Type of hospital setting and treatment outcome with heroin addicts : Results from a randomised trial.
Background General psychiatrists have recently been encouraged to provide treatment to heroin addicts, including in-patient detoxification.
No comparison has previously been made ofspecialist versus general psychiatric in-patient care.
Method During a randomised study of cue exposure, 186 opiate addicts were also randomised to either specialist in-patient (DDU : n=115) or general psychiatric (GEN : n=71) wards in the same hospital.
Results From pre-treatment (post-randomisation) onwards, patient outcomes differed across the two in-patient settings.
Ofthe original randomised sample, significantly more DDU than GEN subjects accepted their randomisation (100 v. 77%), were subsequently admitted (60 v. 42%), and completed in-patient detoxification (45 v. 18%). Of patients admitted, more DDU than GEN patients completed detoxification (75 v. 43%). During seven-month follow-up, ofthose 43 patients who reached the end oftreatment, significantly more ex-DDU than ex-GEN subjects were opiate-free.
Conclusions From pre-treatment onwards, significant differences in process and outcome were found after allocation to treatment on either DDU or GEN.
Further randomised studies are required to replicate and explain these findings.
Mots-clés Pascal : Toxicomanie, Dépendance, Diamorphine, Sevrage toxique, Traitement, Etude comparative, Service santé, Spécialité médicale, Psychiatrie, Royaume Uni, Europe, Homme
Mots-clés Pascal anglais : Drug addiction, Dependence, Heroin, Poison withdrawal, Treatment, Comparative study, Health service, Medical specialty, Psychiatry, United Kingdom, Europe, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0529079
Code Inist : 002B18I15. Création : 13/02/1998.