{"title":"强化门诊药物使用障碍治疗的辍学原因。方案设计视角。","authors":"Gustavo Irazoqui, Rafael Groisman, Isis Gruccos, Juana Brady, Carola Cassinelli, Ximena Cerviño, Luciana García, Federico Pavlovsky","doi":"10.53680/vertex.v35i165.655","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>There are scarce studies about why patients dropout addiction treatments.</p><p><strong>Methods: </strong>A mixed analysis about data from 55 patients who discontinued an intensive outpatient approach between June 2019 and November 2021 and their responses to a questionnaire were evaluated.</p><p><strong>Results: </strong>The dropout rate was 29.2%, with a median [95% CI] of 113 days [47-255]. Of the total, 40/55 responded to the questionnaire, 12.5% reported an increase in use and 75% were under mental health treatment. The main reason for dropout was personal, related to ambivalence and the perception of not having a problem. Reasons associated with the program approach included global abstinence and group therapy.</p><p><strong>Conclusions: </strong>Admission strategies, diversification of proposals and inclusion of bond therapy could improve the effectiveness of outpatient addiction programs.</p>","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"35 165, jul.-sep.","pages":"6-15"},"PeriodicalIF":0.0000,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Dropout Reasons in an Intensive Outpatient Treatment for Substance Use Disorders. Reflections on New Treatment Designs\",\"authors\":\"Gustavo Irazoqui, Rafael Groisman, Isis Gruccos, Juana Brady, Carola Cassinelli, Ximena Cerviño, Luciana García, Federico Pavlovsky\",\"doi\":\"10.53680/vertex.v35i165.655\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>There are scarce studies about why patients dropout addiction treatments.</p><p><strong>Methods: </strong>A mixed analysis about data from 55 patients who discontinued an intensive outpatient approach between June 2019 and November 2021 and their responses to a questionnaire were evaluated.</p><p><strong>Results: </strong>The dropout rate was 29.2%, with a median [95% CI] of 113 days [47-255]. Of the total, 40/55 responded to the questionnaire, 12.5% reported an increase in use and 75% were under mental health treatment. The main reason for dropout was personal, related to ambivalence and the perception of not having a problem. Reasons associated with the program approach included global abstinence and group therapy.</p><p><strong>Conclusions: </strong>Admission strategies, diversification of proposals and inclusion of bond therapy could improve the effectiveness of outpatient addiction programs.</p>\",\"PeriodicalId\":75297,\"journal\":{\"name\":\"Vertex (Buenos Aires, Argentina)\",\"volume\":\"35 165, jul.-sep.\",\"pages\":\"6-15\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-10-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Vertex (Buenos Aires, Argentina)\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.53680/vertex.v35i165.655\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Vertex (Buenos Aires, Argentina)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.53680/vertex.v35i165.655","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Dropout Reasons in an Intensive Outpatient Treatment for Substance Use Disorders. Reflections on New Treatment Designs
Introduction: There are scarce studies about why patients dropout addiction treatments.
Methods: A mixed analysis about data from 55 patients who discontinued an intensive outpatient approach between June 2019 and November 2021 and their responses to a questionnaire were evaluated.
Results: The dropout rate was 29.2%, with a median [95% CI] of 113 days [47-255]. Of the total, 40/55 responded to the questionnaire, 12.5% reported an increase in use and 75% were under mental health treatment. The main reason for dropout was personal, related to ambivalence and the perception of not having a problem. Reasons associated with the program approach included global abstinence and group therapy.
Conclusions: Admission strategies, diversification of proposals and inclusion of bond therapy could improve the effectiveness of outpatient addiction programs.
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