Allocation of patients with alcohol use disorders to appropriate levels of care according to a decision algorithm based on a standardized intake assessment

Conditions

F10

Buchholz A, Berner M, Dams J, Rosahl A, Hempleman J, König HH, Konnopka A, Kriston L, Piontek D, Reimer J, Röhrig J, Scherbaum N, Silkens A, Kraus L.

2022-01-27

10.1186/s12888-022-03705-9

Excess costs of alcohol-dependent patients in German psychiatric care compared with matched non-alcohol-dependent individuals from the general population: a secondary analysis of two datasets

Judith Dams, Angela Buchholz, Ludwig Kraus, Jens Reimer, Norbert Scherbaum et al. (7 authors)

BMJ Open2018-08-0114 citations

10.1136/bmjopen-2017-020563

Placement matching of alcohol-dependent patients based on a standardized intake assessment: rationale and design of a randomized controlled trial.

Buchholz A, Friedrichs A, Berner M, König HH, Konnopka A, Kraus L, Kriston L, Küfner H, Piontek D, Rist F, Röhrig J.

2014-10-147 citations

10.1186/s12888-014-0286-8

Interventions

Group 1: The patients get an 75-minute interview, which gives treatment recommendations (MATE, Schippers et al., 2011). This interview will take place one week after admission, when somatic detoxifica

Chisholm et al., 2000) will be applied. For evaluating psychological aspects the rehabilitee management categories will be given to the patient as questionnaire (RMK

Spyra et al., 2011). The EQ-5D will be applied to asses quality of life (Prieto et al., 2003). Patients of the intervention group and the clinical staff will receive a feedback session about the resul

CSSRI

Chisholm et al., 2000

EQ-5D

Prieto et al., 2003) and a questionnaire (RMK

Sprya et al., 2011), patients of the control group and the clinical staff will receive a written evaluation of the general results of the MATE interview, if patients want to know, but without a standa

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Inclusion criteria

Inclusion criteria: 1. Alcohol use disorder (dependence or misuse) as primary diagnosis, 2. Current treatment in an inpatient qualified detoxification program, 3. Completed medical detoxification, 4. cognitively and verbal ability to give consent to the study and to participate in the interview 5. voluntary participation

Exclusion criteria

Exclusion criteria: 1. Too low knowledge of the German language to take part in the study, 2. Being in treatment for reasons other than alcohol-related disorders, 3. Crisis intervention, 4. Acute psychosis, 5. Serious cognitive impairments, 6. Illiteracy, 7. Already approved treatment decision at intake

Design outcomes

Primary

Measure	Time frame
- days of abstinence in terms of abstinent drinkers and days of heavy drinking (> 6 units per day) with the MATE at T0 and T1 - health economic costs with the CSSRI at T0 and T1	—

Secondary

Measure	Time frame
- feasibility of the procedure - monitoring of the implementation of the MATE in the participating qualified detoxification programs - feasibility of the use of the adapted MATE-algorithm for allocation decisions - estimation of patients attrition - estimation of compliance of therapist with the intervention	—

Countries

Germany

Contacts

Public ContactAnke Friedrichs

Universitätsklinikum Hamburg-Eppendorf Institut und Poliklinik für Medizinische Psychologie

an.friedrichs@uke.de040 7410 59648

Outcome results

None listed