Success of referral for alcohol dependent patients from a general hospital: predictive value of patient and process characteristics.

Details

Serval ID
serval:BIB_36B4ACB9B3BE
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Success of referral for alcohol dependent patients from a general hospital: predictive value of patient and process characteristics.
Journal
Substance Abuse
Author(s)
Rochat S., Wietlisbach V., Burnand B., Landry U., Yersin B.
ISSN
0889-7077 (Print)
ISSN-L
0889-7077
Publication state
Published
Issued date
2004
Volume
25
Number
1
Pages
9-15
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
To assess the effectiveness of a multidisciplinary evaluation and referral process in a prospective cohort of general hospital patients with alcohol dependence. Alcohol-dependent patients were identified in the wards of the general hospital and its primary care center. They were evaluated and then referred to treatment by a multidisciplinary team; those patients who accepted to participate in this cohort study were consecutively included and followed for 6 months. Not included patients were lost for follow-up, whereas all included patients were assessed at time of inclusion, 2 and 6 months later by a research psychologist in order to collect standardized baseline patients' characteristics, process salient features and patients outcomes (defined as treatment adherence and abstinence). Multidisciplinary evaluation and therapeutic referral was feasible and effective, with a success rate of 43%for treatment adherence and 28%for abstinence at 6 months. Among patients' characteristics, predictors of success were an age over 45, not living alone, being employed and being motivated to treatment (RAATE-A score < 18), whereas successful process characteristics included detoxification of the patient at time of referral and a full multidisciplinary referral meeting. This multidisciplinary model of evaluation and referral of alcohol dependent patients of a general hospital had a satisfactory level of effectiveness. Predictors of success and failure allow to identify subsets of patients for whom new strategies of motivation and treatment referral should be designed.
Keywords
Adult, Aged, Alcoholism/diagnosis, Alcoholism/rehabilitation, Cohort Studies, Female, Follow-Up Studies, Hospitalization, Hospitals, General, Hospitals, University, Humans, Male, Middle Aged, Predictive Value of Tests, Primary Health Care/methods, Prospective Studies, Referral and Consultation, Treatment Outcome
Pubmed
Web of science
Create date
05/03/2008 15:56
Last modification date
20/08/2019 13:24
Usage data