| 1. |
- Dauber, Hanna, et al.
(författare)
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Co-occurring Mental Disorders in Substance Abuse Treatment : the Current Health Care Situation in Germany
- 2018
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Ingår i: International Journal of Mental Health and Addiction. - : Springer Science and Business Media LLC. - 1557-1874 .- 1557-1882. ; 16:1, s. 66-80
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Tidskriftsartikel (refereegranskat)abstract
- Aim of this study was to investigate the current health care situation for patients with co-occurring mental disorders in addiction treatment. Therefore, data from the German Substance Abuse Treatment System (N = 194,406) was analysed with regard to the prevalence of comorbid mental disorders, treatment characteristics and outcomes of patients with comorbid psychiatric diagnosis. In outpatient setting, the prevalence of comorbid diagnoses was considerably lower (4.6%) than in inpatient setting (50.7%), but mood and anxiety disorders were the most prevalent additional diagnoses in both settings. In the treatment of patients with these comorbid disorders, we found higher rates of complementary internal and external (psychiatric) treatment, more co-operations and referrals after treatment, and positive treatment process outcomes. Findings indicate that the knowledge of an additional diagnosis influences the health care provision of affected patients and can therefore be seen as the essential precondition for providing adequate and comprehensive treatment. This highlights the importance of a sufficient consideration and diagnostic assessment of mental disorders in addiction treatment to further improve the health care situation of comorbid patients.
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| 2. |
- Kraus, Ludwig, et al.
(författare)
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Estimation of the Number of People With Opioid Addiction in Germany
- 2019
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Ingår i: Deutsches Ärzteblatt International. - : Deutscher Arzte-Verlag GmbH. - 1866-0452. ; 116:9, s. 137-143
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Tidskriftsartikel (refereegranskat)abstract
- Background: Opioid addiction is one of the most common substance-related disorders worldwide, and morbidity and mortality due to opioid addiction place a heavy burden on society. Knowing the size of the population that is addicted to opioids is a prerequisite for the development and implementation of appropriate health-policy measures.Methods: Our estimate for Germany for 2016 is based on an enumeration of opioid-addicted persons who were entered in a registry of persons receiving substitution therapy, an enumeration of persons receiving outpatient and inpatient care for addiction without substitution therapy, an extrapolation to all addiction care facilities, and an estimation of the number of opioid-addicted persons who were not accounted for either in the substitution registry or in addiction care.Results: The overall estimate of the number of opioid-addicted persons in Germany in 2016 was 166 294 persons (lower and upper bounds: 164 794 and 167 794), including 123 988 men (122 968 to 125 007) and 42 307 women (41 826 to 42 787). The estimates for each German federal state per 1000 inhabitants ranged from 0.1 in Brandenburg to 3.0 in North Rhine-Westphalia and 5.5 in Bremen. The average value across Germany was 3.1 per 1000 inhabitants.Conclusion: Comparisons with earlier estimates suggest that the number of persons addicted to opioids in Germany has hardly changed over the past 20 years. Despite methodological limitations, this estimate can be considered highly valid. Nearly all persons who are addicted to opioids are in contact with the addiction care system.
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| 3. |
- Kraus, Ludwig, et al.
(författare)
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Inanspruchnahme gesundheitlicher Versorgung durch Alkoholabhängige [Health care utilization of perople with alcohol dependence]
- 2015
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Ingår i: Suchttherapie. - : Georg Thieme Verlag KG. - 1439-9903 .- 1439-989X. ; 16:1, s. 18-26
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Tidskriftsartikel (refereegranskat)abstract
- Aims: The study aims at estimating health care utilization of alcohol dependents. Estimates will be provided for the number of people with dependence in the general population, the number of people that have received the diagnosis "dependence" by a general practitioner, and number of people treated in addiction care. Methods: Estimates are based on the most recent data on health care utilization. The estimation methods are described in detail. Results: In Germany, the prevalence of alcohol dependence in the general population aged 18 years and above is estimated at 2.8 % or 1.86 million individuals in 2012. Approximately 649 000 individuals were diagnosed as, alcohol dependent" by a general practitioner indicating that about one third of the people with dependence (35.0%) were registered in the health care system (2009 data). In the same year approximately 297 000 individuals with alcohol dependence (16 %) were utilizing specialized addiction services (in-or outpatient treatment, general hospital). The rate of addicts in rehabilitation treatment was estimated at 1.8%. Conclusions: For reducing the burden of morbidity and mortality associated with alcohol dependence considerable improvements in health care utilization by addicts are required. Utilization may be increased by improving excess to early intervention, diversification of treatment offers and challenging the paradigm of abstinence-oriented treatment.
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| 4. |
- Pfeiffer-Gerschel, Tim, et al.
(författare)
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Methamphetaminkonsum in Deutschland : Verbreitung und Problemlage
- 2019
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Ingår i: SUCHT. - : Hogrefe Publishing Group. - 0939-5911 .- 1664-2856. ; 65:4, s. 241-249
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Forskningsöversikt (refereegranskat)abstract
- Zusammenfassung. Zielsetzung: Um ein möglichst umfassendes und differenziertes Bild der Verbreitung von Methamphetamin (MA) in Deutschland zu zeichnen, wird im vorliegenden Beitrag mittels verschiedener Datenquellen ein überblick zur Verbreitung des Konsums von MA sowie einschlägiger Straftaten in Deutschland und Europa gegeben. Ergänzend werden Angaben zur Beratungs-/Behandlungsnachfrage in Deutschland gemacht. Methodik: Es werden verfügbare aktuelle Daten zur Konsumverbreitung, Beschlagnahmungen und Straftaten sowie von repräsentativen nationalen und regionalen Bevölkerungsstudien, Abwasseranalysen, Strafverfolgung sowie Suchtberatung und -behandlung berichtet. Ergebnisse: Insgesamt zeigt sich mit Prävalenzraten von 0,6 % (Lebenszeit) und 0,2 % (letzte 12 Monate), dass der Konsum von MA in der erwachsenen Allgemeinbevölkerung eine eher untergeordnete Rolle spielt. Es finden sich in mehreren Datenquellen regionale Unterschiede, die darauf schließen lassen, dass die Verbreitung von MA in Sachsen, Thüringen und Bayern deutlich höher ist als in anderen Regionen Deutschlands. Schlussfolgerungen: Konsum und Problemlage von MA weisen regionale Schwerpunkte insbesondere in den Grenzregionen zur Tschechischen Republik auf. Aufgrund der hohen Belastung in den betroffenen Regionen wurden in den letzten Jahren zahlreiche Interventionen initiiert, die von spezifischen Programmen zur Frühintervention bis zu strukturierten Behandlungsprogrammen reichen. Die Verbesserung der Situation in betroffenen Regionen bedarf weiterer aktiver Unterstützung durch politische und soziale Maßnahmen.
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| 5. |
- Seitz, Nicki-Nils, et al.
(författare)
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Trends in Substance Use and Related Disorders : Analysis of the Epidemiological Survey of Substance Abuse 1995 to 2018
- 2019
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Ingår i: Deutsches Ärzteblatt International. - : Deutscher Arzte-Verlag GmbH. - 1866-0452. ; 116:35-36, s. 585-591
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Tidskriftsartikel (refereegranskat)abstract
- Background: Changes in the use of psychoactive substances and medications and in the occurrence of substance-related disorders enable assessment of the magnitude of the anticipated negative consequences for the population.Methods: Trends were analyzed in the consumption of tobacco, alcohol, cannabis and other illegal drugs, analgesics. and hypnotics/sedatives, as well as trends in substance-related disorders, as coded according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). The data were derived from nine waves of the German Epidemiological Survey of Substance Abuse (Epidemiologischer Suchtsurvey, ESA) from 1995 to 2018. The data were collected in written form or by means of a combination of paper and internet-based questionnaires or telephone interviews.Results: The estimated prevalence rates of tobacco and alcohol consumption and the use of hypnotics/sedatives decreased over time. On the other hand, increasing prevalence rates were observed for the consumption of cannabis and other illegal drugs and the use of analgesics. The trends in substance-related disorders showed no statistically significant changes compared to the reference values for the year 2018, except for higher prevalence rates of nicotine dependence, alcohol abuse and dependence, analgesic dependence, and hypnotic/sedative dependence in the year 2012 only.Conclusion: Trends in tobacco and alcohol consumption imply a future decline in the burden to society from the morbidity, mortality, and economic costs related to these substances. An opposite development in cannabis use cannot be excluded. No increase over time was seen in the prevalence of analgesic dependence. but the observed increase in the use of analgesics demands critical attention.
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