Abstract
This study aimed at evaluating patient and treatment variables influencing six month treatment outcome in alcohol dependence. 134 serially registered patients selected their treatment setting as either outpatient or inpatient. Sociodemographic variables, alcohol consumption patterns, drinking consequences were measured at intake. Following treatment, drinking patterns and consequences were re-measured at three and six months follow up in each of the groups. 86 of 134 chose the inpatient program and 48 the outpatient program. Overall, 58 maintained total abstinence, and 11 had significantly reduced alcohol consumption at six months follow up. The inpatient group did marginally better than the outpatient group. More severely dependent patients, those with greater physical and psychosocial consequences opted for an inpatient program, and did well. Less severely dependent patients did favourably with outpatient intervention alone. Improvements made within the first three months tended to influence subsequent treatment compliance The observation that less severely dependent individuals who opted for outpatient services did favourably suggests that extensive treatment may be required only for those with more severe dependence or greater psychosocial consequences. Our findings also highlight the need for developing community based low cost interventions.
Keywords: Alcohol dependence, treatment setting, outcome
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Selected References
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- Chick J., Ritson B., Connaughton J., Stewart A., Chick J. Advice versus extended treatment for alcoholism: a controlled study. Br J Addict. 1988 Feb;83(2):159–170. doi: 10.1111/j.1360-0443.1988.tb03977.x. [DOI] [PubMed] [Google Scholar]
- Drummond D. C. Alcohol interventions: do the best things come in small packages? Addiction. 1997 Apr;92(4):375–379. [PubMed] [Google Scholar]
- Edwards G., Guthrie S. A controlled trial of inpatient and outpatient treatment of alcohol dependency. Lancet. 1967 Mar 11;1(7489):555–559. doi: 10.1016/s0140-6736(67)92129-0. [DOI] [PubMed] [Google Scholar]
- Edwards G., Taylor C. A test of the matching hypothesis: alcohol dependence, intensity of treatment, and 12-month outcome. Addiction. 1994 May;89(5):553–561. doi: 10.1111/j.1360-0443.1994.tb03331.x. [DOI] [PubMed] [Google Scholar]
- Finney J. W., Hahn A. C., Moos R. H. The effectiveness of inpatient and outpatient treatment for alcohol abuse: the need to focus on mediators and moderators of setting effects. Addiction. 1996 Dec;91(12):1773–1820. [PubMed] [Google Scholar]
- Heather N. Interpreting the evidence on brief interventions for excessive drinkers: the need for caution. Alcohol Alcohol. 1995 May;30(3):287–296. [PubMed] [Google Scholar]
- Lundwall L., Baekeland F. Disulfiram treatment of alcoholism. J Nerv Ment Dis. 1971 Dec;153(6):381–394. doi: 10.1097/00005053-197112000-00002. [DOI] [PubMed] [Google Scholar]
- Zweben A., Cisler R. Composite outcome measures in alcoholism treatment research: problems and potentialities. Subst Use Misuse. 1996 Nov;31(13):1783–1805. doi: 10.3109/10826089609064001. [DOI] [PubMed] [Google Scholar]