Details

Autor(en) / Beteiligte

• Eastwood, Brian
• Peacock, Amy
• Millar, Tim
• Jones, Andrew
• Knight, Jonathan
• Horgan, Patrick
• Lowden, Tim
• Willey, Peter
• Marsden, John

Titel

Effectiveness of inpatient withdrawal and residential rehabilitation interventions for alcohol use disorder: A national observational, cohort study in England

Ist Teil von

• Journal of substance abuse treatment, 2018-05, Vol.88, p.1-8

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2018

Quelle

ScienceDirect

Beschreibungen/Notizen

• This was a national English observational cohort study to estimate the effectiveness of inpatient withdrawal (IW) and residential rehabilitation (RR) interventions for alcohol use disorder (AUD) using administrative data. All adults commencing IW and/or RR intervention for AUD between April 1, 2014 and March 31, 2015 reported to the National Drug Treatment Monitoring System (n=3812). The primary outcome was successful completion of treatment within 12months of commencement, with no re-presentation (SCNR) in the subsequent six months, analysed by multi-level, mixed effects, multivariable logistic regression. The majority (70%, n=2682) received IW in their index treatment journey; one-quarter (24%, n=915) received RR; 6% (n=215) received both. Of treatment leavers, 59% achieved the SCNR outcome (IW: 57%; RR: 64%; IW/RR: 57%). Positive outcome for IW was associated with older age, being employed, and receiving community-based treatment prior to and subsequent to IW. Patients with housing problems were less likely to achieving the outcome. Positive outcome for RR was associated with paid employment, self/family/peer referral, longer duration of RR treatment, and community-based treatment following discharge. Community-based treatment prior to entering RR, and receiving IW during the same treatment journey as RR, were associated with lower likelihood of SCNR. In this first national effectiveness study of AUD in the English public treatment system for alcohol-use disorders, 59% of patients successfully completed treatment within 12months and did not represent for more treatment within six months. Longer duration of treatment and provision of structured continuing care is associated with better treatment outcomes. •This is the first national study of inpatient withdrawal and residential rehabilitation for alcohol use disorder in England.•59% successfully completed AUD treatment and did not represent for more treatment within 6 months;•Community-based treatment prior and subsequent to IW positively predicted favourable outcome•Community-based treatment subsequent to RR predicted favourable outcome•Provision of structured continuing care was associated with favourable outcome