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Effectiveness of inpatient withdrawal and residential rehabilitation interventions for alcohol use disorder: A national observational, cohort study in England

Citation

Eastwood, B and Peacock, A and Millar, T and Jones, A and Knight, J and Horgan, P and Lowden, T and Willey, P and Marsden, J, Effectiveness of inpatient withdrawal and residential rehabilitation interventions for alcohol use disorder: A national observational, cohort study in England, Journal of Substance Abuse Treatment, 88 pp. 1-8. ISSN 0740-5472 (2018) [Refereed Article]

Copyright Statement

Copyright 2018 Published by Elsevier Inc.

DOI: doi:10.1016/j.jsat.2018.02.001

Abstract

Background: This was a national English observational cohort study to estimate the effectiveness of inpatient withdrawal (IW) and residential rehabilitation (RR) interventions for alcohol use disorder (AUD) using administrative data.

Methods: All adults commencing IW and/or RR intervention for AUD between April 1, 2014 and March 31, 2015 reported to the National Drug Treatment Monitoring System (n = 3812). The primary outcome was successful completion of treatment within 12 months of commencement, with no re-presentation (SCNR) in the subsequent six months, analysed by multi-level, mixed effects, multivariable logistic regression.

Results: The majority (70%, n = 2682) received IW in their index treatment journey; one-quarter (24%, n = 915) received RR; 6% (n = 215) received both. Of treatment leavers, 59% achieved the SCNR outcome (IW: 57%; RR: 64%; IW/RR: 57%). Positive outcome for IW was associated with older age, being employed, and receiving community-based treatment prior to and subsequent to IW. Patients with housing problems were less likely to achieving the outcome. Positive outcome for RR was associated with paid employment, self/family/peer referral, longer duration of RR treatment, and community-based treatment following discharge. Community-based treatment prior to entering RR, and receiving IW during the same treatment journey as RR, were associated with lower likelihood of SCNR.

Conclusions: In this first national effectiveness study of AUD in the English public treatment system for alcohol-use disorders, 59% of patients successfully completed treatment within 12 months and did not represent for more treatment within six months. Longer duration of treatment and provision of structured continuing care is associated with better treatment outcomes.

Item Details

Item Type:Refereed Article
Keywords:alcohol, inpatient, residential, treatment, alcohol use disorder
Research Division:Psychology and Cognitive Sciences
Research Group:Psychology
Research Field:Health, Clinical and Counselling Psychology
Objective Division:Health
Objective Group:Public Health (excl. Specific Population Health)
Objective Field:Substance Abuse
UTAS Author:Peacock, A (Miss Amy Peacock)
ID Code:132080
Year Published:2018
Web of Science® Times Cited:4
Deposited By:Psychology
Deposited On:2019-04-18
Last Modified:2019-05-23
Downloads:0

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