PROGRAM CHARACTERISTICS AND READMISSION AMONG OLDER SUBSTANCE-ABUSE PATIENTS - COMPARISONS WITH MIDDLE-AGED AND YOUNGER PATIENTS
PROGRAM CHARACTERISTICS AND READMISSION AMONG OLDER SUBSTANCE-ABUSE PATIENTS - COMPARISONS WITH MIDDLE-AGED AND YOUNGER PATIENTS
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DOI：
10.1007/bf02518628
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发表时间：
1995-09-01
期刊：
影响因子：
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通讯作者：
BRENNAN, PL
中科院分区：
文献类型：
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作者：
MOOS, RH;MERTENS, JR;BRENNAN, PL
在 88 个药物滥用治疗项目的 I 期住院护理之前、期间和之后，将老年药物滥用患者与中年和年轻患者进行了比较。项目特征和再入院率之间的关联根据关键差异进行调整。不同项目中的患者类型因年龄组而异。在老年患者中，更结构化的计划政策、更灵活的出院规则、更全面的评估以及更多的门诊心理健康善后护理与较低的病例组合调整再入院率相关。更强化的治疗与高于预期的再入院率相关。相比之下，在年轻患者中，家庭更多地参与评估和治疗、社区咨询和强调社会和工作技能发展的治疗与病例组合调整后的再入院率较低相关。研究结果表明，强化、定向治疗可能对年轻的药物滥用患者更有效，而组织良好的计划中更具支持性的治疗方案和及时的门诊术后护理可能对老年患者特别有帮助。
Older substance abuse patients were compared to middle-aged and younger patients before, during, and after an index episode of inpatient care in I of 88 substance abuse treatment programs. Associations between program characteristics and readmission rates adjusted for key differences in The types of patients in different programs varied by age group. Among older patients, more structured program policies, more flexible rules about discharge, more comprehensive assessment, and more outpatient mental health aftercare were associated with lower casemix-adjusted readmission rates. More intensive treatment was associated with higher-than-predicted readmission. By contrast, among younger-patients, more family involvement in assessment and treatment, community consultation and treatment emphasizing the development of social and work skills were associated with lower casemix-adjusted readmission rates. The findings suggest that intensive, directed treatment may be more effective for younger substance abuse patients, whereas a more supportive treatment regimen in a well-organized program and prompt outpatient aftercare may be especially helpful for older patients.