Engaging hospitalized heroin-dependent patients into substance abuse treatment
Engaging hospitalized heroin-dependent patients into substance abuse treatment
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DOI：
10.1016/s0740-5472(98)00075-0
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发表时间：
1999-07-01
影响因子：
3.9
通讯作者：
Schwartz, R
中科院分区：
文献类型：
--
作者：
Aszalos, R;McDuff, DR;Schwartz, R
本研究的目的是评估一个为期6个月的门诊计划，以改善禁欲和其他健康和社会问题的海洛因成瘾者住院的城市学术医疗中心的医疗或外科单位，并从物质滥用咨询服务。治疗干预包括美沙酮治疗、每日集体治疗、个案管理、医疗和精神科咨询以及社会服务。第一批67例患者随访6个月。结果的措施是保留在治疗中，尿液药物筛选，健康和社会指标。患者平均治疗19周，52%的患者完成了6个月的计划。尿液毒理学筛查显示非法药物使用减少。病人通过获得医疗保险、保持门诊预约和改善住房条件，改善了健康和社会指标方面的不足。研究结果表明，这种强化的心理社会治疗与阿片类药物替代急性疾病后的组合大大影响治疗结果。服务提供和医疗保健经济学的影响进行了讨论。(C)1999 Elsevier Science Inc. All rights reserved.
The purpose of this study was to evaluate a 6-month outpatient program developed to improve abstinence and other health and social problems of heroin-addicted persons hospitalized in an urban academic medical center's medical or surgical unit and referred from the Substance Abuse Consult Service. Treatment intervention consisted of methadone therapy, daily group therapy, individual case management, medical and psychiatric consultation, and social services. The first 67 patients referred were followed for 6 months. Outcome measures were retention in treatment, urine drug screens, and health and social indicators. Patients averaged 19 weeks in treatment, with 52% of patients completing the 6-month program. Urine toxicology screens showed a reduction of illicit drug use. Patients improved deficits in health and social indicators by obtaining medical coverage, keeping outpatient medical appointments, and improving their housing conditions. Findings suggest that this combination of intensive psychosocial treatment with opioid substitution following an acute illness substantially impacts treatment outcomes. Implications for service delivery and health-care economics are discussed. (C) 1999 Elsevier Science Inc. All rights reserved.