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Short-term outcomes of matching dual diagnosis patients' symptom severity to treatment intensity
(Résultats à court-terme de l'adaptation de l'intensité du traitement à la gravité de la comorbidité psychiatrique des patients)
Auteur(s) :
TIMKO, C. ;
SEMPEL J. M.
Année
2004
Page(s) :
209-218
Langue(s) :
Anglais
Refs biblio. :
58
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
PRISE EN CHARGE
;
COMORBIDITE
;
PSYCHIATRIE
;
HOPITAL
;
COMMUNAUTE THERAPEUTIQUE
;
COMPARAISON
;
EFFICACITE
;
CONSOMMATION
Note générale :
Journal of Substance Abuse Treatment, 2004, 26, (3), 209-218
Note de contenu :
tabl.
Résumé :
ENGLISH :
This study evaluated a patient-treatment matching strategy intended to improve the effectiveness of hospital-inpatient and community-residential treatment for dual diagnosis patients. Matching variables were the severity of patient disorders and the program's service intensity. Each of three high-intensity hospital programs was paired with a nearby high-intensity community program; there were also four low-intensity pairs. Patients (N = 230) were randomly assigned to hospital or community care at intake, and followed at discharge (96%) and at 4 months (90%). Support was found for the matching strategy at discharge in that severely ill patients treated in high-intensity programs improved more on substance abuse outcomes, and moderately ill patients treated in low-intensity programs improved more on psychiatric outcomes. The benefits of matching held at 4 months in that high-severity patients had better alcohol outcomes when they were treated in high-rather than low-intensity programs. High- and moderate-severity patients did not show differential outcomes in hospital-based or community-based programs. Dual diagnosis patients should be matched by symptom severity with program service intensity, but matching with hospital or community care may not enhance treatment outcomes. (Editor's abstract.)
Affiliation :
VA Health Care System, 795 Willow Rd. (152-MPD), Menlo Park, CA 94025. E-mail : ctimkostanford.edu
Etats-Unis. United States.
Etats-Unis. United States.