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Open Access Substance Abuse in a Canadian Population of Assertive Community Treatment (ACT) Clients: Implications for Service Planning and Delivery

La toxicomanie chez les clients d'un programme de suivi intensif dans le milieu au Canada: implications pour la planification et la prestation des services

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Abstract:

This brief paper reports on a study that used diagnosis, client self-reports, and clinician ratings to estimate the prevalence of drug, alcohol, and tobacco abuse among a random sample of 174 clients of 4 Assertive Community Treatment (ACT) teams in southeastern Ontario, Canada. Drug and alcohol abuse rates were lower that those reported in the literature, while high rates for tobacco use were consistent with published reports. ACT service delivery is guided by formal standards that assume high rates of substance abuse. It is argued that local population profiles should be monitored and considered in the development of ACT intervention practices.

Ce bref article fait état d'une recherche au cours de laquelle on a étudié les diagnostics, les auto-évaluations et les estimations des cliniciens pour évaluer la prévalence de la consommation abusive de drogues, d'alcool et de tabac chez un échantillon aléatoire de 174 clients, traités par quatre équipes de suivi intensif dans le milieu dans le sud-est de l'Ontario, au Canada. On a constaté que les taux de consommation abusive de drogues et d'alcool étaient inférieurs à ceux que rapportent la documentation, alors que la consommation de tabac correspondait aux taux élevés relevés dans cette dernière. Le programme de suivi intensif dans le milieu est guidé par des normes formelles qui présupposent de hauts taux de consommation abusive. Les auteurs avancent qu'il faudrait étudier le profil des populations locales et en tenir compte dans les programmes de suivi intensif dans le milieu.

Keywords: ASSERTIVE COMMUNITY TREATMENT; SUBSTANCE ABUSE; SUIVI INTENSIF DANS LE MILIEU; TOXICOMANIE

Document Type: Research Article

Publication date: March 1, 2003

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  • CJNR is a peer-reviewed, quarterly journal published by the McGill University School of Nursing since 1969. With world-wide circulation, CJNR's primary mandate is to publish original nursing research that develops basic knowledge for the discipline and examines the application of the knowledge in practice. Research related to education and history is also welcomed, as are methodological, theoretical, and review papers that advance nursing science. Letters or commentaries about published articles are encouraged. Learn more.
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