目标:接受酒精和其他药物(AOD)治疗的年轻人经历了很高的治疗脱离率,导致较差的结果。为了改善结果,确定与治疗保留相关的因素很重要.这项研究测量了客户特征之间的关系,治疗特点,年轻人的临床严重程度测量和完成治疗。
方法:这项研究是对新南威尔士州居民和社区AOD服务中常规收集的数据集的回顾性分析,澳大利亚。使用从酒精和其他药物机构网络(NADA)数据库中常规收集的数据。纳入的个体年龄为10-24岁,在2012年至2023年之间获得治疗(n=17474)。
方法:变量包括与客户端相关的特征,服务特征和临床严重程度的基线测量[Kessler-10(K10),EUROHIS-QoL,严重依赖量表(SDS)]。多变量二元逻辑回归模型评估了这些特征与治疗完成之间的关系。
结果:接受社区治疗的青少年完成率最高(57%),接受住院治疗的青少年完成率最低(35%)。在基于社区的治疗中,青少年[调整比值比(adjOR)=0.71,P<0.001]和成年人(adjOR=0.70,P<0.001)的多物质使用与治疗完成呈负相关,接受住院治疗的青少年(adjOR=0.62,P=0.006),住房不安全(社区治疗中的青少年,adjOR=0.61,P=0.001;社区治疗的成年人,adjOR=0.77,P=0.002;接受住院治疗的青少年,adjOR=0.42,P=0.005)。在社区(adjOR=1.81,P<0.001)和住院治疗(adjOR=1.72,P<0.001)的成年人中,参加青年特定服务与较高的治疗完成率相关。在整个治疗组中确定了治疗完成的不同相关性,反映不同背景下人口和/或需求的差异。
结论:在新南威尔士州,澳大利亚,在2012年至2023年期间,接受酒精和其他药物治疗的年轻人中,不到一半完成了治疗,在那些面临诸如多物质使用和住房不安全等障碍的人中,完成率较低。
OBJECTIVE: Young people accessing alcohol and other drug (AOD) treatment experience high rates of treatment disengagement, contributing to poorer outcomes. To improve outcomes, it is important to identify factors associated with treatment retention. This study measured the relationships between client characteristics, treatment characteristics, clinical severity measures and completion of treatment among young people.
METHODS: This study was a retrospective analysis of routinely collected data set in residential- and community-based AOD services in New South Wales, Australia. Routinely collected data from the Network of Alcohol and Other Drug Agencies\' (NADA) database were used. Included individuals were aged 10-24 years and accessed treatment between 2012 and 2023 (n = 17 474).
METHODS: Variables included client-related characteristics, service characteristics and baseline measures of clinical severity [Kessler-10 (K10), EUROHIS-QoL, severity of dependence scale (SDS)]. Multivariable binary logistic regression models assessed the relationships between these characteristics and treatment completion.
RESULTS: Rates of treatment completion were highest among adolescents in community-based treatment (57%) and lowest among young adults in residential treatment (35%). Polysubstance use was negatively associated with treatment completion among adolescents [adjusted odds ratio (adjOR) = 0.71, P < 0.001] and adults (adjOR = 0.70, P < 0.001) in community-based treatment, and adolescents in residential treatment (adjOR = 0.62, P = 0.006), as was housing insecurity (adolescents in community treatment, adjOR = 0.61, P = 0.001; adults in community treatment, adjOR = 0.77, P = 0.002; adolescents in residential treatment, adjOR = 0.42, P = 0.005). Attending youth-specific services was associated with higher treatment completion rates among adults in community-based (adjOR = 1.81, P < 0.001) and residential treatment (adjOR = 1.72, P < 0.001). Varying correlates of treatment completion were identified throughout treatment groups, reflecting the differences in population and/or needs across contexts.
CONCLUSIONS: In New South Wales, Australia, fewer than half of young people accessing alcohol and other drug treatment between 2012 and 2023 completed treatment, and completion rates were lower among those facing barriers such as polysubstance use and housing insecurity.