| Utilisation of inpatient psychiatric services by people with illicit substance abuse in Switzerland. | |
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MedLine Citation:
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PMID: 16779714 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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QUESTIONS UNDER STUDY: The study aims to examine the utilisation of inpatient psychiatric services by people with substance use disorders (SUD), and to identify factors that predict inpatient service use. METHODS: Out of a sample of consecutively referred first-admitted patients from a catchment area in Switzerland, a cohort of 563 individuals with behavioural and mental disorders due to (illicit) substance use was followed over a period of 5 years by means of register data. RESULTS: Every fourth individual of the first-admission sample was admitted for a SUD. Over the 5-year period, average number of inpatient episodes (1.7) was comparable to that of patients with other diagnoses; time in hospital, however, was by far shorter (cumulative: 21 days). 61.6% of the individuals with SUD were treated as inpatients only once; 41.4% were not regularly discharged. Clinical patient characteristics (psychiatric co-morbidity, admission state, clinical improvement during first inpatient stay) and treatment measures (psychotherapy during first inpatient stay, planned aftercare) were the most important predictors of inpatient psychiatric service use over the 5-year period. Associations with sociodemographic background factors were only weak. CONCLUSIONS: These findings suggest that a high number of patients with SUD are contacting inpatient services, but retention in treatment so far is not sufficient for an adequate drug treatment. Efforts need to be intensified to advance the diagnostic process and to improve current treatment strategies in order to achieve better clinical outcomes. |
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Authors:
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Barbara Lay; Christoph Lauber; Rudolf Stohler; Wulf Rössler |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Swiss medical weekly Volume: 136 ISSN: 1424-7860 ISO Abbreviation: Swiss Med Wkly Publication Date: 2006 May |
Date Detail:
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Created Date: 2006-06-16 Completed Date: 2006-10-27 Revised Date: 2011-02-15 |
Medline Journal Info:
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Nlm Unique ID: 100970884 Medline TA: Swiss Med Wkly Country: Switzerland |
Other Details:
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Languages: eng Pagination: 338-45 Citation Subset: IM |
Affiliation:
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Research Unit for Clinical and Social Psychiatry, Psychiatric University Hospital, Militärstrasse 8, CH-8021 Zurich, Switzerland. barbara.lay@bli.unizh.ch |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aftercare Aged Child Cohort Studies Data Interpretation, Statistical Female Follow-Up Studies Humans Inpatients* Length of Stay Male Middle Aged Psychiatric Department, Hospital / utilization* Psychotherapy Socioeconomic Factors Street Drugs* Substance-Related Disorders / drug therapy, therapy* Switzerland Time Factors |
| Chemical | |
Reg. No./Substance:
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0/Street Drugs |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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