Integrated Treatment at the First Stage: Increasing Motivation for Alcohol Patients with Comorbid Disorders during Inpatient Detoxification

Abstract

An integrated intervention approach for dual diagnosis at the beginning of the treatment can increase motivation for continued AUD treatment. Especially affected dual diagnosis patients can benefit from this treatment.

A narrative review of outcome measures used in drug and alcohol inpatient withdrawal treatment research

“…Follow‐up treatment attendance rates were reported in seven studies, ranging from 9.7% to 84.4%. Follow‐up treatment was defined as attending treatment after discharge from withdrawal treatment, based on reviewing official records at the follow‐up treatment facility (three studies [ 11 , 26 , 27 ]) or via self‐report (two studies [ 12 , 28 ]). Two studies [ 29 , 30 ] did not specify how they obtained follow‐up treatment attendance rate data.…”

“…Three studies reported outcomes that did not fit into the above categories. These measures were employment and death observed 11 years after withdrawal treatment in one study [ 16 ], motivation to continue treatment assessed via the German short form of the University of Rhode Island Change Assessment and the ‘Veränderungsstadien–Skala’, also known as the Stages of Change Scale, in one study [ 27 ], and self‐reported religious coping via the Brief Measure of Religious Coping in one study [ 100 ].…”

Motives for substance use and 6‐month substance use outcomes among detoxification patients with a history of physical or sexual abuse or posttraumatic stress disorder

“…Although these studies add to the field's understanding of trauma exposure among detoxification patients, there is a lack of literature on the possible associations between trauma exposure and longer‐term substance use outcomes among detoxification patients. If trauma history is associated with poorer substance use outcomes, the integration of trauma and substance use treatment during initial detoxification may increase motivation to complete longer‐term treatment programs, thus enabling improved patient outcomes (Ostergaard et al., 2018).…”

Inter-professional and inter-departmental alcoholism rehabilitation program

“…9 In Europe and the United States, it is thought that the total care provided under one medical system from physi- http://www.e-cmh.org https://doi.org/10.3350/cmh.2020.0151 cal illness to mental illness of alcohol will improve the prognosis of AUD patients. 10,11 When launching the alcoholic medical system, some problems were identified. Previously, psychiatrists did not have an abstinence program; hence, there were few cases where psychiatry was used to treat alcoholism, and gastrointestinal symptoms such as hepatitis, pancreatitis, and gastric ulcer caused by alcohol were at the forefront.…”