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- Gerdner, Arne, et al.
(författare)
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Effects of psychologists assessments of patients within compulsory care : A matched-control trial
- 2007
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Ingår i: Proccedings. 50th International ICAA Conference on Dependencies, Stockholm, June 2007.
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Konferensbidrag (refereegranskat)abstract
- Introduction. Psychological assessment is usually not provided as routine within care for substance use disorders (SUD) in Sweden. A number of studies has shown that about 70-80 percent of compulsory care patients for substance use disorders suffer from additional axis-1 disorder and about 50-75 percent meet the criteria of a personality disorder (axis-2). A synthesized review with meta-regression on 32 outcome studies of compulsory care of SUD patients showed that structured psychiatric or psychological assessment was related to higher rate of total abstainers as well as the rate of improved, when patient profile and study methology was controlled for. This study explores the effect of a psychologist�s assessment in compulsory care of SUD patients for planning and implementation of after-care as well as for outcome. Methods. The study was conducted at three compulsory care institutions. The intervention group of 115 patients who were assessed by a licensed psychologist were matched with 115 who were not assessed in that way (control group). Matching criteria were age, gender, psychiatric status at intake, type of drug use, institution. Patients were interviewed 1-2 years post discharge and social workers replied to a questionnaire, using the same items. Interviews and questionnaires explored the content of after-care planning, the actual aftercare, and the outcome on substance misuse, health and social conditions. Results: Data collection was completed in the beginning of April, 2007, with at least one reply on more than 90 percent in the intervention group as well as in the control group. At the time of call for abstracts, these data were not yet analysed. At the conference, comparisons will be provided. Discussion: The findings may help us to understand the usage of psychologists´ assessment for care and after-care planning as well as for the outcomes in terms of misuse, health and social integration
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