Insufficient involvement of psychiatrists in substitution treatment

Results of a nationally representative study in 2,694 patients reveal that most physicians (n=223) involved in substitution treatment of opioid-dependent patients are general practitioners, while only 16% have a psychiatric/psychotherapeutic background and only 21% of the addictive patients are trea...

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Bibliographic Details
Published in:Nervenarzt 2006-11, Vol.77 (11), p.1368
Main Authors: Soyka, M, Apelt, S M, Wittchen, H-U
Format: Article
Language:ger
Subjects:
Comorbidity
Germany - epidemiology
Humans
Mental Disorders - epidemiology
Mental Disorders - prevention & control
Mental Disorders - psychology
Mental Disorders - rehabilitation
Methadone - therapeutic use
Opioid-Related Disorders - epidemiology
Opioid-Related Disorders - prevention & control
Opioid-Related Disorders - psychology
Opioid-Related Disorders - rehabilitation
Physician-Patient Relations
Practice Patterns, Physicians' - statistics & numerical data
Prevalence
Psychiatry - statistics & numerical data
Risk Assessment - methods
Risk Factors
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Summary:Results of a nationally representative study in 2,694 patients reveal that most physicians (n=223) involved in substitution treatment of opioid-dependent patients are general practitioners, while only 16% have a psychiatric/psychotherapeutic background and only 21% of the addictive patients are treated by psychiatrists. This contrasts with the remarkably complex pattern of co- and multimorbidity with other mental disorders in such patients. Most psychiatrists engaged in substitution treatment work in specialized outpatient wards (51.3%), and few were operative in their own or private practice (7.2%). Implications of these critical findings are discussed.
ISSN:0028-2804
DOI:10.1007/s00115-006-2149-0