Intensive Referral of Veterans to Mutual-Help Groups: A Mixed-Methods Implementation Evaluation

被引:2
|
作者
Young, Lance Brendan [1 ]
Grant, Kathleen M. [2 ,3 ]
Pulido, R. Dario [2 ]
Simpson, Jamie L. [4 ]
Tyler, Kimberly A. [5 ]
Timko, Christine [6 ,7 ]
机构
[1] Western Illinois Univ Quad Cities, Dept Commun, Moline, IL 61275 USA
[2] VA Nebraska Western Iowa Hlth Care Syst, Omaha, NE USA
[3] Univ Nebraska Med Ctr, Dept Internal Med, Omaha, NE USA
[4] Midland Univ, Dept Psychol, Fremont, NE USA
[5] Univ Nebraska, Dept Sociol, Lincoln, NE 68588 USA
[6] VA Palo Alto Hlth Care Syst, Ctr Innovat Implementat, Menlo Pk, CA USA
[7] Stanford Univ, Sch Med, Stanford, CA 94305 USA
关键词
Substance use disorder; mutual-help; rural; Veteran; qualitative; alcoholics anonymous; self-help; social support; access to care; relapse;
D O I
10.1080/07347324.2017.1407224
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Community-based support group participation protects against substance use disorder (SUD) relapse, but referrals during treatment are inconsistently delivered and may not acknowledge barriers facing rural patients. This formative evaluation of a rural intensive referral intervention (RAIR) to community-based support groups for Veterans seeking SUD treatment surveyed patients (n = 145) and surveyed and interviewed treatment staff (n = 28). Patients and staff did not differ significantly on quantitative ratings of the helpfulness of, or satisfaction with, seven RAIR components, but staff did not deliver the intervention consistently or as designed, citing two themes: lack of commitment and lack of resources.
引用
收藏
页码:179 / 201
页数:23
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