title: [Preliminary study on detox in outpatient care units with 18 alcoholic patients in Directly Observed Treatment].
abstract: Directly Observed Treatment (TOD-DOT) has been tested in different conditions. The objective of this work is to check whether a UCA-CAB (Centre for Addictive Behaviour) can achieve detox and reduce the risk of early relapse (up to 12 weeks) in alcoholic patients. All patients had an established organic addiction and serious withdrawal syndrome, and had undergone multiple previous treatments. Furthermore, they had not managed to abstain for a 3-month consecutive period over the previous 2 years. The aim of the Directly Observed Treatment was to attain detox and reduce relapse by following a multi-method approach: medical, psychological and personal care, based on a brief daily consultation and pharmacological supervision. The results were as follows: Of the 18 patients included in the study, after 12 weeks, 13 (72 %) were still abstinent and 4 (22 %) had relapsed. Thus, 17 (94 %) were still following the treatment, with just one drop-out. We analysed the profiles of the patients abstaining, of those who relapsed (4) and of the one who dropped out. The average CIWA-Ar was 27.05 (21-36). Any value over 20 is considered to indicate serious withdrawal syndrome, though there were no negative events leading to hospitalization. Level of adherence to the treatment (94 %) meant that the most seriously affected patients and those with fewest financial resources could benefit, not only from any auxiliary social schemes, but also from basic health services, permitting them to improve the quality of their everyday life.
authors.affiliation: Unidad de Conductas Adictivas, Cerntro del Salud de San Isidro, Avda. Campos Crespo/José Andreu Alabarta s/n, Valencia, Spain. ralloma@comv.es
authors.forename: Ramón
authors.initials: R
authors.lastname: Lloréns Martínez
authors.forename: María
authors.initials: M
authors.lastname: Calatayud Francés
authors.forename: Esperanza
authors.initials: E
authors.lastname: Morales Gallús
authors.forename: Consol
authors.initials: C
authors.lastname: Añó Cervera
authors.forename: Librada
authors.initials: L
authors.lastname: Adriá Caballero
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000534:rehabilitation*; D000553:Ambulatory Care; D023801:Directly Observed Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016320:Substance Abuse Treatment Centers