调查从急性精神卫生单位出院的患者在酒精烟草和其他药物服务(ATODS)的就诊率,主要/次要诊断为物质使用障碍(SUD);并描述因素,人口统计,与出勤有关的诊断和服务提供。
对2016年11月1日至2017年10月31日期间诊断为SUD的所有住院患者在出院后30天内的ATODS就诊情况进行了比较。其他措施包括他们的入院数据(例如人口统计,诊断),以及疾病严重程度的指数。
在总共900名患者的1295名入院者中,32.4%的患者诊断为SUD。这些患者中只有10.3%参加了ATODS。性别没有显着差异,年龄,土著地位,疾病严重程度或住院期间的双重诊断干预。相对于仅SUD组,有任何精神病合并症的个体参加ATODS的可能性降低3-4倍.
尽管一直强调双重诊断治疗,与ATODS的接触率仍然很低。需要进一步审查以确定增强的信息共享或案例管理模型是否可以提高出勤率。
To investigate the rate of attendance at Alcohol Tobacco and Other Drug Services (ATODS) for patients discharged from an acute mental health unit with a primary/secondary diagnosis of substance use disorder (SUD); and describe factors, demographics, diagnoses and service provision that relate to their attendance.
All inpatients between 1 November 2016 and 31 October 2017 with a diagnosis of SUD were compared for their attendance at ATODS within 30 days of discharge. Other measures included their admission data (e.g. demographics, diagnosis), and indices of their illness severity.
Of 1295 admissions for a total of 900 patients, 32.4% of patients had an SUD diagnosis. Only 10.3% of these patients attended ATODS. There were no significant differences by gender, age, indigenous status, illness severity or dual diagnosis intervention during their inpatient stay on attendance. Relative to the SUD-only group, individuals with any psychiatric comorbidity were three-four times less likely to attend ATODS.
Despite the ongoing emphasis on dual diagnosis treatment, the rate of engagement with ATODS remains low. Further review is needed to determine whether enhanced information sharing or case management models may improve attendance rates.