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dc.contributor.authorBender, Stefan
dc.contributor.authorSpecka, Michael
dc.contributor.authorBuchholz, Angela
dc.contributor.authorHolscher, Frank
dc.contributor.authorRist, Fred
dc.contributor.authorHeinz, Thomas
dc.contributor.authorSchifano, Fabrizio
dc.contributor.authorScherbaum, Norbert
dc.date.accessioned2018-10-16T01:11:11Z
dc.date.available2018-10-16T01:11:11Z
dc.date.issued2018-06-25
dc.identifier.citationBender , S , Specka , M , Buchholz , A , Holscher , F , Rist , F , Heinz , T , Schifano , F & Scherbaum , N 2018 , ' Joint versus separate inpatient rehabilitation treatment for patients with alcohol use disorder or drug use disorder : an observational study ' , Substance Abuse and Rehabilitation , vol. 9 , pp. 23-29 . https://doi.org/10.2147/SAR.S136523
dc.identifier.otherPURE: 13530581
dc.identifier.otherPURE UUID: c90c4425-aa19-48d4-afd4-7f553cb6074d
dc.identifier.urihttp://hdl.handle.net/2299/20708
dc.description.abstractBackground: In many national treatment systems, patients with alcohol use disorders (AUD) and those with drug use disorders (DUD) are treated separately, while other systems provide joint treatment for both kinds of substance use disorders (SUDs). Regarding long-term rehabilitation treatment of DUD and AUD patients, there is however a lack of empirical studies on the comparison between a separate versus joint treatment modality. Methods: Data were gathered from 2 rehabilitation units located in small towns from the same German region. One unit provided treatment to a mixed group of AUD and DUD patients, while the other unit treated the 2 groups separately. Staffing, funding, and treatment programs were otherwise similar between facilities. Data were gathered from standardized routine documentation and standardized interviews. In order to understand correlates of premature treatment termination, a logistic regression analysis was performed, with treatment modality and type of SUD as main predictors, and a range of patient characteristics as covariates. Results: Patients (N=319) were diagnosed with AUD (48%), DUD (34%), or AUD plus DUD (18%). Patients in joint treatment showed a higher prevalence of lapses during treatment than those in separate treatment (26% versus 12%; p=0.009), but there was no significant difference in the prevalence of premature terminations (38% versus 44%, p=0.26). Treatment modality and interaction between modality and type of SUD was not significantly associated with premature termination. Joint treatment completers showed higher satisfaction with treatment than separate treatment completers ( p<0.001). Conclusion: We found no evidence here for a difference between treatment modalities in terms of premature termination rate. Satisfaction level was higher in those who completed joint treatment compared to separate treatment.en
dc.format.extent7
dc.language.isoeng
dc.relation.ispartofSubstance Abuse and Rehabilitation
dc.titleJoint versus separate inpatient rehabilitation treatment for patients with alcohol use disorder or drug use disorder : an observational studyen
dc.contributor.institutionSchool of Life and Medical Sciences
dc.contributor.institutionDepartment of Pharmacy, Pharmacology and Postgraduate Medicine
dc.contributor.institutionCentre for Clinical Practice, Safe Medicines and Drug Misuse Research
dc.contributor.institutionPsychopharmacology, Drug Misuse and Novel Psychoactive Substances Unit
dc.contributor.institutionCentre for Health Services and Clinical Research
dc.contributor.institutionDepartment of Clinical and Pharmaceutical Sciences
dc.description.statusPeer reviewed
rioxxterms.versionVoR
rioxxterms.versionofrecordhttps://doi.org/10.2147/SAR.S136523
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


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