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- Gerdner, Arne, et al.
(author)
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Abscondence and length of treatment in locked wards for compulsory committed alcoholics in realtion to treatment program and legal changes.
- 1997
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In: Scandinavian Journal of Social Welfare. - 0907-2055. ; 6, s. 310-316
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Journal article (peer-reviewed)abstract
- The study concerns 124 alcoholics compulsorily committed to a locked ward at Runnagården, a coercive treatment setting in mid-Sweden. Three groups are compared: 57 patients were admitted before, and 29 were admitted after the implementation of an introductory AA-oriented programme on the ward. Another 38 patients were admitted after the changes in legislation which resulted in a longer duration of compulsory care. The groups were compared as to the number of days spent on the locked unit and the number of abscondings. With the implementation of the programme, a significant reduction was observed in the time needed on the locked ward, while the number of abscondings showed weaker tendencies of decrease. After the legislative changes were made, the same factors increased. Multivariate regressions were used to check confounding background factors. In conclusion, the introduction of an AA-oriented programme in a coercive treatment setting reduced the time spent on a locked ward without increasing the number of abscondings. Increase in length of coercion increased both time spent at the locked ward and the number of abscondings.
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- Gerdner, Arne, et al.
(author)
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Explaining inconsistancy between patient and collateral : Validity in outcome studies of coercive alcoholism treatment
- 1996
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In: Scandinavian Journal of Social Welfare. - : Wiley. - 0907-2055. ; 5:1, s. 12-18
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Journal article (peer-reviewed)abstract
- This study aims to assess the consistency of replies to questionnaires mailed to patients and two kinds of collaterals, i.e., social workers and significant others, at a public treatment center with socially unstable and compulsory committed patients. It compares the quantity and kind of discrepancies between replies by patients and collaterals on outcome data concerning social situation and drinking habits. It aims to measure the amount of systematic bias among factors that may explain inconsistencies between reports, especially the factors compulsory commitment, worse outcome, frequency of contact and type of collateral. The responders generally agreed. Variables in which there was less agreement were explored in logistic regressions using ten explanatory variables. Significant relations did not exceed those expected by chance. Discrepancies were not systematic in size and kind. On a six-rank ordinal scale of alcohol use or abuse, however, patients tended to underestimate the extent of their abuse. Inconsistencies here concerned the degree but not the presence of abuse. No difference in consistency due to type of collateral was found. In conclusion, the consistency of the questionnaires was high and independent of the social situation of the patient, of compulsory commitment and of other background or treatment factors, as well as of treatment outcome and type of collateral.
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- Gerdner, Arne, et al.
(author)
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Mortality after 8 years in relation to short-term outcome of treated alcoholics
- 1997
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In: Alcohol & Alcoholism. - 0735-0414. ; 32:5, s. 573-579
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Journal article (peer-reviewed)abstract
- This study concerns the relation between mortality and the short-term outcome of inpatient treatment for alcoholism. A total of 121 patients (87 men, 34 women) of whom 89 were voluntary and 32 compulsorily committed. They had a mean age of 41 ±7 (sd) years and attended a 5-week programme at Runnagården, Örebro, Sweden. Most patients were socially unstable and severely alcohol dependent. Ten months (mean) after discharge, 96% of the patients and their referring social workers were contacted with mail questionnaires. Of these patients, 13% had been totally abstinent and a further 42% were improved but had had relapses. After a mean of 8.5 ±0.27 (sd) years, 27 patients (24%) had died. All abstainers survived, but non-abstainers had a 9 times higher mortality than expected. Non-abstinent improved women tended to survive longer than non-improved women, but among non-abstinent improved men no such tendency was found. In conclusion, a reduction in the frequency and quantity of abusive drinking was not enough to reduce the higher risk of death. Only abstinence seemed to be preventive.
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