Detoxification History and 2-Year Outcomes of Substance Use Disorder Treatment and Mutual-Help Group Participation
| Autor: | Christine Timko, Marcel O. Bonn-Miller, Mark A. Ilgen, John McKellar |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Health (social science) business.industry Treatment outcome Public Health Environmental and Occupational Health Medicine (miscellaneous) medicine.disease Mental health Substance abuse Psychiatry and Mental health Detoxification medicine Dual diagnosis Risk factor Substance use Psychiatry business |
| Zdroj: | Journal of Drug Issues. 44:4-21 |
| ISSN: | 1945-1369 0022-0426 |
| DOI: | 10.1177/0022042613491102 |
| Popis: | Little is known about detoxification (detox) history as a risk factor for poor treatment outcomes among dually diagnosed (substance use and other mental health disorders) patients. We compared patients with a detox history with those who had never received detox on baseline characteristics, subsequent treatment and mutual-help group participation, and substance use and related outcomes at 6-month, 1-year, and 2-year follow-ups. Having a detox history was associated with poorer status at treatment intake, but detoxed patients were functioning as well as never-detoxed patients on alcohol and drug use severity 2 years later. However, having a detox history at baseline was associated with poorer psychological and legal functioning at follow-ups. Assessing detox history in mental health programs would be feasible to implement routinely. Targeting more comprehensive mental health, case management, and 12-step facilitation services to dually diagnosed patients with a history of detox may improve mental health and criminal involvement status. |
| Databáze: | OpenAIRE |
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