Physical health as a motivator for substance abuse treatment among medically ill adults: Is it enough to keep them in treatment?

A Transitional Opioid Program to Engage Hospitalized Drug Users

“…Hospitalization is a "reachable moment"-to engage out-of-treatment individuals whose acute illness may render them willing to consider addiction treatment. 7,8 Methadone is recommended for acute withdrawal in opioiddependent patients to reduce early hospital departures and facilitate acute treatment. 4,9,10 However, brief methadone exposure does not improve low abstinence rates (e.g., 80% of opioiddependant individuals relapse within 1 year of detoxification).…”

“…11,12 Moreover, opioid agonists administered during hospitalization do not result in adequate ongoing abstinence after discharge. 8 Research programs targeting hospitalized opioid-dependent patients have combined engagement with intensive, structured substance use treatment. [13][14][15] However, patients ambivalent about formal addiction treatment may be disinclined to enroll or remain in these types of programs.…”

Muutoksen polku alkoholin käytössä alkoholihaimatulehduksen jälkeen – yhdeksän vuoden seurantatutkimus

“…Moni sairaus voi uusia tai pahentua alkoholin käytön takia ja sairastuminen on nähty otollisena hetke nä muutokseen motivoitumisessa (7)(8)(9)(10). Inter ventiotutkimuksissa on todettu alkoholin käytön vähenemistä käytön seurauksena sairastuneilla (8)(9)(10)(11), mutta myös muilla sairaalahoitoon ha keutuneilla alkoholin riskikuluttajilla (10).…”

“…Jos koetut raittiuden hyödyt eivät enää ylittä neet alkoholin juomisen hyviksi koettuja puolia, varsinkaan jos käyttökokeilut eivät aiheuttaneet uudelleen sairastumista, niin raittiuden tavoitte lusta luovuttiin. Tällöin sairastuminen ei näyttä nyt muuttuneen sisäiseksi motivaatioksi luopua alkoholin käytöstä (7).…”

Health-Related Quality of Life Among Substance Abusers in Residential Drug Abuse Treatment

“…While the Healthy Days data have primarily been used with the non-institutionalized American adult population, research on Healthy Days data has also focused on those diagnosed with HIV/AIDS (CDC 2000) and disabilities (Andersen et al 1999). Although it is well known that in-treatment substance abusers experience a disproportionate number of physical and mental health problems compared with non-institutionalized adults (e.g., Chan et al 2008;NIAAA 2000;O'Toole et al 2006), to date HRQOL has not yet been widely studied in the substance abuse field. This is unfortunate as ongoing use of the HRQOL can provide essential information that can promote health.…”