Outpatient Treatment Engagement and Abstinence Rates Following Inpatient Opioid Detoxification
| Autor: | Donald A. Calsyn, Daniel R. Kivlahan, Tania M. Davis Correale, Kristen R. Bush, John W. Davison, Joseph P. Reoux, Marie L. Sweeney, Kevin L. Sloan |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Narcotic Antagonists media_common.quotation_subject Aftercare Medicine (miscellaneous) Naltrexone Ambulatory care Detoxification Ambulatory Care medicine Humans Psychiatry Veterans media_common Narcotic antagonist business.industry Medical record Retrospective cohort study General Medicine Length of Stay Middle Aged Abstinence Opioid-Related Disorders Hospitalization Psychiatry and Mental health Clinical Psychology Treatment Outcome Opioid Inactivation Metabolic Emergency medicine Psychotherapy Group Patient Compliance business Follow-Up Studies medicine.drug |
| Zdroj: | Journal of Addictive Diseases. 25:27-35 |
| ISSN: | 1545-0848 1055-0887 |
| Popis: | Many patients with chronic opioid dependence are referred to drug-free outpatient treatment following inpatient detoxification even though successful outpatient treatment engagement and abstinence from opioids occur only in a minority of cases. This retrospective cohort analysis of medical records documents the post-discharge outcome in a treatment setting that maximizes the support during transition to abstinence-oriented outpatient care, with comprehensive social, medical and mental health services, including the availability of naltrexone. Participants were male veterans (N = 112) admitted at an urban VA medical center. Most patients (78%) successfully completed acute detoxification, 49% initiated naltrexone, and 76% accepted a VA aftercare plan. At 90-day follow-up, only 22% remained in aftercare, and3% had toxicology-verified abstinence from opioids. At one-year follow-up, 1 out of 5 had been readmitted for detoxification and 4.5% had died. Most patients successfully detoxified from opioids, but very few remained engaged and stabilized in abstinence-oriented outpatient treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|