Zusammenfassung
Ziel der Studie:
In den Niederlanden wurden Richtlinien f?r die Zuweisung von Patienten mit u.?a. alkoholbezogenen St?rungen zu 4 verschieden intensiven Behandlungspfaden implementiert und evaluiert. Eine direkte ?bertragung auf Deutschland ist nicht sinnvoll, eine Adaptation jedoch potentiell n?tzlich. Ziel dieser Studie war daher, einen Vorschlag f?r die Anpassung dieser Leitlinie an das Deutsche Suchthilfesystem zu erarbeiten.
Methodik:
Experten der Suchthilfe diskutierten in einem 3-stufigen Delphi-Prozess Behandlungsangebote und f?r die Zuweisung relevante Indikationskriterien. In einer abschlie?enden Konsensus-Konferenz wurden die Ergebnisse der Diskussionen integriert.
Ergebnisse:
Es konnte eine adaptierte Leitlinie f?r Zuweisungsentscheidungen nach dem qualifizierten Entzug verabschiedet werden.
Schlussfolgerung:
Die konsentierte Leitlinie kann die Zuweisung von Patienten mit alkoholbezogenen St?rungen unterst?tzen. Sie wird aktuell in einer randomisierten kontrollierten Studie evaluiert.
BackgroundDespite considerable research on substance-abuse placement matching, evidence is still inconclusive. The aims of this exploratory trial are to evaluate (a) the effects of following matching guidelines on health-care costs and heavy drinking, and (b) factors affecting the implementation of matching guidelines in the treatment of alcohol-dependent patients.MethodsA total of 286 alcohol-dependent patients entering one of four participating detoxification units and having no arrangements for further treatment will be recruited. During the first week of treatment, all patients will be administered Measurements in the Addictions for Triage and Evaluation (MATE), European Quality of Life-Five Dimensions health status questionnaire (EQ-5D), and the Client Socio-Demographic and Service Receipt Inventory—European Version (CSSRI-EU). Patients who are randomly allocated to the intervention group will receive feedback regarding their assessment results, including clear recommendations for subsequent treatment. Patients of the control group will receive treatment as usual and, if requested, global feedback regarding their assessment results, but no recommendations for subsequent treatment. At discharge, treatment outcome and referral decisions will be recorded. Six months after discharge, patients will be administered MATE-Outcome, EQ-5D, and CSSRI-EU during a telephone interview.DiscussionThis trial will provide evidence on the effects and costs of using placement-matching guidelines based on a standardized assessment with structured feedback in the treatment of alcohol-dependent patients. A process evaluation will be conducted to facilitate better understanding of the relationship between the use of guidelines, outcomes, and potential mediating variables.Trial registrationGerman Clinical Trials Register DRKS00005035. Registered 03 June 2013.
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