Many patients received in emergency units (EU) of hospitals present alcohol-related problems.
Most are alcohol dependent or abusers and enter for drunkenness, stay a few hours and return home.
To assess the effectiveness of a letter referring these patients to an outpatient alcoholism treatment clinic, we performed a randomized study.
For 6 months, all the patients who had been diagnosed as alcoholic, who had an address and who had not consulted a physician for alcoholism in the 6 previous months were selected from the records of the EU of a French university hospital.
At least 2 days after their stay in the EU, we sent a letter to 181 patients of an experimental group (group E) suggesting they make an appointment with a physician specializing in alcoholism.
No letter was sent to 181 patients in a control group (group C).
Six months later, 21 patients (11.2%) of group E had called the outpatient alcoholism treatment clinic to make an appointment and came to a consultation.
Two of the 181 patients of group C came to the consultation.
The effectiveness of this method for referring alcoholics to a clinic had been controlled by another prospective study.
We concluded that sending a letter 2 days after the passage of an alcoholic to an EU for drunkenness is a useful method of referral to an outpatient alcoholism treatment clinic.
Mots-clés Pascal : Alcoolisme, Filière soin, Sevrage toxique, Traitement, Ambulatoire, Incitation, Soin, Centre santé, Organisation santé, Santé mentale, France, Europe, Homme
Mots-clés Pascal anglais : Alcoholism, Poison withdrawal, Treatment, Ambulatory, Incentive, Care, Health center, Public health organization, Mental health, France, Europe, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0403076
Code Inist : 002B18I15. Création : 01/03/1996.