Historique
Article de Périodique
The grand design lessons from DATOS (2002)
(Les grandes leçons à retenir du programme DATOS)
Auteur(s) :
FRANEY C. ;
ASHTON, M.
Année
2002
Page(s) :
4-7;16-19
Langue(s) :
Français
Refs biblio. :
79
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
CRACK
;
ENQUETE
;
COCAINE
;
COUT SOCIAL
;
PRISE EN CHARGE
;
RETENTION
;
POSTCURE
;
AUTOSUPPORT
Thésaurus géographique
ETATS-UNIS
Résumé :
ENGLISH :
8 Key practice points from this article. 1/ Crack addiction is treatable and treatment saves money for the society which provides it. 2/ Long-term, residential programmes which retain clients for at least three months are particularly cost-beneficial for highly criminal clients with severe problems. 3/ Quality standards should be based on client engagement and retention because these are predictive of outcomes. The quality of the relationship between a client and their key worker is a particularly good indicator of retention and treatment success. 4/ Measures of engagement and progress such as those used in DATOS provide early warning of potential drop-out; they should be measured and acted-on before drop-out occurs. 5/ Treatment quality is most important for clients with prior experience of treatment. 6/ At intake, the client's commitment to change through treatment is an important predictor of how well they will do. The implication is that providing treatment swiftly when this motivation is at its height will enhance retention and outcomes. 7/ Even with less motivated admissions, services can retrieve the situation if early on they use appropriate communication strategies to foster, recognise and reward engagement. 8/ Post-treatment self-help prevents relapse. Uptake is encouraged by starting self-help during treatment. (Extract of the publication)
Affiliation :
Ctre for Research on Drugs and Health Behaviour, Imperial College, The Reynolds Building, St Dunstan's Road, London W6 8RP
Royaume-Uni. United Kingdom.
Royaume-Uni. United Kingdom.