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Counselor (Deerfield Beach, Fla.)最新文献

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Intensive Motivational Interviewing for Women with Alcohol Problems. 酒精问题妇女的强化动机性访谈。
Counselor (Deerfield Beach, Fla.)
Pub Date : 2015-06-01
Rachael A Korcha, Douglas L Polcin, Kristy Evans, Jason C Bond, Gantt P Galloway

Motivational interviewing (MI) for the treatment of alcohol and drug problems is typically conducted over 1 to 3 sessions. This paper reports on an evaluation of an intensive 9-session version of MI (IMI) compared to a standard single MI session (SMI). Although no differences between IMI and SMI were found for methamphetamine use, there was an unexpected finding that women but not men with co-occurring alcohol problems in the IMI condition reduced the severity of their alcohol problems significantly more than those in the SMI condition at 4- and 6-month follow-up. Stronger perceived alliance with the therapist was associated with better outcome. Findings indicate that alcohol outcomes for women might be improved with the addition of more MI sessions. A current study is assessing the impact of IMI for women with more serious alcohol problems. Qualitative interviews are being conducted with women to better understand how IMI is helpful and why it appears to add benefit for women but not men.

用于治疗酒精和药物问题的动机性访谈(MI)通常在1至3次会议中进行。本文报告了一种强化的9阶段版本的MI (IMI)与标准的单阶段MI (SMI)的比较评估。尽管在甲基苯丙胺的使用方面，IMI和SMI没有发现差异，但在4个月和6个月的随访中，一个意想不到的发现是，在IMI条件下同时出现酒精问题的女性(而不是男性)比SMI条件下的女性显著降低了酒精问题的严重程度。与治疗师更强的感知联盟与更好的结果相关。研究结果表明，增加更多的心肌梗死疗程可能会改善女性的酒精预后。目前的一项研究正在评估IMI对有更严重酒精问题的妇女的影响。正在对妇女进行定性访谈，以更好地了解IMI如何有帮助，以及为什么它似乎对妇女有好处，而对男子没有好处。
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引用次数: 0
The Impact of Staff Turnover on Workplace Demands and Coworker Relationships. 员工离职对工作场所需求和同事关系的影响。
Counselor (Deerfield Beach, Fla.)
Pub Date : 2013-05-01
Danica K Knight, Jennifer E Becan, Patrick M Flynn

Turnover among clinical staff can have detrimental effects on service provision and organizational efficiency. But how does it affect staff who remain employed at the agency? Researchers at the Institute of Behavioral Research at Texas Christian University sought to answer this question by examining the impact of staff turnover on perceptions of workplace demands and support among 353 clinical staff members from 63 outpatient substance abuse treatment programs. Study results documented that counselors in high-turnover programs reported higher demands (job stress, inadequate staffing) and lower support (communication, collaboration) within their organization, even after controlling for other factors such as decreasing budgets, increasing census, and individual measures of workload. Findings underscore the need to intentionally promote workplace communication and collaboration among staff following the departure of a coworker in order to reduce stress and minimize subsequent turnover among remaining clinical staff.

临床工作人员的流动会对服务提供和组织效率产生不利影响。但这对仍在该机构工作的员工有什么影响呢?德克萨斯基督教大学行为研究所的研究人员试图回答这个问题，他们调查了来自63个门诊药物滥用治疗项目的353名临床工作人员对工作场所需求和支持的看法的影响。研究结果表明，即使在控制了其他因素(如预算减少、人口普查增加和个人工作量衡量)之后，高流失率项目中的咨询师也报告了更高的需求(工作压力、人员配备不足)和更低的支持(沟通、协作)。研究结果强调，在同事离职后，有必要有意识地促进工作场所员工之间的沟通和协作，以减轻压力，并尽量减少剩余临床员工的后续离职。
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引用次数: 0
Chronic Addiction and Recovery Management: Implications for Clinical Practice. 慢性毒瘾与康复管理：对临床实践的影响。
Counselor (Deerfield Beach, Fla.)
Pub Date : 2007-04-01
Christy Scott, William White, Michael L Dennis
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引用次数: 0
It's Time to Stop Kicking People Out of Addiction Treatment. 是时候停止把人们赶出成瘾治疗了。
Counselor (Deerfield Beach, Fla.)
Pub Date : 2005-04-01
William L White, Christy K Scott, Michael L Dennis, Michael G Boyle

Interventions by professional helpers that are later recognized as ineffective or even harmful have a long and colorful history. Some of the most widely practiced of such interventions have left later generations pondering, "What on earth were they thinking?" Lectures on the history of addiction treatment stir feelings of enlightened condescension amidst tales of treating morphine addiction with cocaine and other such idiocies, but occasionally a conference attendee asks the tough question: "How will the current era of addiction treatment be judged in the future?" And, of course, that is the rub, because it is so difficult to clearly see our own professional miscues and mistakes without the benefit of historical hindsight. This essay explores one practice-administratively discharging clients from addiction treatment-that we suspect will be judged harshly by historians of the not so distant future.

后来被认为无效甚至有害的专业帮助者的干预有着悠久而丰富多彩的历史。其中一些最广泛实施的干预措施让后人不禁思考:“他们到底在想什么?”关于成瘾治疗历史的讲座在用可卡因治疗吗啡成瘾和其他类似愚蠢行为的故事中激起了一种开明的优越感，但偶尔会有与会者提出一个棘手的问题:“在未来，人们将如何评判当前的成瘾治疗时代?”当然，这就是问题所在，因为如果没有历史后见之明的帮助，我们很难清楚地看到自己的职业失误和错误。这篇文章探讨了一种做法——通过行政手段将病人从成瘾治疗中释放出来——我们怀疑，在不久的将来，历史学家会对这种做法进行严厉的评判。
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