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Titolo:
Engaging hospitalized heroin-dependent patients into substance abuse treatment
Autore:
Aszalos, R; McDuff, DR; Weintraub, E; Montoya, I; Schwartz, R;
Indirizzi:
Univ Maryland, Sch Med, Dept Family Med, Baltimore, MD 21201 USA Univ Maryland Baltimore MD USA 21201 Family Med, Baltimore, MD 21201 USA Univ Maryland, Sch Med, Dept Psychiat, Baltimore, MD 21201 USA Univ Maryland Baltimore MD USA 21201 pt Psychiat, Baltimore, MD 21201 USA
Titolo Testata:
JOURNAL OF SUBSTANCE ABUSE TREATMENT
fascicolo: 1-2, volume: 17, anno: 1999,
pagine: 149 - 158
SICI:
0740-5472(199907/09)17:1-2<149:EHHPIS>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Soggetto:
HUMAN-IMMUNODEFICIENCY-VIRUS; METHADONE-MAINTENANCE TREATMENT; INTRAVENOUS-DRUG-USERS; ADDICTION SEVERITY INDEX; MEDICAL COMPLICATIONS; BACTERIAL PNEUMONIA; TREATMENT PROGRAMS; HIV-INFECTION; RISK-FACTORS; RETENTION;
Keywords:
heroin dependence; linkage; medical complications; methadone treatment; retention;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
72
Recensione:
Indirizzi per estratti:
Indirizzo: Aszalos, R 80 LaSalle St,Apartment 9F, New York, NY 10027 USA 80 LaSalle St,Apartment 9F New York NY USA 10027 NY 10027 USA
Citazione:
R. Aszalos et al., "Engaging hospitalized heroin-dependent patients into substance abuse treatment", J SUBST ABU, 17(1-2), 1999, pp. 149-158

Abstract

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 substitutionfollowing 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.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 09/04/20 alle ore 07:14:56