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Hopeless patients? :
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Berman, Anne H.Karolinska Institutet
(författare)
Hopeless patients? : A study of illicit opiate users who drop out from in-patient detoxification
- Artikel/kapitelEngelska2008
Förlag, utgivningsår, omfång ...
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2009-07-12
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Informa UK Limited,2008
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:uu-138170
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-138170URI
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https://doi.org/10.1080/14659890701682287DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:119790356URI
Kompletterande språkuppgifter
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Språk:engelska
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Sammanfattning på:engelska
Ingår i deldatabas
Klassifikation
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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Individual and treatment-related factors associated with early self-discharge were studied among illicit opiate users consecutively admitted for hospital detoxification (ITT=68, n=45). Only 20% of the drop-outs had a detailed treatment plan, 20% participated in their own treatment planning, and none were enrolled in a methadone/buprenorphine programme at admission (compared with 60, 80, and 66%, respectively, of those retained in treatment). Having a treatment plan at intake improved the odds for planned discharge by 13 and perceiving fewer positive aspects of drug use increased the odds for drop-out by 12.6. A configural frequency analysis (CFA) showed one significant type: patients with sketchy or no treatment planning at intake, no maintenance treatment, and a low score on positive aspects of drug use were 7.5 times more likely to drop out than expected. Lacking a close maternal relationship characterized patients in this type (83% compared with 31% of non-types). Drop-outs seem to have insecure attachment patterns, which make contact difficult with social services and substance abuse treatment providers. Future research should devise ways of establishing a working alliance with patients likely to drop out, as well as investigating management policies for this patient group.
Ämnesord och genrebeteckningar
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Detoxification
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drop-out
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attachment
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MEDICINE
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MEDICIN
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Källmén, HåkanKarolinska Institutet,Uppsala universitet,Institutionen för psykologi
(författare)
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Barredal, E.
(författare)
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Lindqvist, P.Karolinska Institutet
(författare)
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Karolinska InstitutetInstitutionen för psykologi
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Journal of Substance Use: Informa UK Limited13:2, s. 121-1301465-98911475-9942
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