Universidad Peruana Cayetano Heredia

Quality measurers of therapeutic communities for substance dependence: an international collaborative study survey in Latin America

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dc.contributor.author Gómez-Restrepo, Carlos
dc.contributor.author Maldonado, Patricia
dc.contributor.author Rodríguez, Nelcy
dc.contributor.author Ruiz-Gaviria, Rafael
dc.contributor.author Escalante, Miguel Ángel
dc.contributor.author Gómez, Raúl Ángel
dc.contributor.author Ribeiro-de-Araujo, Marcelo
dc.contributor.author Schmidt-de-Oliveira, Ana Carolina
dc.contributor.author Chávez-Rivera, Joel Salvador
dc.contributor.author Godínez-García, Jorge Alberto
dc.contributor.author Piazza Ferrand, Marina Julia
dc.contributor.author Blitchtein-Winicki, Dora
dc.date.accessioned 2019-01-25T16:03:19Z
dc.date.available 2019-01-25T16:03:19Z
dc.date.issued 2017
dc.identifier.uri https://hdl.handle.net/20.500.12866/4740
dc.description.abstract BACKGROUND: In Latin America, substance related disorders are highly prevalent and one of the treatment strategies is the Therapeutic Communities (TCs), however, in Latin America there is scarce data about this treatment strategies, their quality, drop-out rates and patient satisfaction. METHODS: Based on a previous study in 5 Latin American countries, the TCs who had a score equal or higher than 9 according to the De Leon criteria which are some fundamental items that the TCs should meet, were selected to carry out a descriptive and retrospective study of qualitative and quantitative characteristics of the TCs. RESULTS: Data from 58 TCs in 5 countries were included, with a sample of 1414 patients interviewed, of which most were single men, with no hospitalization history in a therapeutic community. Marijuana was the most commonly substance used in the 30 days prior to hospitalization, with 78% of interviewees referring alcohol consumption in the last 6 months and an average onset of psychoactive substances at 16 years of age. A 79% of the patients interviewed perceived some improvement during their stay in the TCs. The less fulfilled Quality Indicators by the TCs were "Requesting a professional qualification to former addicts that belonged to the program" and "Work as part of the therapeutic program". Among the reasons for discharge found in the database, 44% were due to therapeutic discharge with fulfillment of the treatment plan and 44% withdraws. CONCLUSION: The user satisfaction with TCs, in terms of infrastructure and quality are quite high, as the fulfillment of essential quality items, however, the follow up information to evaluate effectiveness of the treatment is poor or in some cases unknown. en_US
dc.language.iso eng
dc.publisher Springer
dc.relation.ispartofseries Substance Abuse Treatment, Prevention, and Policy
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Internationality en_US
dc.subject Patient compliance en_US
dc.subject Patient satisfaction en_US
dc.subject Substance-related disorders en_US
dc.subject Therapeutic communities (TCs) en_US
dc.subject Therapeutic Community en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Latin America en_US
dc.subject Male en_US
dc.subject Outcome Assessment (Health Care)/statistics & numerical data en_US
dc.subject Patient Dropouts/statistics & numerical data en_US
dc.subject Patient Satisfaction/statistics & numerical data en_US
dc.subject Retrospective Studies en_US
dc.subject Substance-Related Disorders/therapy en_US
dc.subject Surveys and Questionnaires en_US
dc.title Quality measurers of therapeutic communities for substance dependence: an international collaborative study survey in Latin America en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1186/s13011-017-0129-y
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.02
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.24
dc.relation.issn 1747-597X


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