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Titolo:
One-, three-, and six-month outcomes after brief inpatient opioid detoxification
Autore:
Chutuape, MA; Jasinski, DR; Fingerhood, MI; Stitzer, ML;
Indirizzi:
Johns Hopkins Univ, Sch Med, Dept Psychiat & Behav Sci, Baltimore, MD 21205 USA Johns Hopkins Univ Baltimore MD USA 21205 av Sci, Baltimore, MD 21205 USA Johns Hopkins Univ, Sch Med, Dept Med, Baltimore, MD 21205 USA Johns Hopkins Univ Baltimore MD USA 21205 pt Med, Baltimore, MD 21205 USA
Titolo Testata:
AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE
fascicolo: 1, volume: 27, anno: 2001,
pagine: 19 - 44
SICI:
0095-2990(2001)27:1<19:OTASOA>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
ADDICTION SEVERITY INDEX; SUBSTANCE-ABUSE TREATMENT; ACUTE PHYSICAL-DEPENDENCE; DAY-HOSPITAL TREATMENT; FOLLOW-UP; OPIATE ADDICTS; COCAINE USE; DRUG-USERS; ALCOHOL DEPENDENCE; TREATMENT SERVICES;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
52
Recensione:
Indirizzi per estratti:
Indirizzo: Stitzer, ML Johns Hopkins Bayview Med Ctr, Cornerstone,MFL Bldg Room E361,4940 EasternAve, Baltimore, MD 21224 USA Johns Hopkins Bayview Med Ctr Cornerstone,MFL Bldg Room E361,4940 Eastern Ave Baltimore MD USA 21224
Citazione:
M.A. Chutuape et al., "One-, three-, and six-month outcomes after brief inpatient opioid detoxification", AM J DRUG A, 27(1), 2001, pp. 19-44

Abstract

The purpose of this study was to investigate short-term outcomes of a 3-day inpatient medical detoxification. Heroin abusers (n = 116; 66% male, 77% African-American, X = 38 years old), completed the Addiction Severity Indexduring detoxification, and at 1, 3, and 6 months after detoxification; 94.5% of the postdetoxification interviews were completed. During the 30 days before detoxification, mean days of self-reported use for heroin was 28, for cocaine 19, and for alcohol 14; a mean of $1,975 was spent on drugs. Across the postdetoxification interviews, mean days of reported heroin use ranged from 11 to 14; 21-30% of patients reported no heroin use, whereas 25-36%reported almost daily use. Reported use of cocaine and alcohol showed similar reductions from pre- to postdetoxification. Reports of heroin and cocaine abstinence were generally verified through urine tests. Other psychosocial factors improved as well from pre- to postdetoxification (e.g., employment increased and needle use decreased). During the 6-month evaluation, at least 41% reported engaging in formal inpatient or outpatient treatment; another 25-33% reported attending self-help groups. Engaging in formal treatment (at least 7 days duration) was associated with significantly better outcome. Nevertheless, pre-to postdetoxification changes were significant and robust for the entire study sample. These findings demonstrate that brief inpatient detoxification is followed by reduced drug use over several months and is accompanied by substantial treatment-seeking behavior. Thus brief detoxification may serve as an effective harm-reduction intervention.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/03/20 alle ore 01:53:23