Length of outpatient addiction treatment and risk of rehospitalization

Several studies, mainly from the U.S. and usually with selected male samples, show that aftercare is positively related to lower risk of re-addiction or re-treatment. The present study extends this line of research in a report from public health health care addiction treatment services in Stockholm...

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Bibliographic Details
Published in:Journal of substance abuse treatment 2005-04, Vol.28 (3), p.291-296
Main Authors: Romelsjö, Anders, Palmstierna, Tom, Hansagi, Helen, Leifman, Anders
Format: Article
Language:English
Subjects:
Addictive behaviors
Adult and adolescent clinical studies
Aftercare
Alcohol dependence
Alcohol-Related Disorders - therapy
Alcoholism
Alcoholism and acute alcohol poisoning
Ambulatory Care - methods
Biological and medical sciences
Desintoxication. Drug withdrawal
Drug addiction
Female
Gender
Humans
Length of Stay
Male
Medical sciences
Medicin och hälsovetenskap
Outpatient care facilities
Outpatient treatment
Patient Readmission
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Public addiction treatment
Sex Factors
Substance abuse treatment
Substance Abuse Treatment Centers
Sweden
Toxicology
Treatments
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Summary:Several studies, mainly from the U.S. and usually with selected male samples, show that aftercare is positively related to lower risk of re-addiction or re-treatment. The present study extends this line of research in a report from public health health care addiction treatment services in Stockholm County. The study sample comprises all 196 men and 100 women alcohol-dependent patients from 10 districts hospitalized for at least 2 days during 1997–99 and who received outpatient care within 5 days. These patients were followed up until 2000, without attrition for renewed rehospitalization. Greater length of outpatient treatment was significantly related to reduced rehospitalization, but only in men. The intensity (average number of visits) of outpatient treatment was not significantly related to rehospitalization. The different effect of length of outpatient treatment between the genders may be due to differences in severity of alcohol dependence, social situation, psychiatric co-morbidity, and/or the extent to which treatment met patients’ needs.
ISSN:0740-5472
1873-6483
DOI:10.1016/j.jsat.2004.12.010