Historique
Périodique
Detoxification as a gateway to long-term treatment: assessing two interventions
(La désintoxication comme porte ouverte d'un traitement à long terme : évaluation de deux interventions)
Auteur(s) :
MILLERY M. ;
KLEINMAN, B. P. ;
POLISSAR N. L. ;
MILLMAN, R. B. ;
SCIMECA M.
Année
2002
Page(s) :
183-190
Langue(s) :
Anglais
Refs biblio. :
28
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
DESINTOXICATION
;
POSTCURE
;
TRAITEMENT
;
CURE DE DESINTOXICATION
;
RETENTION
;
MOTIVATION
;
COMPARAISON
Thésaurus géographique
ETATS-UNIS
Note générale :
Journal of Substance Abuse Treatment, 2002, 23, (3), 183-190
Note de contenu :
tabl.
Résumé :
ENGLISH :
Two interventions designed to increase the likelihood of entry into long-term treatment upon discharge from hospital detoxification are compared in a randomized controlled trial. The 279 study participants were treated for heroin and/or cocaine dependence on detoxification wards in two hospitals in a poor, predominantly Hispanic, neighborhood in New York City. One-third of the participants entered and remained in long-term treatment for the first 30 days after discharge from detoxification, 23% were in treatment for 1-29 days, and 43% received no treatment in the 30 days. Neither of the interventions-one, a brief motivational psychotherapy, the other, a series of treatment- related videos-is found to be significantly superior to treatment as usual in increasing the likelihood of utilization of long-term treatment. While weaknesses in the interventions themselves need to be examined, it is also concluded that conditions on the detoxification wards may hamper effective intervention. (Editor's abstract.)
Affiliation :
Dept. Sociomed. Sciences, Mailman Sch. Public Hlth. Columbia Univ., 722 West 168 st, New York, NY 10032. E-mail : mm994@columbia.edu
Etats-Unis. United States.
Etats-Unis. United States.