Table 2:
Details related to stepwise treatment contact (1st to 5th contact)
| Variable | Number (%) (Range)/n (%) |
|---|---|
| First contact (n=589) | |
| Religious/Native Practices (RNP) | 109 (18.5) |
| Specialized addiction services with integrated care (SAS) | 102 (17.3) |
| Govt general hospital/Emergency service | 86 (14.6) |
| Private psychiatrist/Private DAC | 52 (8.8) |
| Private Medical practitioner (PvtM) | 52 (8.8) |
| Mental health service | 41 (7.0) |
| PHC | 39 (6.6) |
| Mental health services with integrated addiction services (MHSI) | 34 (5.8) |
| Community health worker/Pharmacist/Social worker/Self-medication/Others | 28 (4.7) |
| Public-funded addiction services or de-addiction center (DAC) | 26 (4.4) |
| Who initiated the first contact? | |
| Relatives/friends | 381 (64.7) |
| Patient self | 149 (25.3) |
| Workmate/employers | 43 (4.3) |
| Medical practitioners | 27 (4.6) |
| Not available | 13 (2.2) |
| Others (Neighbors, police) | 5 (0.9) |
| What symptoms led to the first contact? | |
| Psychiatric symptoms-related | 184 (31.2) |
| Addiction-related | 129 (21.9) |
| Mixed | 148 (25.1) |
| Others (Medical, surgical, unrelated) | 44 (7.5) |
| Not available | 84 (14.3) |
| Nature of treatment at first contact (n=589) | |
| Pharmacological only | 334 (56.7) |
| Psychosocial only | 23 (3.9) |
| Religious/Native | 109 (18.5) |
| Pharmacological and Psychosocial | 45 (7.6) |
| Referral | 16 (2.7) |
| Record NA | 62 (10.5) |
| Pharmacological Break-up (n=158) | |
| Addiction-related | 81 (51.3) |
| Psychiatry-related | 47 (29.7) |
| Both | 30 (19.0) |
| Second contact (n=430) | |
| Who was seen? Who initiated the third contact? |
|
| Specialized addiction services with integrated care (SAS) | 209 (48.6) |
| Govt general hospital/Emergency service | 62 (14.4) |
| Mental health services with integrated addiction services (MHSI) | 58 (13.5) |
| Private practitioner (medical) | 31 (7.2) |
| Private psychiatrist/Private DAC | 21 (4.9) |
| Mental health service | 20 (4.6) |
| Religious/Native practices (RNP) | 10 (2.3) |
| Public-funded addiction services (DAC) | 6 (1.4) |
| Others (self-medication/community health work/PHC/ES) | 13 (3.0) |
| Who initiated the first contact? | |
| Relatives/friends | 261 (60.7) |
| Patient self | 89 (20.7) |
| Medical practitioners | 38 (8.3) |
| Mental healthcare specialists | 18 (4.2) |
| Others (Neighbors/police/workmates/employers) | 11 (2.5) |
| Not available | 13 (2.9) |
| What symptoms led to the second contact? | |
| Psychiatric symptoms-related | 167 (38.8) |
| Addiction-related | 92 (21.4) |
| Mixed | 84 (19.5) |
| Others (Medical, surgical, unrelated) | 44 (10.2) |
| Not available | 43 (10.0) |
| Nature of treatment at second contact | |
| Pharmacological only | 258 (60.0) |
| Psychosocial only | 3 (0.7) |
| Pharmacological and psychosocial | 129 (30.0) |
| Referral | 11 (2.5) |
| Traditional and others | 11 (2.5) |
| Record NA | 18 (4.2) |
| Pharmacological Break-up (n=191) | |
| Addiction-related | 98 (51.3) |
| Psychiatry-related | 64 (33.5) |
| Both | 29 (15.2) |
| Third contact (n=158) | |
| Who was seen? | |
| Specialized addiction services with integrated care (SAS) | 69 (43.7) |
| Govt general hospital/Emergency service | 41 (25.9) |
| Mental health services with integrated services (MHSI) | 8 (5.1) |
| Public-funded addiction services (DAC) | 7 (4.4) |
| Mental health service | 7 (4.4) |
| Others (Traditional, private practitioner, psychiatry, etc.) | 25 (15.8) |
| Who initiated the third contact? | |
| Relatives/friends | 62 (39.2) |
| Patient self | 48 (30.4) |
| Medical practitioners | 27 (17.1) |
| Mental healthcare specialists | 19 (12.0) |
| Others | 2 (1.3) |
| What symptoms led to the third contact? | |
| Addiction-related | 60 (38.0) |
| Psychiatric symptoms-related | 40 (25.3) |
| Mixed | 21 (13.3) |
| Others (Medical, surgical, unrelated) | 33 (20.9) |
| Not available | 4 (2.5) |
| Nature of treatment at third contact | |
| Pharmacological only | 110 (69.6) |
| Psychosocial only | 3 (1.9) |
| Pharmacological and Psychosocial (both) | 37 (23.4) |
| Traditional and others | 7 (4.4) |
| Record NA | 1 (0.6) |
| Pharmacological | |
| Addiction-related only | 18 (32.1) |
| Break-up (n=56) | |
| Psychiatry-related only | 14 (25.0) |
| Both | 24 (42.9) |
| Fourth contact (n=79) | |
| Who was seen? | |
| Specialized addiction services with integrated care (SAS) | 32 (40.5) |
| Govt general hospital/Emergency service | 22 (27.8) |
| Addiction services | 5 (6.3) |
| Mental health service | 6 (7.6) |
| Mental health services with integrated services (MHSI) | 7 (8.9) |
| Others | 7 (9.2) |
| Who initiated the fourth contact? | |
| Mental healthcare specialists | 22 (27.8) |
| Patient self | 19 (24.1) |
| Medical practitioners | 19 (24.1) |
| Relatives | 18 (22.8) |
| Neighbor | 1 |
| What symptoms led to the fourth contact? | |
| Addiction-related | 35 (44.3) |
| Psychiatric symptoms-related | 17 (21.5) |
| Mixed | 11 (13.9) |
| Others (Medical, surgical, unrelated) | 14 (17.7) |
| Not available | 2 (2.5) |
| Nature of treatment at fourth contact | |
| Pharmacological only | 46 (58.2) |
| Psychosocial only | 1 (1.3) |
| Pharmacological and psychosocial both | 29 (36.7) |
| Record NA | 1 |
| Fifth contact (n=39) | |
| Who was seen? | |
| Specialized addiction services with integrated care (SAS) | 35 (89.7) |
| Others | 4 |
| Who initiated the fifth contact? | |
| Mental healthcare specialists | 19 (48.7) |
| Medical practitioners | 9 (23.1) |
| Others | 11 (28.2) |
| What symptoms led to the fifth contact? | |
| Addiction-related only | 29 (74.4) |
| Psychiatric symptoms-related only | 2 |
| Mixed | 8 |
| Nature of treatment at fifth contact | |
| Pharmacological only | 11 (28.2) |
| Psychosocial only | 1 (2.6) |
| Pharmacological and psychosocial (both) | 27 (69.2) |