Zusammenfassung
Anliegen: Wie erfolgreich sind wiederholte stationäre Entzugsbehandlungen bei opiatabhängigen
Patienten?
Methode: Auswertung der Krankenakten von 169 Patienten einer Station zur qualifizierten Entzugsbehandlung.
Ergebnisse: Innerhalb eines Jahres wurden 43 % der Patienten erneut aufgenommen. 31 % der erneut
aufgenommenen Patienten beendeten die weitere Behandlung regulär.
Schlussfolgerungen: Bei wiederholter Behandlung ist ein Teil der Patienten erfolgreich im Hinblick auf
die Perspektive einer abstinenzorientierten Behandlung. Ein anderer Teil strebt mutmaßlich
eher eine Akutbehandlung zur Sicherung des Überlebens und der Gesundheit an.
Abstract
Objective: Do patients readmitted to inpatient detoxification within a short time show favourable
treatment outcomes?
Methods: Data were from a treatment facility providing for comprehensive opiate detoxification
treatment. It was recorded whether consecutively admitted patients (n = 169) were
re-admitted within 1 year after discharge. Outcome data were collected from patient
files.
Results: There were 43 % readmissions within 1 year. Readmission was predicted by lack of
transfer to drug-free follow-up treatment, longer duration of opiate dependence, and
comorbid axis 1 disorders. Rates of regular completion were 42 % for the index treatment
and 31 % for the first readmission treatment. Of those repeaters who had prematurely
terminated their first treatment, 77 % also did not complete their second treatment.
Conclusions: Treatment programs have to prepare for increased rates of comorbid psychiatric disorders
in early treatment repeaters. Outcome quality of repeated treatments was not significantly
worse compared to index treatment. However, for a subgroup of patients opiate detoxification
may not serve as a gateway to abstinence oriented treatment, but as a means of harm
reduction.
Schlüsselwörter
qualifizierte Opiatentzugsbehandlung - Wiederaufnahme - Erfolgsraten
Keywords
opiate detoxification - readmission - outcome
