Goals and Reasons for Entering Inpatient Withdrawal Treatment, and Perceptions of Help Received

Wang, Jing; Deane, Frank P.; Kelly, Peter J.; Robinson, Laura

doi:10.1080/15504263.2023.2221980

Cited by 2 publications

(1 citation statement)

References 39 publications

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“…Despite the array of available substances, ongoing research endeavors continually introduce novel compounds, such as extended-release morphine tablets, aimed at maximizing individualized treatment modalities for affected individuals [ 9 ]. However, when opioid consumption persists despite such interventions, the role of inpatient withdrawal treatments becomes pivotal, either mitigating the adverse consequences of sustained use or facilitating complete cessation [ 10 , 11 ]. Yet, transitioning towards abstinence necessitates long-term residential treatment, emphasizing the complexity of managing OUDs [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Attention Deficit Hyperactivity Disorder: A Risk Factor for Premature Discontinuation of Inpatient Opioid Withdrawal Treatment

Gaspar,

Kilarski,

Rosen

et al. 2024

JCM

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Background: Substance use disorders present a tremendous challenge within contemporary healthcare systems. Specifically, in the domain of opioid use disorders (OUDs), several foundational elements are crucial for the efficacious management of afflicted individuals. Regrettably, the premature discontinuation of inpatient opioid withdrawal treatment is a prevalent phenomenon. This study aims to elucidate the prevalence of the premature termination of inpatient opioid withdrawal treatment among patients with comorbid ADHD. Methods: We conducted a comprehensive assessment of all participants currently undergoing inpatient opioid withdrawal treatment. Our assessment protocol included the administration of the ADHD Self-Report Scale (ADHD-SR) and the Wender Utah Rating Scale (WURS-k). Additionally, participants who met the thresholds on one or both questionnaires underwent further evaluation using the Diagnostic Interview for ADHD in Adults (DIVA-2.0). Results: The prevalence of individuals diagnosed with ADHD within the studied cohort was determined to be 29.3%. Among the subset of participants identified as ADHD-positive, a notable 54.5% prematurely ceased therapy. In contrast, among those identified as ADHD-negative, the premature discontinuation rate was substantially lower at 28.3%. Conclusions: In summary, the impact of ADHD as a comorbid condition on the efficacy of inpatient opioid withdrawal treatment has been underscored. By identifying comorbid ADHD early in the treatment process, tailored therapeutic approaches may help to maximize the effectiveness of interventions and may improve patient outcomes. This underscores the importance of proactive screening for ADHD as a psychiatric comorbidity in optimizing the management of individuals undergoing inpatient opioid withdrawal treatment.

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Section: Introductionmentioning

confidence: 99%

Attention Deficit Hyperactivity Disorder: A Risk Factor for Premature Discontinuation of Inpatient Opioid Withdrawal Treatment

Gaspar,

Kilarski,

Rosen

et al. 2024

JCM

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An In-Home Withdrawal Service for individuals with low-to-moderate substance dependence: implementation and program evaluation

Mussared,

Oni,

Gregory

et al. 2024

Aust. J. Prim. Health

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Background Sonder’s In-Home Withdrawal Service (IHWS) has been providing a unique home-based, multidisciplinary, wraparound withdrawal option for people with low-to-moderate levels of substance dependence since September 2019. This paper provides an evaluation of the service’s overall impact on reducing substance use among clients through the delivery of this innovative service model. The evaluation explores the acceptability and feasibility of the service via client, stakeholder, and staff perspectives. Methods A mixed-method design was used to evaluate the IHWS. Descriptive analysis of quantitative data was conducted using clinical assessments from client records and online feedback surveys. Qualitative data from client, staff, and stakeholder feedback surveys were analysed thematically. Results Overall, 1166 referrals were received over the lifespan of the service, and a data set of 96 clients was included in the analysis. Self-reported measures showed that most clients decreased their substance use (89%), improved their psychological health status (75%), improved their physical health (65%), improved their quality of life (69%), and improved their understanding and ability to manage their alcohol and other drugs (AOD) use (84%). Client feedback suggests the service is providing a unique option for AOD withdrawal. Stakeholders commend the service’s home-based setting, multidisciplinary and person-centred approach to care, and recommended expansion of the service to increase access for clients and reduce demand on inpatient settings. Conclusions The IHWS is having a significant impact in reducing substance use and highlights the need for increased access to holistic approaches to withdrawal. This includes pre- and post-withdrawal support and the inclusion of multidisciplinary teams, and engaging lived experience practitioners. A focus on funding primary-based services is required to meet the rising costs of tertiary-based care and to better meet the needs of consumers.

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Goals and Reasons for Entering Inpatient Withdrawal Treatment, and Perceptions of Help Received

Cited by 2 publications

References 39 publications

Attention Deficit Hyperactivity Disorder: A Risk Factor for Premature Discontinuation of Inpatient Opioid Withdrawal Treatment

Attention Deficit Hyperactivity Disorder: A Risk Factor for Premature Discontinuation of Inpatient Opioid Withdrawal Treatment

An In-Home Withdrawal Service for individuals with low-to-moderate substance dependence: implementation and program evaluation

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