Hopeless patients?: A study of illicit opiate users who drop out from in-patient detoxification
2008 (English)In: Journal of Substance Use, ISSN 1465-9891, Vol. 13, no 2, 121-130 p.Article in journal (Refereed) Published
Individual and treatment-related factors associated with early self-discharge were studied among illicit opiate users consecutively admitted for hospital detoxification (ITT=68, n=45). Only 20% of the drop-outs had a detailed treatment plan, 20% participated in their own treatment planning, and none were enrolled in a methadone/buprenorphine programme at admission (compared with 60, 80, and 66%, respectively, of those retained in treatment). Having a treatment plan at intake improved the odds for planned discharge by 13 and perceiving fewer positive aspects of drug use increased the odds for drop-out by 12.6. A configural frequency analysis (CFA) showed one significant type: patients with sketchy or no treatment planning at intake, no maintenance treatment, and a low score on positive aspects of drug use were 7.5 times more likely to drop out than expected. Lacking a close maternal relationship characterized patients in this type (83% compared with 31% of non-types). Drop-outs seem to have insecure attachment patterns, which make contact difficult with social services and substance abuse treatment providers. Future research should devise ways of establishing a working alliance with patients likely to drop out, as well as investigating management policies for this patient group.
Place, publisher, year, edition, pages
2008. Vol. 13, no 2, 121-130 p.
Detoxification, drop-out, attachment
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-138170DOI: 10.1080/14659890701682287ISI: 000273000700005OAI: oai:DiVA.org:uu-138170DiVA: diva2:378923