uu.seUppsala University Publications
Change search
ReferencesLink to record
Permanent link

Direct link
Hopeless patients?: A study of illicit opiate users who drop out from in-patient detoxification
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
2008 (English)In: Journal of Substance Use, ISSN 1465-9891, Vol. 13, no 2, 121-130 p.Article in journal (Refereed) Published
Abstract [en]

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.
Keyword [en]
Detoxification, drop-out, attachment
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-138170DOI: 10.1080/14659890701682287ISI: 000273000700005OAI: oai:DiVA.org:uu-138170DiVA: diva2:378923
Available from: 2010-12-16 Created: 2010-12-16 Last updated: 2010-12-17Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full text
By organisation
Department of Psychology
In the same journal
Journal of Substance Use
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 139 hits
ReferencesLink to record
Permanent link

Direct link