EVALUATION OF PERFORMANCE OF THE SUBSTANCE ABUSE TREATMENT UNITS IN HOLLY MASHHAD CITY IN 1391 (2012): A SYSTEM PROCESS STUDY

Background and Aim : Different studies have been conducted on instance efficacy or effectiveness of two treatment methods (including, inpatient and outpatient treatments), a helpful methodology in two unique groups (including, age or gender bunches), associations required in the medication study, and confounding impacts of variables, however, no study has been carried out on performance of substance abuse treatment units. Therefore, a study system process was designed to bridge this gap. Methods : The Statistical population included substance abuse treatment units in the Mashhad. A sample of ten percent of the statistical society was considered as the sample size. The samples were collected from twelve municipality areas in Mashhad. Then, 7 checklists were developed based on the substance abuse treatment protocol and regulatory checklists. The checklists were filled out by verbal encounter, observation, interview and review of patients’ document folders at the units. Data was analyzed using SPSS11.5, cross tabulation, and Chi square test and finally, frequency figures were drawn for each checklist by Excel software and evaluated using descriptive manner. Item frequency was evaluated for each checklist and examined technically, analytically and expertly. Results : Much of various check records was not perfectly in line with the requests of the ministerial protocol and thus, was unacceptable. This distorts the function of the units. Correlation between some items were significant and confirmed e.g. the correlation between not doing LFT [Ghanoo13] and absence of the technical officer (physician) [r.Fani3]. Also the correlation between absence of day by day methadone consumption under the supervision of a nurse in MMT [Ghanoo6] and absence of nurse [r.Fani5] was in border line of significance. Descriptively, absence of the technical officer (physician, nurse and ect.) in the center can prompt no handling of patient. These topic is contrary with the aim of the health organization and will lead to patients’ dissatisfaction towards the health system. The majority of items were acceptable only in the human resources condition (Ensani) table, except physician practical courses and theoretical trainings in accordance with the protocol their items. The innovation and creativity condition (Noavari) are very important but have been neglected. Conclusion : The structure, tasks and governmental supervision of the substance abuse treatment units should be revised.

کلیدواژه ها:

Evaluation ، performance ، Substance abuse treatment unit ، unit ، MMT (methadone maintenance therapy) ، center and detoxification