Titre : | Short-term outcomes of matching dual diagnosis patients' symptom severity to treatment intensity |
Titre traduit : | (Résultats à court-terme de l'adaptation de l'intensité du traitement à la gravité de la comorbidité psychiatrique des patients) |
Auteurs : | C. TIMKO ; SEMPEL J. M. |
Type de document : | Périodique |
Année de publication : | 2004 |
Format : | 209-218 / tabl. |
Note générale : |
Journal of Substance Abuse Treatment, 2004, 26, (3), 209-218 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés PRISE EN CHARGE ; COMORBIDITE ; PSYCHIATRIE ; HOPITAL ; COMMUNAUTE THERAPEUTIQUE ; COMPARAISON ; EFFICACITE ; CONSOMMATION |
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.) |
Note de contenu : | tabl. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 58 |
Affiliation : |
VA Health Care System, 795 Willow Rd. (152-MPD), Menlo Park, CA 94025. E-mail : ctimkostanford.edu Etats-Unis. United States. |
Numéro Toxibase : | 404462 |
Centre Emetteur : | 04 CIRDD-51 |
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