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Hopeless patients? :
Hopeless patients? : A study of illicit opiate users who drop out from in-patient detoxification
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- Berman, Anne H. (author)
- Karolinska Institutet
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- Källmén, Håkan (author)
- Karolinska Institutet,Uppsala universitet,Institutionen för psykologi
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Barredal, E. (author)
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- Lindqvist, P. (author)
- Karolinska Institutet
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(creator_code:org_t)
- 2009-07-12
- 2008
- English.
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In: Journal of Substance Use. - : Informa UK Limited. - 1465-9891 .- 1475-9942. ; 13:2, s. 121-130
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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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.
Keyword
- Detoxification
- drop-out
- attachment
- MEDICINE
- MEDICIN
Publication and Content Type
- ref (subject category)
- art (subject category)
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