Identifying psychosocial difficulties of inpatients with substance use disorders: evaluation of the usefulness of the PARADISE24 for clinical practise

Abstract

The PARADISE24 provides a wide range of useful information on psychosocial difficulties for clinical work and it can be used as a self-administered questionnaire in the evaluation and treatment of substance use disorders. Implications for rehabilitation Individuals undergoing inpatient treatment for substance use disorders experience various and severe psychosocial difficulties. The PARADISE24 is an evidence-based instrument for assessing the scope and severity of 24 common psychosocial difficulties among neurological and psychiatric disorders. The PARADISE24 also offers a time-efficient method which can be used as a self-administered questionnaire in the context of substance use disorders. Comparison between the PARADISE24 and 10 commonly used measures showed that the PARADISE24 covered a wide variety of clinically relevant issues in one questionnaire.

Associations between self-rated health, quality of life and symptoms of depression among Finnish inpatients with alcohol and substance use disorders

“…Multimorbidity is common in depression (Read, Sharpe, Modini, & Dear, 2017) and symptoms of depression have been reported to be associated with psychosocial difficulties (Pitkänen, Levola, de la Fuente, & Cabello, 2018). In this study, participants categorized as depressed had significantly poorer self-assessed health, more somatic comorbidities and poorer QoL than those categorized as non-depressed.…”

Integrated care model and point of care diagnostics facilitate Hepatitis C treatment among patients receiving opioid agonist therapy: a retrospective review of medical records

“…However, the intensity and scope of the psychosocial difficulties experienced by the studied patients did not appear to differ from those identified in a larger group of OAT patients in Helsinki [ 19 ]. Overall, the OAT patients experienced somewhat less psychosocial difficulties than the inpatients with various substance use disorders (SUD) examined in the Addiction Hospital [ 20 ].…”

“…Two other data sets were used for comparing the scope and intensity of psychosocial functioning: 269 OAT patients at the state-funded addiction service units maintained by the City of Helsinki [ 19 ], and 1082 inpatients hospitalized in the Addiction Hospital between 2014 and 2017 [ 20 ]. The patients were asked to fill out the PARADISE24fin questionnaire that includes 24 questions on common psychosocial difficulties rated using a scale from 0 (no difficulties/problems) to 4 (extreme difficulties/cannot do).…”

Psychosocial difficulties and treatment retention in inpatient detoxification programmes

“…If the person had not experienced the context of the difficulty in question in the previous 30 days, they were asked to estimate how much difficulty he or she would potentially have. The PARADISE24fin questions are categorised into five thematic groups based and named according to their content ( Pitkänen et al, 2018 ). The five thematic groups are: Emotional difficulties, Cognitive difficulties, Social difficulties, Difficulties in daily activities and Difficulties in self-regulation.…”

“…The 24 questions focus on the most common PSDs which individuals with neurological and psychiatric disorders face in their day-to-day lives. The PARADISE24fin questionnaire has since been implemented in clinical practice and validated through continuing research ( Cabello et al, 2019 ; de la Fuente et al, 2018 ; Pitkänen et al, 2018 ).…”