally not introduced in an effective office-based modality, We studied the feasibility of teaching beginning therapists how to apply Network Therapy, a cognitive-behavioral approach to achieving abstinence and preventing relapse that augments individual therapy with support from family and friends. The therapists were 19 psychiatric residents without experience in substance abuse treatment or outpatient therapy, and the patients were 24 cocaine-dependent patients who received a 24-week course of Network treatment. The patients remained in treatment for an average of 15.4 weeks. Seventy-nine percent of their observed weekly urine toxicologies were negative for cocaine, and 42% of patients produced clean urines in the 3 weeks immediately before termination. The overall outcome compares favorably with that reported in studies on cocaine treatment where experienced therapists were employed. Our results suggest that naive mental health trainees can be taught to apply Network Therapy for effective substance abuse management. This is particularly relevant to technology transfer for general mental health trainees, who are often thought to be perceived to be refractory to learning about the outpatient management of addiction. (Author' s abstract)
Affiliation :
Div. Alcohol. Drug Abuse, Dept Psychiat., New York Univ. Sch. Med., 550 First Ave, New York 10016
Etats-Unis. United States.
Etats-Unis. United States.