Goals and Reasons for Entering Inpatient Withdrawal Treatment, and Perceptions of Help Received.

IF 1.5 4区医学 Q3 PSYCHIATRY

Journal of Dual Diagnosis Pub Date : 2023-04-01 Epub Date: 2023-06-22 DOI:10.1080/15504263.2023.2221980

Jing Wang, Frank P Deane, Peter J Kelly, Laura D Robinson

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引用次数: 0

Abstract

Objective: Abstinence has been the primary treatment goal for alcohol and other drug (AOD) users attending withdrawal treatment. However, other outcomes including harm reduction have also been identified. This observational study aimed to describe participants' goals and reasons for seeking inpatient withdrawal treatment and compare the needs of clients with comorbid mental health problems and those without.

Methods: Participants completed questionnaires at intake and discharge. Questionnaires assessed reasons for entering withdrawal treatment, goals, comorbidity, and perceived help received.

Results: The sample comprised 1746 participants (69.4% male). Participants endorsed diverse reasons for entering withdrawal treatment. The most and least endorsed reasons were "stop using" (97.9%) and "legal reasons" (43.1%). Comorbidity groups varied significantly in their endorsement of reasons for mental health, physical health, harm reduction, financial, and legal.

Conclusion: AOD users enter withdrawal treatment with a variety of reasons and goals including harm reduction. Variations in rates of endorsement highlight the importance of identifying individual needs dependent on mental health comorbidity.

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进入住院患者退出治疗的目标和原因，以及对所获得帮助的看法。

目的：戒酒一直是酒精和其他药物（AOD）使用者参加戒断治疗的主要治疗目标。然而，包括减少伤害在内的其他结果也已确定。这项观察性研究旨在描述参与者寻求住院戒断治疗的目标和原因，并比较有共病心理健康问题和没有共病精神健康问题的客户的需求。方法：参与者在入院和出院时完成问卷调查。问卷评估了进入戒断治疗的原因、目标、共病和所获得的帮助。结果：样本包括1746名参与者（69.4%为男性）。参与者赞同接受戒断治疗的多种原因。认可度最高和最低的原因是“停止使用”（97.9%）和“法律原因”（43.1%）。共病组对心理健康、身体健康、减少伤害、经济和法律原因的认可度差异显著。结论：AOD使用者进入戒断治疗有多种原因和目标，包括减少危害。认可率的变化突出了识别依赖于心理健康共病的个人需求的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Dual Diagnosis Multiple-

CiteScore

4.90

自引率

13.60%

发文量

期刊介绍： Journal of Dual Diagnosis is a quarterly, international publication that focuses on the full spectrum of complexities regarding dual diagnosis. The co-occurrence of mental health and substance use disorders, or “dual diagnosis,” is one of the quintessential issues in behavioral health. Why do such high rates of co-occurrence exist? What does it tell us about risk profiles? How do these linked disorders affect people, their families, and the communities in which they live? What are the natural paths to recovery? What specific treatments are most helpful and how can new ones be developed? How can we enhance the implementation of evidence-based practices at clinical, administrative, and policy levels? How can we help clients to learn active recovery skills and adopt needed supports, clinicians to master new interventions, programs to implement effective services, and communities to foster healthy adjustment? The Journal addresses each of these perplexing challenges.