Soziale Integration nach 4 Jahren Diamorphinbehandlung
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Soziale Integration nach 4 Jahren Diamorphinbehandlung. / Verthein, U; Schäfer, I; Degkwitz, P.
In: REHABILITATION, Vol. 52, No. 4, 01.08.2013, p. 243-50.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Soziale Integration nach 4 Jahren Diamorphinbehandlung
AU - Verthein, U
AU - Schäfer, I
AU - Degkwitz, P
N1 - © Georg Thieme Verlag KG Stuttgart · New York.
PY - 2013/8/1
Y1 - 2013/8/1
N2 - BACKGROUND: Studies from several countries have by now shown the effectiveness of heroin-assisted treatment in comparison to methadone treatment. However, only few long-term results exist, and in particular data with a focus on social integration of the patients are scarce.OBJECTIVE: The study analyzes the course of long-term social integration among the patients of the German diamorphine study.METHODS: Individual changes in health, drug use and social integration among patients who had participated in a 4-year diamorphine treatment (n=156) were described and statistically tested by means of repeated measures analyses. The criteria used are based on the instruments OTI-HSS and SCL-90-R, on medical findings, urinalyses, and on variables as well as composite scores from the European Addiction Severity Index.RESULTS: In all domains significant improvements were found after long-term treatment. The percentage of patients employed or currently working had increased 3-fold up to 40% after 4 years. Moreover, the living situation and leisure behaviour improved, and criminal activities declined markedly. The main influencing factor for successful social integration after 4 years of treatment is the ability to work.CONCLUSIONS: Heroin-assisted treatment is a long-term effective treatment for severely dependent opiate addicts with respect to stabilization of health, reduction of illegal drug use and improvement of social integration. Furthermore, the results show that processes of social (re-)integration of drug users take time.
AB - BACKGROUND: Studies from several countries have by now shown the effectiveness of heroin-assisted treatment in comparison to methadone treatment. However, only few long-term results exist, and in particular data with a focus on social integration of the patients are scarce.OBJECTIVE: The study analyzes the course of long-term social integration among the patients of the German diamorphine study.METHODS: Individual changes in health, drug use and social integration among patients who had participated in a 4-year diamorphine treatment (n=156) were described and statistically tested by means of repeated measures analyses. The criteria used are based on the instruments OTI-HSS and SCL-90-R, on medical findings, urinalyses, and on variables as well as composite scores from the European Addiction Severity Index.RESULTS: In all domains significant improvements were found after long-term treatment. The percentage of patients employed or currently working had increased 3-fold up to 40% after 4 years. Moreover, the living situation and leisure behaviour improved, and criminal activities declined markedly. The main influencing factor for successful social integration after 4 years of treatment is the ability to work.CONCLUSIONS: Heroin-assisted treatment is a long-term effective treatment for severely dependent opiate addicts with respect to stabilization of health, reduction of illegal drug use and improvement of social integration. Furthermore, the results show that processes of social (re-)integration of drug users take time.
KW - Activities of Daily Living
KW - Adult
KW - Crime
KW - Drug Substitution
KW - Employment
KW - Female
KW - Germany
KW - Heroin
KW - Heroin Dependence
KW - Humans
KW - Longitudinal Studies
KW - Male
KW - Recovery of Function
KW - Risk Factors
KW - Socioeconomic Factors
KW - Treatment Outcome
U2 - 10.1055/s-0032-1323663
DO - 10.1055/s-0032-1323663
M3 - SCORING: Zeitschriftenaufsatz
C2 - 23233342
VL - 52
SP - 243
EP - 250
JO - REHABILITATION
JF - REHABILITATION
SN - 0034-3536
IS - 4
ER -