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首页> 外文期刊>Nordic journal of psychiatry. >Case management in aftercare of involuntarily committed patients with substance abuse. A randomized trial
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Case management in aftercare of involuntarily committed patients with substance abuse. A randomized trial

机译：自愿滥用药物滥用患者的善后管理。随机试验

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Objective: Case management has since the 1970s been widely used to co-ordinate services for mental health patients. The methodology has expanded to support patients in many different types of conditions. This study is one of very few randomized trials on case management in a European setting. It examined the impact of case management on substance abuse and use of service after discharge from court-ordered institutional care. Methods: Court-ordered patients with substance abuse (n = 36) were randomly assigned to either strengths based case management or treatment-as-usual during 6 months in aftercare. Data was collected at intake, at conclusion of intervention and at 6 month's follow-up with a follow-up rate of 94%. Results: Case management interventions were well received by the patients with no drop-out during intervention. Patients with the support of a case manager seemed to sustain abstinence in a higher degree compared with treatment-as-usual but no differences were detected in regard to use of care. A subgroup analysis showed that patients with a continuous drug abuse did have access to care from both social welfare and hospital care systems. Conclusions: Case management may be useful in order to retain abstinence in aftercare following court-ordered treatment. The social welfare and hospital care systems seem to provide care irrespective of case manager intervention. The study design, interventions and assessments instruments were well received by patients but needs to be replicated with a larger population. Clinical implications: The 100% retention in the case management support group indicates that patients were satisfied with this type of intervention and the methodology seems to be useful in order to retain abstinence.
机译：目的：病例管理自1970年代以来被广泛用于协调精神卫生患者的服务。该方法已经扩展以支持处于许多不同类型疾病中的患者。这项研究是在欧洲极少数的病例管理随机试验之一。它审查了案件管理对法院命令的机构护理出院后药物滥用和服务使用的影响。方法：法院命令的药物滥用患者（n = 36）在术后六个月中被随机分配到基于优势的病例管理或照常治疗。在入院时，干预结束时和随访6个月时收集数据，随访率为94％。结果：病例管理干预措施受到患者好评，干预期间无辍学。与常规治疗相比，在病例管理员的支持下患者的禁欲程度更高，但在使用护理方面未发现差异。分组分析显示，持续吸毒的患者确实可以从社会福利和医院护理系统获得护理。结论：病例管理对于在法院命令的治疗后保持戒断方面可能是有用的。社会福利和医院护理系统似乎可以提供护理，而不论病例管理员的干预如何。研究设计，干预措施和评估工具深受患者好评，但需要在更大的人群中推广。临床意义：病例管理支持组中100％的保留率表明患者对此类型的干预感到满意，并且该方法似乎对于保留戒酒是有用的。

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