Crack/Cocaine Abusers in the General Hospital: Assessment and Initiation of Care
Crack/Cocaine Abusers in the General Hospital: Assessment and Initiation of Care
复制标题
总医院中的快克/可卡因滥用者：评估和护理启动
DOI：
10.3109/10884609209023742
复制
发表时间：
1992
影响因子：
1.5
通讯作者：
H. Franco
中科院分区：
文献类型：
--
作者：
M. Galanter;S. Egelko;George De Leon;C. Rohrs;H. Franco
目的
可卡因，无论是吸烟（作为“裂纹”）或采取鼻内，现在是一个常见的原因精神疾病。本研究的目的是评估可卡因滥用对城市综合医院的普通精神科服务和产科服务的影响，并评估一项使受影响的患者参与成瘾治疗的计划。
方法
对300名一般精神病患者（未接受成瘾治疗）和60名滥用可卡因的产前或产后患者的图表进行了审查。一个治疗转诊计划的基础上，专业指导同行领导的可卡因滥用患者。结果的评价和转介的100名其他可卡因滥用精神病患者和60产前或产后患者，然后确定。
结果
300名精神病患者中有64%（N = 191）被诊断为药物滥用者;其中38%（N = 113）滥用可卡因。几乎三分之一的可卡因滥用者除了药物滥用/依赖外没有第一轴诊断，大多数人无家可归。在大多数研究的产科患者中，尿液样本对可卡因呈阳性。大多数通过同行领导的项目转介的精神病患者参加了门诊可卡因治疗--是图表审查组的三倍。大多数适合转诊的产科病人也登记接受治疗。
结论
滥用可卡因可能是城市公立综合医院精神病住院的很大一部分原因。精神科和产科服务机构的可卡因滥用者显然对以同伴为导向的转介治疗模式有反应。
OBJECTIVE
Cocaine, either smoked (as "crack") or taken intranasally, is now a common cause of psychiatric illness. This study was designed to assess the impact of cocaine abuse on a general psychiatric service and an obstetrics service in an urban general hospital and to evaluate a program for engaging affected patients in addiction treatment.
METHOD
The charts of 300 general psychiatric patients (not admitted for addiction treatment) and 60 cocaine-abusing prenatal or postpartum patients were reviewed. A treatment referral program based on professionally directed peer leadership was established for patients with cocaine abuse. Results of evaluation and referral of 100 other cocaine-abusing psychiatric patients and the 60 prenatal or postpartum patients were then determined.
RESULTS
Fully 64% (N = 191) of the 300 psychiatric patients were diagnosed as substance abusers; 38% (N = 113) of them abused cocaine. Almost one-third of these cocaine abusers had no axis I diagnosis other than substance abuse/dependence, and the majority were homeless. Urine samples were positive for cocaine in a majority of the obstetric patients studied. A majority of the psychiatric patients who were referred through the peer-led program enrolled in outpatient cocaine treatment--three times as many as in the chart review group. Most of the obstetric patients suitable for referral enrolled for treatment as well.
CONCLUSIONS
Cocaine abuse may be responsible for a large portion of psychiatric admissions in urban public general hospitals. Cocaine abusers in psychiatric and obstetrics services are apparently responsive to a peer-oriented mode of referral into treatment.
心理健康中文化敏感研究的意义。
DOI：
10.1176/ajp.146.3.296
发表时间：
1989
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Rogler,LH
通讯作者：
Rogler,LH
地昔帕明促进最初的可卡因戒断。
影响因子：
--
作者：
Gawin,FH;Kleber,HD;Byck,R;Rounsaville,BJ;Kosten,TR;Jatlow,PI;Morgan,C
通讯作者：
Morgan,C