A mixed methods evaluation of an alcohol and other drug psychoeducation program for clients with complex support needs

IF 1.5 4区社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY

Evaluation and Program Planning Pub Date : 2025-03-05 DOI:10.1016/j.evalprogplan.2025.102578

Emily Deans , Wing See Yuen , George Economidis , Anthony Shakeshaft , Sara Farnbach

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Abstract

Background

Clients with co-occurring and complex needs represent an important segment of the alcohol and other drug (AOD) treatment population. Retaining and engaging individuals in AOD treatment is challenging, and this pursuit is further impeded when clients present with complex support needs. This study sought to establish the feasibility and acceptability of a newly developed psychoeducation program for this clientele, attending a non-residential treatment service in New South Wales.

Methods

The study employed a mixed methods approach. The team analysed aggregated non identifiable routinely collected data, including alcohol and other drug use, psychological distress and quality of life metrics pre and post intervention. Qualitative semi-structured interviews were also conducted with consenting clients and clinicians to complement quantitative data.

Results

Twenty-five eligible clients consented to have their data used for this study and nine consented to participate in an interview. Results show a significant decrease in psychological distress among clients at exit compared to baseline, however no significant change in quality-of-life scores or substance use was quantitatively observed. Some clients self-reported a reduction in substance use and most appreciated the flexibility of the one-on-one service offering.

Conclusions

Our findings show that the psychoeducational program delivered to clients with complex support needs at Rendu House is feasible and acceptable to both clients and clinicians, and that the use of routinely collected data to measure treatment outcomes is viable within this setting. Our findings also demonstrate the value of qualitative inquiry in situating narratives of recovery among clients with complex needs where improvements may be incremental.

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对具有复杂支持需求的客户进行酒精和其他药物心理教育计划的混合方法评估

背景：同时存在复杂需求的客户是酒精和其他药物（AOD）治疗人群的重要组成部分。留住和吸引个体参与AOD治疗是具有挑战性的，当客户有复杂的支持需求时，这种追求会进一步受阻。本研究旨在为新南威尔士州参加非住宅治疗服务的客户建立一种新开发的心理教育计划的可行性和可接受性。方法采用混合方法进行研究。研究小组分析了综合的常规收集的不可识别的数据，包括干预前后的酒精和其他药物使用、心理困扰和生活质量指标。定性半结构化访谈也与同意的客户和临床医生进行，以补充定量数据。结果25名符合条件的客户同意将他们的数据用于本研究，9名同意参加访谈。结果显示，与基线相比，退出时客户的心理困扰显著减少，但在生活质量评分或物质使用方面没有显著变化。一些客户自我报告说，他们减少了药物的使用，并且最欣赏一对一服务提供的灵活性。结论我们的研究结果表明，在仁都之家，提供给有复杂支持需求的来访者的心理教育项目是可行的，并且对来访者和临床医生都是可接受的，并且在这种情况下，使用常规收集的数据来衡量治疗结果是可行的。我们的研究结果还证明了定性调查的价值，在有复杂需求的客户中定位恢复的叙述，其中改进可能是渐进的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Evaluation and Program Planning SOCIAL SCIENCES, INTERDISCIPLINARY-

CiteScore

3.10

自引率

6.20%

发文量

112

期刊介绍： Evaluation and Program Planning is based on the principle that the techniques and methods of evaluation and planning transcend the boundaries of specific fields and that relevant contributions to these areas come from people representing many different positions, intellectual traditions, and interests. In order to further the development of evaluation and planning, we publish articles from the private and public sectors in a wide range of areas: organizational development and behavior, training, planning, human resource development, health and mental, social services, mental retardation, corrections, substance abuse, and education.