EuropASI: A standard in de Sleutel, Belgium

Raes, Veerle; Lombaert, Geert

doi:10.1080/14659890410001697514

Cited by 4 publications

(3 citation statements)

References 3 publications

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“…The information from ASI is synthesized on a two-sided feedback form, placing positive aspects of the patient's experience against the problems in each life area. The feedback form helps clinicians to communicate findings from EuropASI with the patient and to suggest and support treatment options [ 30 ].…”

Section: Methodsmentioning

confidence: 99%

The Effect of Using Assessment Instruments on Substance-abuse Outpatients' Adherence to Treatment: a Multi-centre Randomised Controlled Trial

Raes¹,

Jong

Bacquer

et al. 2011

BMC Health Serv Res

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BackgroundDrop-out is an important problem in the treatment of substance use disorder. The focus of this study was to investigate the effectiveness of within treatment assessment with feedback directly to patients with multiple substance use disorder on outpatient individual treatment adherence. Feedback consisted of personal resources' and readiness to change status and progress that facilitate or hinder change, thereby using graphical representation.MethodsInformed consent was obtained from both the control and experimental groups to be involved in research and follow-up. Following Zelen's single consent design, baseline participants (n = 280) were randomised (sample-size-estimation: 80%power, p=.05, 2-sided) and treatment consent was obtained from those allocated to the experiment (n = 142). In both groups, equal numbers of patients did not attend sessions after allocation. So, 227 persons were analyzed according to intention-to-treat analysis (ITT: experiment n = 116;control n = 111). Excluding refusals 211 participants remained for per-protocol analysis (PP: experiment n = 100; control n = 111), The study was conducted in five outpatient treatment-centres of a large network (De Sleutel) in Belgium. Participants were people with multiple substance use disorder -abuse and dependence- who had asked for treatment and who had been advised to start individual treatment after a standardised admission assessment with the European Addiction Severity Index.The experimental condition consisted of informing the patient about the intervention and of subsequent assessments plus feedback following a protocol within the first seven sessions. Assessments were made with the Readiness to Change Questionnaire and the Personal Resources Diagnostic System. The control group received the usual treatment without within treatment assessment with feedback. The most important outcome measure in this analysis of the study was the level of adherence to treatment at and beyond eight sessions.ResultsIndividual treatment that included assessment with feedback increased adherence to treatment at and beyond eight sessions (RR = 1.6,95%CI:1.2-2.2). Benefit was also found at and beyond twelve sessions, which was the number of sessions required to complete 90% of the assessments with feedback in practice (RR = 1.6,95%CI:1.2-2.5).ConclusionsAssessment with feedback in routine practice improved adherence to treatment. More research is needed to evaluate progress in social functioning and motivation to change in outpatient treatment of substance use disorder, thereby using objective measuresTrial registrationCurrent Controlled Trials ISRCTN65456186

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Section: Methodsmentioning

confidence: 99%

The Effect of Using Assessment Instruments on Substance-abuse Outpatients' Adherence to Treatment: a Multi-centre Randomised Controlled Trial

Raes¹,

Jong

Bacquer

et al. 2011

BMC Health Serv Res

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“…Due to organisational problems, Belgium only started the standardization of the TDI data collection in 2006 when all Ministers with a health competencies decided to coordinate the registration of treatment demand and built a specific national protocol based on the European protocol version 2 [ 12 , 13 ]. Before this time, different initiatives to collect information at different levels (region, city, group of centres,…) on treatment demands of drug use problems took place sometimes since a long time [ 14 – 17 ]. But these registrations were too different to provide a coherent national view of the phenomenon.…”

Section: Introductionmentioning

confidence: 99%

Treatment for substance use disorders: the Belgian Treatment Demand Indicator registration protocol

et al. 2016

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BackgroundRegistration of patients with substance use disorders is of key importance to get insights and to study trends in patients characteristics and substance use patterns. The Treatment Demand Indicator (TDI) is gathering this information at European level since 2000. In Belgium, this registration started at national level in 2011 and an increasing number of facilities of different types are participating in this data collection since then.Methods/DesignThis surveillance register collects information on every treatment episode started by patients for their substance use disorder. Information is collected on socio-demographic characteristics of the patient, treatment history and substance use patterns. Patients are identified uniquely using their national identification number in order identify multiple episodes followed by a same person. A large range of treatment facilities have the possibility to participate in this registration to allow a wide coverage of the population.DiscussionThe objective of the paper is to facilitate the use of data by authorities or researchers by correctly describing all aspects of the indicator. The case definition, the variables collected and the way data should be reported are of key importance to use and interpret the data correctly. An overview of the data registered in 2014 gives also an idea of the content of the database. The article also pictures the strengths and limitations of the register and foresees some future improvements.

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“…[40]. Im klinischen Alltag können die Patientenprofile im multidiszipli− nären Team auf einer einheitlichen Basis diskutiert werden und als Fokus in allen Phasen der Therapie dienen [41]. Das Instru− ment erleichtert eine wissenschaftlich begründbare Allokation, so dass die Möglichkeit des statistischen Vergleiches von Grup− pen über die Zeit sowie zwischen Einrichtungen gegeben ist [42], und es ist weit verbreitet.…”

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Ist der European Addiction Severity Index ein sinnvolles Diagnoseinstrument bei Alkoholabhängigkeit?

Schmidt

Küfner²,

Hasemann³

et al. 2007

Fortschr Neurol Psychiatr

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The severity ratings by means of EuropASI-Composite Scores illustrated the assumption that the severity level gives information about the treatment needs: the more severe disorder the larger the treatment needs. Furthermore, a t0-t1-decrease of the Composite Scores was shown for the whole sample in the domains 'alcohol use' and 'employment satisfaction'. This points to a reduction of the addiction severity level due to treatment. In spite of some limitations regarding the Composite Scores, the EuropASI seems to be useful for patient allocation.

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EuropASI: A standard in de Sleutel, Belgium

Abstract: Aims.

Cited by 4 publications

References 3 publications

The Effect of Using Assessment Instruments on Substance-abuse Outpatients' Adherence to Treatment: a Multi-centre Randomised Controlled Trial

The Effect of Using Assessment Instruments on Substance-abuse Outpatients' Adherence to Treatment: a Multi-centre Randomised Controlled Trial

Treatment for substance use disorders: the Belgian Treatment Demand Indicator registration protocol

Ist der European Addiction Severity Index ein sinnvolles Diagnoseinstrument bei Alkoholabhängigkeit?

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