How important is treatment? One-year outcomes of treated and untreated alcohol-dependent individuals

Weisner, Constance; Matzger, Helen; Kaskutas, Lee Ann

doi:10.1046/j.1360-0443.2003.00438.x

Cited by 220 publications

(167 citation statements)

References 68 publications

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“…As pesquisas vêm demonstrando que a coocorrência do uso de substâncias e desordem mental faz com que existam baixas taxas no que se refere ao término do tratamento, à permanência no tratamento e às altas taxas de recaídas e re-hospitalização no pós-tratamento, se comparados com indivíduos que têm somente o problema do uso de substâncias Weisner et al, 2003).…”

Section: Discussão Dos Resultadosunclassified

A reabilitação psicossocial na atenção aos transtornos associados ao consumo de álcool e outras drogas: uma estratégia possível?

Pinho

Oliveira²,

Almeida³

2008

Rev. psiquiatr. clín.

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ResumoContexto: O consumo de álcool e drogas constitui-se em uma problemática mundial. A exclusão e a ausência de políticas específicas que marcaram a saúde pública brasileira demonstram a necessidade de reversão dos modelos assistenciais para contemplar as reais necessidades dos usuários que apresentam transtornos decorrentes do consumo de álcool e drogas. O desafio de formular uma política específica de prevenção, tratamento e reabilitação numa lógica que permita a singularidade e a reinserção social dos indivíduos tem sido tema dos diversos estudos nessa área. Objetivos: Identificar a utilização e compreensão do conceito da reabilitação psicossocial na atenção aos problemas associados ao consumo de álcool e drogas. Métodos: Revisão bibliográfica do banco de dados MEDLINE, de 1997 a 2007, sobre a reabilitação psicossocial no campo da atenção aos transtornos decorrentes do consumo de álcool e outras drogas. Resultados: Foram selecionados dez artigos que apresentavam similaridade com o tema. Conclusões: Encontramos os termos "suporte social" e "apoio social", que fazem referência à importância da rede social na recuperação do usuário de álcool e outras drogas, assim como a reabilitação psicossocial determina a importância da rede social do indivíduo como um de seus eixos. , P.H. et al. / Rev. Psiq. Clín 35, supl 1; 82-88, 2008 Palavras-chave: Reabilitação psicossocial, álcool, drogas. Pinho AbstractContext: The consumption of alcohol and drugs constitutes a worldwide problem. Exclusion and lack of specific policies for those who suffer with drug and alcohol dependency has marked Brazilian public health policy and demonstrated the need for change in the service models in order to contemplate the real needs of those with alcohol and drug abuse disorders. The challenge of formulating a specific prevention, treatment and rehabilitation policy within a framework that considers individuality and allows social reinsertion of individuals has been the subject of numerous studies in this area. Objectives: To identify the use and understanding of the concept of psychosocial rehabilitation associated with the problems of alcohol and drug abuse. Methods: Literature review in the MEDLINE database between 1997 and 2007 on psychosocial rehabilitation, specifically in the cases of alcohol and drug use disorders. Results: Ten articles were selected based on their pertinence to the subject. Conclusions: We found the term "social support" which refers to the importance of a social network to help the patient recovering from alcohol and drug addiction, just as the psychosocial rehabilitation -which determines the importance of the individual's social network -is one of its bases.Pinho, P.H. et al. / Rev. Psiq. Clín 35, supl 1; 82-88, 2008

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Section: Discussão Dos Resultadosunclassified

A reabilitação psicossocial na atenção aos transtornos associados ao consumo de álcool e outras drogas: uma estratégia possível?

Pinho

Oliveira²,

Almeida³

2008

Rev. psiquiatr. clín.

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“…Studies have documented that between 29 and 75 % of homeless populations use alcohol and/or illicit drugs. 1,2 Homeless individuals who use substances are more likely to drop out of treatment programs, 3 have higher rates of post-treatment relapse, 4 premature mortality, 5 chronic physical illness, and longer durations of homelessness. 6 Recently, Housing First has been shown to be effective among homeless individuals with active substance use disorders.…”

Section: Introductionmentioning

confidence: 99%

Daily Substance Use and Mental Health Symptoms among a Cohort of Homeless Adults in Vancouver, British Columbia

et al. 2012

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Substance use can be a barrier to stable housing for homeless persons with mental disorders. We examined DSM-IV symptoms among homeless adults (N0497), comparing those who reported daily substance use (DSU) with non-daily substance users. Multivariable linear regression modeling was used to test the independent association between DSU and symptoms using the Colorado Symptom Index total score. DSU was independently associated with higher symptoms (beta03.67, 95 % CI 1.55-5.77) adjusting for homelessness history, age, gender, ethnicity, education, marital status, and mental disorder sub-type (adjusted R 2 00.24). We observed a higher prevalence of DSU in our sample than has been previously reported in a Housing First intervention. DSU was also independently associated with more DSM-IV symptomatology. We have an opportunity to observe this cohort longitudinally and examine if there are changes in substance use based on treatment assignment and commensurate changes in housing stability, community integration, health status, and quality of life.

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“…One-year relapse rates for alcoholism and cocaine range from 20 to 60%, depending on the clinical study 96,97 . Medications for treatment of addictions include AGONISTS (methadone), ANTAGONISTS (naltrexone), anticraving medications and drugs that block the metabolism 98 .…”

Section: From Genotype To Medical Managementmentioning

confidence: 99%

The genetics of addictions: uncovering the genes

2005

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How important is treatment? One-year outcomes of treated and untreated alcohol-dependent individuals

Cited by 220 publications

References 68 publications

A reabilitação psicossocial na atenção aos transtornos associados ao consumo de álcool e outras drogas: uma estratégia possível?

A reabilitação psicossocial na atenção aos transtornos associados ao consumo de álcool e outras drogas: uma estratégia possível?

Daily Substance Use and Mental Health Symptoms among a Cohort of Homeless Adults in Vancouver, British Columbia

The genetics of addictions: uncovering the genes

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