ABSTRACT

The underlying mechanisms of drop out in residential substance use disorder (SUD) treatment were investigated from the users’ perspective to identify what impacts their drop-out. A survey-based design was used in this study of patients who had decided to drop-out from residential SUD treatment with a therapeutic community approach. The survey included items such as patient satisfaction, psychological burden, and treatment-related factors such as staff competence. We found a high psychological burden among the dropout population. Patients who had considered dropout before leaving treatment reported significantly more difficulty from program-related treatment factors. The patients reported confidence in staff competence. A need for increased access to staff was reported, especially among those actively considering drop-out. Our results suggest that dropping out might not be an impulsive act but a result of prior consideration and decision-making. The study has important clinical implications for social and health services to consider to reduce dropout.

摘要

从用户的角度研究了住宅物质使用障碍 (SUD) 治疗中辍学的潜在机制，以确定是什么影响了他们的辍学。本研究采用基于调查的设计，研究决定采用社区治疗方法退出住宅 SUD 治疗的患者。调查包括患者满意度、心理负担以及与治疗相关的因素（如员工能力）等项目。我们发现辍学人群的心理负担很高。在离开治疗前考虑退出的患者报告说，与计划相关的治疗因素造成的困难要大得多。患者表示对工作人员的能力充满信心。据报告需要增加接触工作人员的机会，尤其是那些积极考虑退学的人。我们的结果表明，辍学可能不是一种冲动行为，而是事先考虑和决策的结果。该研究对社会和卫生服务有重要的临床意义，可以考虑减少辍学。