Characteristics of opiate users leaving detoxification treatment against medical advice

Journal of Addictive Diseases
Deric R KenneRebecca L Fischbein

Abstract

Substance-dependent patients leaving against medical advice (AMA) pose a unique challenge to detoxification programs. Most notably, AMA patients fail to access residential or outpatient treatment needed after detoxification and often return to detoxification treatment multiple times which has deleterious results for the patient and is taxing to the healthcare system. Using retrospective data from 89 daily opiate-using detoxification patients completing detoxification and 95 patients leaving AMA, we sought to identify patient characteristics useful in predicting AMA discharges from detoxification. Bivariate analyses indicated that AMA patients reported drug use did not impair their health, were injection drug users, younger and had fewer previous treatment admissions. Binomial logistic regression indicated that AMA patients were more likely to be unemployed and report that drug use did not impair their health. Patients completing detoxification were less likely to be injection drug users and less likely to be self-referred to treatment. Identifying patients at risk of leaving AMA provides an opportunity for clinicians to intervene in an effort to increase treatment engagement for these patients.

References

Apr 1, 1978·Journal of Clinical Psychology·L J Schofield
Jan 1, 1982·The International Journal of the Addictions·T J Keil, R A Esters
Jul 1, 1995·Journal of General Internal Medicine·J JeremiahM D Stein
Apr 1, 1994·Drug and Alcohol Dependence·D A ZanisM Randall
May 1, 1994·Journal of Substance Abuse Treatment·C A CookJ Y Bunn
Nov 1, 1996·The American Journal of Drug and Alcohol Abuse·B J Berg, V Dhopesh
May 1, 1997·The American Journal of Drug and Alcohol Abuse·J Pérez de los CobosM Casas
Apr 14, 1997·Drug and Alcohol Dependence·A KokkeviV Leventakou
Aug 26, 1999·Drug and Alcohol Dependence·S H ArmenianM L Stitzer
May 8, 2000·Alcoholism, Clinical and Experimental Research·R T Gentry
Apr 25, 2001·Journal of Addictive Diseases·A J GordonT P O'Toole
May 11, 2002·Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism·José Martínez-RagaJohn Strang
Dec 24, 2002·Journal of Substance Abuse Treatment·Russell C Callaghan, John A Cunningham
Feb 10, 2004·The American Journal on Addictions·Kyle M KampmanCharles P O'Brien
Jul 3, 2004·The American Journal of Drug and Alcohol Abuse·Patricia GreenVasant Dhopesh
Jun 21, 2005·Addictive Behaviors·Samuel A BallBruce J Rounsaville
Jul 19, 2005·Drug and Alcohol Dependence·Wilson M Compton, Nora D Volkow
Apr 7, 2006·Journal of Addictive Diseases·Richard D BlondellSusan J Smith
Oct 21, 2006·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Benedikt FischerJürgen Rehm
Jun 28, 2007·Journal of Addictive Diseases·Richard D BlondellRebecca L Simons

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Citations

Feb 13, 2013·The American Journal on Addictions·R Kathryn McHughMichael W Otto
Oct 13, 2015·Journal of Dual Diagnosis·JoAnna ElmquistGregory L Stuart
Sep 14, 2013·Clinical Psychology Review·Hanne H BrorsonFanny Duckert
Mar 1, 2014·Revista colombiana de psiquiatría·Jenny García Valencia, María Paulina Méndez Villanueva
Aug 11, 2017·The American Journal of Drug and Alcohol Abuse·Gregory RudolfVania Rudolf
Jun 26, 2018·Journal of Addiction Medicine·Jarratt D Pytell, Darius A Rastegar
Dec 12, 2020·Seizure : the Journal of the British Epilepsy Association·Parul AgarwalMadhu Mazumdar
Jun 17, 2020·Journal of Addiction Medicine·Charles J SantosJeanmarie Perrone

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