Comparison of Two ASI-Based Standardized Patient Placement Approaches

Camilleri, Amy C.; Cacciola, John S.; Jenson, Michelle

doi:10.1080/10550887.2012.665727

Cited by 9 publications

(10 citation statements)

References 12 publications

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“…The two variables obtained as relevant assignment criteria support the results of previous studies showing that patients characterized by more severe substance use disorders, coexisting psychosocial problems, and weaker social and partner supports tended to be treated in inpatient programmes (Camilleri et al, 2012;Gregoire, 2000;Harrison & Asche, 1999;Magor-Blatch et al, 2014;McGee & MeeLee, 1997;McKay et al, 1997;Reif et al, 2014). Therefore, the psychosocial and partner consequences of the addiction problem become crucial variables when designing the therapeutic approach.…”

Section: Discussionsupporting

confidence: 80%

“…On the other hand, in this study, the EuropASI has become a useful instrument to objectify clinical decisions about the treatment that better meets patient needs. The use of standardized assessments as methods for placement matching of patients with addiction problems has been shown to be useful in other studies (Camilleri et al, 2012;Rohrig et al, 2015). Regardless, the EuropASI assesses both family and social problems in one only area.…”

Section: Discussionmentioning

confidence: 99%

“…Although there have been some attempts to establish objective patient placement criteria (American Society of Addiction Medicine, 1996;Hoffman, Halikas, Mee-Lee, & Weedman, 1991;McGee & MeeLee, 1997;McKay, Cacciola, McLellan, Alterman, & Wirtz, 1997;Stallvik, Gastfriend, & Nordahl, 2015), there is still not a scientific consensus on which criteria should be taken into account to place patients in the best level of care. This is an important issue because one of the main challenges in the treatment of addictions focuses on matching treatment to the specific needs of each patient (Camilleri, Cacciola, & Jenson, 2012;Gregoire, 2000;McGee & MeeLee, 1997;McKay et al, 1997;Rohrig, Buchholz, Wahl, & Berner, 2015). Therefore, the main purposes of this naturalistic study were to objectify the treatment assignment criteria used in a clinical centre for addictions in Spain and to evaluate the subsequent treatment progression.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Searching objective criteria for patient assignment in addiction treatment

López-Goñi

Fernández‐Montalvo

Arteaga

et al. 2017

Journal of Substance Abuse Treatment

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The main aim of this study was to objectify the treatment assignment criteria used in a clinical centre for addiction treatment in Spain. A sample of 162 patients (87 inpatients and 75 outpatients) who sought treatment between 2010 and 2012 was assessed. Clinical characteristics (addiction severity, psychopathological symptoms, impulsiveness and maladjustment) of the two treatment groups (inpatient and outpatient) into which patients were assigned according to the clinical criteria of therapists were analysed to identify which variables were more relevant for patient placement. Moreover, the therapeutic progression of patients who met and did not meet the assignment criteria received was studied. According to the results, a score above 4 in the family/social support area of the European Addiction Severity Index (EuropASI), or, in cases of a score between 2 and 4 in the family/social area of EuropASI, a score above 2 in the partner subscale of the Maladjustment Scale correctly classified 73.5% of cases (96.6% of inpatients and 46.7% of outpatients). Comparisons of therapeutic results depending on matching or mismatching these assignment criteria showed a larger effect size in mismatching patient assignment criteria for outpatient treatment. The results obtained in this study provide an objective criterion for addicted patient placement. Moreover, from a cost-effective perspective, they question the necessity of inpatient treatment in most cases, demonstrating that outpatient treatment is a sufficient level of care. This study addresses the approach to assigning patients to the treatment modality that best fits them, implementing the least expensive level of care needed to achieve treatment success.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Searching objective criteria for patient assignment in addiction treatment

López-Goñi

Fernández‐Montalvo

Arteaga

et al. 2017

Journal of Substance Abuse Treatment

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“…People who need substantial change and development to manage their everyday lives and overcome the psychosocial consequences of SUD, often require specialised inpatient treatment [ 24 , 25 , 26 , 27 ]. People with SUD have long been the subject of controlling measures in society in general, and in SUD treatment in particular [ 28 , 29 ], and the environment at the services to which people refer to undergo vast change processes, such as inpatient SUD treatment, is tightly controlled [ 30 ].…”

Section: Introductionmentioning

confidence: 99%

Work-Related Satisfaction among Clinicians Working at Inpatient Treatment Facilities for Substance Use Disorder: The Role of Recovery Orientation

Johannessen

Nordfjærn

Geirdal

2021

IJERPH

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Several psychosocial factors have been suggested as facilitators of change among inpatients treated for substance use disorder (SUD). Research suggests that staff members are also influenced by the practice in which they are involved, and by contextual psychosocial factors at their treatment facilities. This cross-sectional questionnaire survey study was conducted to investigate the role of recovery-orientated interventions in describing work-related satisfaction among clinicians at inpatient SUD treatment facilities. The respondents (n = 407) rated items indicating work-related satisfaction and the degree of recovery orientation at their treatment facilities. The main findings of two block regression analyses indicated that clinicians’ work-related satisfaction was positively influenced by inpatients’ opportunities to pursue their goals and choices, and negatively influenced by inpatient involvement. The change in clinicians’ work-related satisfaction could not be described by the degree of individually tailored and varied interventions at the treatment facility. Clinicians should be supported and involved in the process of implementing measures to increase inpatient involvement in the treatment programmes, and treatment measures that enable inpatients to pursue their goals and choices should be enhanced. The findings of this and previous studies indicate that a recovery-oriented framework promotes clinicians’ work-related satisfaction and has an enabling influence on both inpatients and clinicians.

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“…Even if people who struggle with substance use mainly achieve recovery without formal SUD treatment ( Klingemann, Sobell, & Sobell, 2010 ; Price, Risk, & Spitznagel, 2001 ; Willenbring, 2010 ), SUD treatment has been considered as important in promoting lasting recovery ( Brorson, Ajo Arnevik, Rand-Hendriksen, & Duckert, 2013 ; Lauritzen & Nordfjærn, 2018 ). People who are referred to specialised inpatient SUD treatment represent a population with multiple psychosocial challenges, who often struggle to handle their everyday lives (e.g., maintaining daily routines, attending work or other meaningful obligations) ( Camilleri, Cacciola, & Jenson, 2012 ; Helsedirektoratet, 2015 ; Lopez-Goni, Fernandez-Montalvo, Arteaga, & Esarte, 2017 ; Norwegian Directorate of Health, 2015 ; Wakeman, Metlay, Chang, Herman, & Rigotti, 2017 ).…”

mentioning

confidence: 99%

Substance use disorder patients’ expectations on transition from treatment to post-discharge period

Johannessen

Nordfjærn

Geirdal

2020

Nordic Studies on Alcohol and Drugs

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Aim: There is limited knowledge about how inpatients anticipate factors that facilitate the transition between specialised inpatient treatment for substance use disorder (SUD) and the post-discharge period. This study explores factors that inpatients anticipated would facilitate such a transition period. Method: A focus group study, consisting of four group interviews with individuals in inpatient SUD treatment, was conducted to explore their expectations for the transition and post-discharge period ahead of them. The transcribed interview material was analysed using thematic analysis. Findings: The analytical process led to three themes: “Belonging”, “Intrapersonal processes” and “Predictability”. Correspondence between inpatients’ expectations and the services they are offered in the transition and post-discharge period may serve as proper support for inpatients ahead of a vulnerable phase, such as the transition and post-discharge period. Conclusions: Findings from the current study highlight overarching elements that inpatients envisioned to be facilitating, such as social support, motivation, self-efficacy, self-awareness and predictability in basic elements such as employment, housing and personal finances. Findings from this study and previous ones imply that certain factors appear to facilitate in vulnerable phases, such as service level transitions. These facilitating factors should be taken into consideration and used as steppingstones through the transition and post-discharge period after inpatient SUD treatment.

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Comparison of Two ASI-Based Standardized Patient Placement Approaches

Cited by 9 publications

References 12 publications

Searching objective criteria for patient assignment in addiction treatment

Searching objective criteria for patient assignment in addiction treatment

Work-Related Satisfaction among Clinicians Working at Inpatient Treatment Facilities for Substance Use Disorder: The Role of Recovery Orientation

Substance use disorder patients’ expectations on transition from treatment to post-discharge period

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