title: Abstinence and initiation of treatment following inpatient detoxification.
abstract: This prospective cohort study compared in-patients who remained abstinent and initiated aftercare treatment following detoxification with those who did not. Of 110 patients enrolled, 58% (46/79) were totally abstinent and 72% (67/93) initiated treatment during the first 30 days following hospital discharge. Patients who relapsed after hospital discharge were more likely than those who remained abstinent to have a primary drug-use disorder (p = 0.05), prior mental health treatment (p = .007), or previous incarceration (p = 0.035). Those who initiated aftercare treatment were less likely to have had prior mental health treatment than those who did not (p = .046).
authors.affiliation: Department of Family Medicine, Family Medicine Research Institute, The State University of New York at Buffalo, Buffalo, New York, USA. blondell@buffalo.edu
authors.forename: Richard D
authors.initials: RD
authors.lastname: Blondell
authors.forename: Susan J
authors.initials: SJ
authors.lastname: Smith
authors.forename: Marta C
authors.initials: MC
authors.lastname: Canfield
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Servoss
mesh_terms: D000328:Adult; D000359:Aftercare / Q000523:psychology / Q000706:statistics & numerical data*; D000368:Aged; D000437:Alcoholism / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006779:Hospitals, Public; D006784:Hospitals, Teaching; D006801:Humans; D008297:Male; D008875:Middle Aged; D009518:New York; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data*; D010343:Patient Admission / Q000706:statistics & numerical data; D011446:Prospective Studies; D012008:Recurrence; D012017:Referral and Consultation / Q000706:statistics & numerical data; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D013695:Temperance / Q000523:psychology / Q000706:statistics & numerical data*; D016896:Treatment Outcome