Willingness of facial injury patients to change causal substance using behaviors.
Many injuries due to interpersonal violence among patients presenting to urban trauma centers for treatment are preventable, with alcohol and illicit drug use presenting as common antecedent risk factors. However, many patients with such problems do not seek treatment. Substance use patients were surveyed to determine how many recognized they had a problem and whether they had previously received treatment for substance use problems. Almost 60% of the patients treated for a facial injury screened for problem alcohol use, and slightly more than 25% screened for problem drug use. Only approximately one third of patients indicated any movement towards dealing with these problems and of these, only 20% had actually sought treatment. Employment had an effect on treatment seeking, with fewer employed patients seeking help. Utilizing the critical window of opportunity for emergency department (ED) personnel to make referrals may have an impact on treatment seeking for problem level substance use.
Murphy
Debra A
DA
Health Risk Reduction Projects, Integrated Substance Abuse Programs, Department of Psychiatry, University of California Los Angeles, Los Angeles, California 90025-7539, USA. dmurphy@mednet.ucla.edu
Shetty
Vivek
V
Zigler
Corwin
C
Resell
Judith
J
Yamashita
Dennis-Duke
DD
D000293:Adolescent; D000328:Adult; D005151:Facial Injuries / Q000150:complications / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D012307:Risk Factors; D019966:Substance-Related Disorders / Q000150:complications / Q000523:psychology*
JAMA. 1992 May 27;267(20):2756-9
1578594
J Stud Alcohol. 1982 Mar;43(3):273-88
7120998
J Trauma. 1994 Dec;37(6):921-7
7996605
Addict Behav. 1993 May-Jun;18(3):347-53
8393611
Arch Gen Psychiatry. 2005 Jun;62(6):629-40
15939840
J Stud Alcohol. 2003 May;64(3):350-7
12817823
Br J Oral Maxillofac Surg. 1991 Aug;29(4):250-5
1911673
Psychol Rep. 1995 Feb;76(1):207-10
7770569
J Trauma. 1999 Sep;47(3):568-71
10498317
J Trauma. 2003 May;54(5):990-4
12777915
Addict Behav. 1999 Nov-Dec;24(6):879-92
10628520
Alcohol Clin Exp Res. 1996 Apr;20(2):372-8
8730232