Associations Between Provider Type, Setting of Practice, Experience with Co-occurring Populations, and Treatment Preferences for Co-occurring Disorders.
详细信息
- 作者：Espinoza ; Reginaldo Chase.
- 学历：Psy.D.
- 年：2016
- 毕业院校：The Chicago School of Professional Psychology.bClinical Forensic Psychology.
- Department：Psychology.
- ISBN：9781321993806
- CBH：3719122
- FileSize：1462397
- Pages：181
文摘
Individuals with co-occurring disorders are often met with treatment disparities, poor continuity of care, and lack of multidisciplinary treatment. Despite increased research on the subject of co-occurring disorders, studies regarding clinicians' perceptions of co-occurring disorders remain limited. The goal of this study was to ascertain effects of provider type, amount of experience with co-occurring populations, and setting of practice on higher-order treatment preferences for co-occurring disorders. Data was collected using the investigator's instrument, the Co-occurring Disorders Treatment Preferences Survey (CDTPS), which was factor analyzed and tested for reliability prior to hypothesis testing. Approximately 6,500 recruitment requests were deployed to mental and behavioral health practitioners across the United States, with a survey completion rate of approximately 5.45% (N＝354). The sample included in analyses (N＝318) included drug and alcohol counselors, psychiatrists, master's level clinicians, and psychologists. Approximately 33% of participants reported operating in private practices, 30% in non-hospital facilities, 23% in hospital facilities, and 15% in a combination thereof. Almost 70% of participants endorsed having 10 years or more experience with co-occurring populations. Mean and modal distributions reflected high overall prevalence of integrated treatment endorsement, precontemporary substance abuse philosophy, and eclecticism among all provider types and settings. Approximately 99% of subjects endorsed integrated treatment as their primary preference. Psychiatric treatment was endorsed with greater variance than were substance abuse-focused and integrated treatments, respectively. Discriminant function analyses revealed that treatment preferences, as measured by CDTPS subscales, significantly predicted provider type and setting of practice (p＜.01). Multiple regressions revealed that some provider types significantly predicted strength of psychiatric, substance abuse-focused, and integrated treatment endorsement (p＜.05). Some settings of practice significantly predicted strength of integrated treatment endorsement (p＜.05). Findings indicate important differences in treatment preferences between clinicians in distinct disciplines and settings of practice. Findings also denote progress in the dissemination and advancement of integrated treatment for co-occurring conditions. This study highlights a need for increased educational and training focus on multidisciplinary roles, limitations of scope, complementary service continuity, and meaning and protocols of integrated approaches to substance use comorbidity.