A real-world ten-week follow-up of the COVID outbreak in an outpatient drug clinic in Salamanca (Spain)
| Autor: | Maria Ángeles Garzón, Ana Maciá-Casas, Diego Remón-Gallo, Isabel Valriberas-Herrero, Carlos Roncero, Ana Pérez-Madruga, Begoña Vicente-Hernández, Lourdes Aguilar, Llanyra García-Ullán, Ana I. Álvarez-Navares |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Dual disorders Substance-Related Disorders Population Psychological intervention 030508 substance abuse Medicine (miscellaneous) Phone consultation Article Disease Outbreaks 03 medical and health sciences 0302 clinical medicine Intervention (counseling) Pandemic Outpatients Medicine Humans 030212 general & internal medicine Social isolation Relapse education COVID education.field_of_study Psychopathology business.industry Follow-up Ecological study COVID-19 medicine.disease Substance abuse Psychiatry and Mental health Clinical Psychology Mental Health Spain Emergency medicine Phychiatric Mental Health Substance Abuse Treatment Centers Pshychiatric Mental Health medicine.symptom 0305 other medical science business Alcohol Follow-Up Studies |
| Zdroj: | Journal of Substance Abuse Treatment |
| ISSN: | 0740-5472 |
| DOI: | 10.1016/j.jsat.2021.108303 |
| Popis: | Objective To compare over ten weeks the number of relapses, hospital admissions, calls made, admissions to therapeutic communities, face-to-face visits, treatment adjustment, number of injectables administered, and number of emergencies attended due to emotional and behavioral alterations and/or substance use disorder, and to describe and quantify social emergencies in an outpatient drug clinic (ODC) in Salamanca (Spain) from March 16, 2020, to May 22, 2020. Methods This is an ecological study of the COVID pandemic over ten weeks. The study examines the set of alcohol or other drug-dependent or dual disorder patients in the population of Salamanca, Spain. The measurements were: professionals; calls made; percentage of successful calls; face-to-face visits; first visits made; reviews made; techniques; injectable treatments; other treatments; evolution; relapses. The ODC includes about 375 new patients each year and another 650 other patients annually. Results The study found the number of relapses to be greater in the last five weeks of the 10-week study period. Patients' psychopathological instability also increased, and face-to-face visits were necessary. The most frequent psychopathology that required face-to-face intervention was depressive disorder. The number of interventions with patients increased. In parallel, social workers' efforts were greater after the seventh week. There was a decrease in response to calls. Throughout this time, the ODC attended to patients who needed to be treated for the first time. Conclusions Confinement due to the coronavirus pandemic generated maladaptive emotional responses and other behaviors, such as excessive alcohol consumption. The number of face-to-face consultations, admissions, and referrals to therapeutic communities increased. Patients under stress and in social isolation resorted more often to substance use. The ODC had to adopt a flexible approach to evaluate patients with more serious problems, by using face-to-face assessments. |
| Databáze: | OpenAIRE |
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