title: [Insufficient involvement of psychiatrists in substitution treatment].
abstract: Results of a nationally representative study in 2,694 patients reveal that most physicians (n=223) involved in substitution treatment of opioid-dependent patients are general practitioners, while only 16% have a psychiatric/psychotherapeutic background and only 21% of the addictive patients are treated by psychiatrists. This contrasts with the remarkably complex pattern of co- and multimorbidity with other mental disorders in such patients. Most psychiatrists engaged in substitution treatment work in specialized outpatient wards (51.3%), and few were operative in their own or private practice (7.2%). Implications of these critical findings are discussed.
authors.affiliation: Psychiatrische Universität München, Nussbaumstrasse 7, 80336 München. Michael.Soyka@med.uni-muenchen.de
authors.forename: M
authors.initials: M
authors.lastname: Soyka
authors.forename: S M
authors.initials: SM
authors.lastname: Apelt
authors.forename: H-U
authors.initials: HU
authors.lastname: Wittchen
mesh_terms: D015897:Comorbidity; D005858:Germany / Q000453:epidemiology; D006801:Humans; D001523:Mental Disorders / Q000453:epidemiology* / Q000517:prevention & control / Q000523:psychology / Q000534:rehabilitation*; D008691:Methadone / Q000627:therapeutic use*; D009293:Opioid-Related Disorders / Q000453:epidemiology* / Q000517:prevention & control / Q000523:psychology / Q000534:rehabilitation*; D010817:Physician-Patient Relations; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D015995:Prevalence; D011570:Psychiatry / Q000706:statistics & numerical data*; D018570:Risk Assessment / Q000379:methods; D012307:Risk Factors
chemical_list: D008691:Methadone