[Problematic consumption of addictive drugs in psychiatric rehabilitation].
OBJECTIVE
Is an inferior outcome of psychiatric rehabilitation to be expected with patients who consume alcohol or addictive drugs in a problematic manner during rehabilitation treatment?


METHODS
Files and final reports from patients admitted to psychiatric rehabilitation during three successive years were analyzed. Data of patients with or without problematic use of psychotropic substances were compared.


RESULTS
Patients with a problematic pattern of alcohol or drug consumption have a stronger propensity to quit psychiatric rehabilitation when a) using hard drugs or when b) bearing a diagnosis beyond the schizophrenia spectrum. The outcome of rehabilitation efforts of the subsample with a problematic use of drugs shows an unfavorable tendency concerning housing, but a better result in the vocational area.


CONCLUSIONS
The problem has to be considered in a differenciated manner, which means that, in general, clients with a problematic use of alcohol or drugs should not automatically be excluded from psychiatric rehabilitation.
Sennekamp
Winfried
W
Berufsakademie Villingen-Schwenningen, Studienbereich Sozialwesen, Reha-Zentrum Christiani e. V., Albbruck. Sennekamp@ba-vs.de
Basler
Beate
B
D000293:Adolescent; D000328:Adult; D000437:Alcoholism / Q000175:diagnosis / Q000453:epidemiology* / Q000534:rehabilitation; D015897:Comorbidity; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D013287:Illicit Drugs; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000534:rehabilitation; D010343:Patient Admission / Q000706:statistics & numerical data; D010352:Patient Dropouts / Q000706:statistics & numerical data; D011379:Prognosis; D011618:Psychotic Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000534:rehabilitation; D011619:Psychotropic Drugs; D012047:Rehabilitation Centers; D012050:Rehabilitation, Vocational; D012112:Residential Facilities; D012189:Retrospective Studies; D012559:Schizophrenia / Q000175:diagnosis / Q000453:epidemiology / Q000534:rehabilitation; D012759:Sheltered Workshops; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000534:rehabilitation; D016896:Treatment Outcome
D013287:Illicit Drugs; D011619:Psychotropic Drugs