OUTCOMES OF A 21-DAY DRUG DETOXIFICATION PROGRAM - RETENTION, TRANSFER TO FURTHER TREATMENT, AND HIV RISK REDUCTION
OUTCOMES OF A 21-DAY DRUG DETOXIFICATION PROGRAM - RETENTION, TRANSFER TO FURTHER TREATMENT, AND HIV RISK REDUCTION
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DOI：
10.3109/00952999509095225
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发表时间：
1995-01-01
影响因子：
2.7
通讯作者：
LEWIS, BF
中科院分区：
文献类型：
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作者：
MCCUSKER, J;BIGELOW, C;LEWIS, BF
我们调查了为期 21 天的住院患者戒毒和康复计划的结果，包括住院时间、转入进一步治疗以及艾滋病毒危险行为。客户（n = 567）主要是白人男性，目前失业，他们的治疗不由第三方支付。 78% 的人通过美沙酮戒毒。中位住院时间为 18 天。高等教育、不与配偶或子女同住、英语作为主要语言、秋季或冬季入学以及对艾滋病毒传播的更多了解是延长住院时间的独立预测因素。在进行随访的患者中 (n = 450)，19% 的患者转至住院无毒项目，7% 的患者转至门诊项目。考虑到失访，总体治疗转移率可能低至 21%。住院时间越长，转入住院治疗的比率越高。转入住院治疗的受试者中任何吸毒或注射吸毒的复发率均低于转至门诊项目或未进一步治疗的受试者。在随访中继续注射毒品的受试者中，无论进一步治疗如何，艾滋病毒危险行为都没有减少。我们的结论是，戒毒计划在进行住院无毒治疗后有可能减少吸毒复发。
We investigated the outcomes of a 21-day inpatient drug detoxification and rehabilitation program including length of stay, transfer to further treatment, and HIV risky behavior. Clients (n = 567) were predominantly White, male, currently unemployed, and their treatment was not covered by third party payment. 78% were detoxified with methadone. The median length of stay was 18 days. Higher education, not living with spouse or children, English as primary language, admission during fall or winter months, and greater knowledge of HIV transmission were independent predictors of greater length of stay. Among those with follow-up (n = 450), 19% were transferred to residential drug-free programs and 7% to outpatient programs. Taking into account loss to followup, the overall rate of treatment transfer could be as low as 21%. Greater length of stay was associated with higher rates of transfer to residential treatment. Relapse rates to either any drug use or injection drug use were lower among subjects transferred to residential treatment than either clients transferred to outpatient programs or those with no further treatment. Among subjects who continued to inject drugs at follow-up, no reduction in HIV risky behaviors was found regardless of further treatment. We conclude that detoxification programs have the potential for reducing relapse to drug use when followed by residential drug-free treatment.