Commitment to coercive care in relation to substance abuse reports to the social services. A 2-year follow-up
Commitment to coercive care in relation to substance abuse reports to the social services. A 2-year follow-up
复制标题
承诺对向社会服务机构报告的药物滥用情况进行强制护理。
DOI：
10.3109/08039481003710204
复制
发表时间：
2010
影响因子：
1.8
通讯作者：
M. Berglund
中科院分区：
文献类型：
--
作者：
M. Lindahl;A. Öjehagen;M. Berglund
背景：在瑞典，一个人与药物滥用可以报告给社会服务的调查承诺强制照顾。立法修改后，各市镇的承诺/报告比率与立法修改前相比有很大差异。目的：本研究的主要目的是，第一，调查是否从城市的承诺/报告的比例高的主题有一个更好的结果相比，从城市的比例低，第二，如果一个高的比例对死亡率的影响。研究方法：该研究涉及两个承诺/报告比例高的城市，报告了56起药物滥用案件，包括31起承诺案件（55%）。它还包括两个比例较低的城市，50起报告案件，包括6起已犯案件（12%）。国家行政委员会的两名社会服务监察员根据法律的标准（κs=0.66）评估了这些病例的成瘾严重程度，这表明评分者之间存在良好的一致性。在2年随访时，使用基于药物滥用、就业和住房信息的全球指数作为结果指标。结果：全球的结果没有不同的情况下，从高和低比例的城市。7例受试者因药物滥用相关原因死亡。没有一名死者被强制照料。结论和临床意义：总之，不同比例的承诺/报告并没有影响全球的结果。承诺可以减少与药物有关的死亡。
Background: In Sweden, a person with substance abuse can be reported to the social services for an investigation about commitment to coercive care. After a change in legislation, municipalities varied greatly in the ratio of commitments/reports compared with the period before the legislation was amended. Aims: The primary aims of this study were first, to investigate whether subjects from municipalities with a high ratio of commitments/reports have a better outcome compared with subjects from municipalities with a low ratio and second, if a high ratio has an impact on mortality. Methods: The study involved two municipalities with high ratio of commitments/reports with 56 cases reported for substance abuse including 31 committed cases (55%). It also included two municipalities with a low ratio, 50 reported cases including six committed cases (12%). Two social service inspectors at the country administrative board assessed the cases in terms of severity of addiction according to legal criteria (κs=0.66), indicating good inter-rater agreement. A global index based on information about substance abuse, employment and housing was used as outcome measure at the 2-year follow-up. Results: Global outcome did not differ between cases from high- and low-ratio municipalities. Seven subjects had deceased because of causes related to substance abuse. None of the deceased had been committed to coercive care. Conclusions and clinical implications: In conclusion, the different ratios of commitments/reports did not influence global outcome. Commitment may reduce substance-related deaths.
成瘾治疗的成本效益分析：多种结果的悖论。
影响因子：
4.2
作者：
Sindelar,JodyL;Jofre-Bonet,Mireia;French,MichaelT;McLellan,AThomas
通讯作者：
McLellan,AThomas