Titre : | Slowing the revolving door: stabilization programs reduce homeless persons' substance use after detoxification |
Titre traduit : | (Les programmes de stabilisation réduisent l'usage de substances psychoactives chez les sans-abri après une cure de désintoxication) |
Auteurs : | S. G. KERTESZ ; N. J. HORTON ; P. D. FRIEDMANN ; R. SAITZ ; J. H. SAMET |
Type de document : | Périodique |
Année de publication : | 2003 |
Format : | 197-207 / graph. ; tabl. |
Note générale : |
Journal of Substance Abuse Treatment, 2003, 24, (3), 197-207 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés SANS ABRI ; CURE DE DESINTOXICATION ; SUIVI DU PATIENT ; RECHUTEThésaurus géographique ETATS-UNIS |
Résumé : |
ENGLISH : This study examined whether homelessness predicted earlier resumption of substance use after detoxification, and sought evidence concerning the impact of post-detoxification stabilization programs among homeless and nonhomeless individuals. Kaplan-Meier plots and proportional hazards models were used to determine the association between homelessness, stabilization program use, and recurrent substance use in a prospective cohort of persons entering inpatient detoxification (n = 470). Among 254 persons available at 6 months, 76% reported recurrent substance use. Homeless persons not using stabilization programs experienced the highest hazard of return to substance use after detoxification, Hazard Ratio (HR) 1.26, 95% CI (0.88,1.80). Homeless persons using these programs had the lowest rate of return to substance use: HR 0.61, 95% CI (0.40, 0.94). A similar impact of stabilization programs was not seen among nonhomeless subjects. Post-detoxification stabilization programs were associated with improved outcomes for homeless addicted persons. This treatment modality may slow the "revolving door" phenomenon of relapse after detoxification among homeless persons. (Editor's abstract.) |
Note de contenu : | graph. ; tabl. |
Domaine : | Plusieurs produits / Several products |
Refs biblio. : | 67 |
Affiliation : |
Div. Preventive Med. Gal Internal Med., Dept. Med., Univ. Alabama Birmingham, 1530 3rd Ave. South, MT608, Birmingham, AL 35294-4410. E-mail : skerteszuab.edu Etats-Unis. United States. |
Numéro Toxibase : | 404329 |
Centre Emetteur : | 04 CIRDD-51 |
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