Outreach visits improve referral of alcohol dependent patients from psychiatric hospital to continued care. A randomized trial

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

Abstract
Purpose: Many patients with alcohol use disorder (AUD) fail to initiate outpatient treatment after being discharged from inpatient detoxification. The aim of the present study was to investigate the effect of outreach visits (OV) on subsequent attendance in outpatient AUD treatment.
Methods: Patients admitted to a detoxification unit at a mental health hospital were randomized to either referral as usual (TAU) or OV. OV involved a nurse from the outpatient clinic meeting the patients at the hospital and advising them about outpatient treatment, presenting an ‘attendance contract’ and offering a first appointment.
Results: One hundred consecutive patients were randomized while hospitalized, 55 received TAU and 45 OV. About 84.4% OV patients presented for treatment at the outpatient clinic compared to 58.2% TAU-patients (p = .004). About 46.7% OV patients received continuing care for at least 3 months compared to 23.6% TAU-patients (p = .016).
Conclusion: OV are an effective strategy for ensuring continued treatment.
OriginalsprogEngelsk
TidsskriftNordic Journal of Psychiatry
Vol/bind72
Udgave nummer4
Sider (fra-til)303-310
ISSN0803-9488
DOI
StatusUdgivet - 19. maj 2018

Citer dette

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title = "Outreach visits improve referral of alcohol dependent patients from psychiatric hospital to continued care. A randomized trial",
abstract = "AbstractPurpose: Many patients with alcohol use disorder (AUD) fail to initiate outpatient treatment after being discharged from inpatient detoxification. The aim of the present study was to investigate the effect of outreach visits (OV) on subsequent attendance in outpatient AUD treatment.Methods: Patients admitted to a detoxification unit at a mental health hospital were randomized to either referral as usual (TAU) or OV. OV involved a nurse from the outpatient clinic meeting the patients at the hospital and advising them about outpatient treatment, presenting an ‘attendance contract’ and offering a first appointment.Results: One hundred consecutive patients were randomized while hospitalized, 55 received TAU and 45 OV. About 84.4{\%} OV patients presented for treatment at the outpatient clinic compared to 58.2{\%} TAU-patients (p = .004). About 46.7{\%} OV patients received continuing care for at least 3 months compared to 23.6{\%} TAU-patients (p = .016).Conclusion: OV are an effective strategy for ensuring continued treatment.",
keywords = "Detoxification, addiction, care transitions, contracting, outreach, treatment, Humans, Middle Aged, Ambulatory Care/statistics & numerical data, Male, Adult, Female, Referral and Consultation/statistics & numerical data, Hospitals, Psychiatric/statistics & numerical data, Continuity of Patient Care/statistics & numerical data, Alcoholism/therapy",
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Outreach visits improve referral of alcohol dependent patients from psychiatric hospital to continued care. A randomized trial. / Nielsen, Anette Søgaard; Nielsen, Bent.

I: Nordic Journal of Psychiatry, Bind 72, Nr. 4, 19.05.2018, s. 303-310.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Outreach visits improve referral of alcohol dependent patients from psychiatric hospital to continued care. A randomized trial

AU - Nielsen, Anette Søgaard

AU - Nielsen, Bent

PY - 2018/5/19

Y1 - 2018/5/19

N2 - AbstractPurpose: Many patients with alcohol use disorder (AUD) fail to initiate outpatient treatment after being discharged from inpatient detoxification. The aim of the present study was to investigate the effect of outreach visits (OV) on subsequent attendance in outpatient AUD treatment.Methods: Patients admitted to a detoxification unit at a mental health hospital were randomized to either referral as usual (TAU) or OV. OV involved a nurse from the outpatient clinic meeting the patients at the hospital and advising them about outpatient treatment, presenting an ‘attendance contract’ and offering a first appointment.Results: One hundred consecutive patients were randomized while hospitalized, 55 received TAU and 45 OV. About 84.4% OV patients presented for treatment at the outpatient clinic compared to 58.2% TAU-patients (p = .004). About 46.7% OV patients received continuing care for at least 3 months compared to 23.6% TAU-patients (p = .016).Conclusion: OV are an effective strategy for ensuring continued treatment.

AB - AbstractPurpose: Many patients with alcohol use disorder (AUD) fail to initiate outpatient treatment after being discharged from inpatient detoxification. The aim of the present study was to investigate the effect of outreach visits (OV) on subsequent attendance in outpatient AUD treatment.Methods: Patients admitted to a detoxification unit at a mental health hospital were randomized to either referral as usual (TAU) or OV. OV involved a nurse from the outpatient clinic meeting the patients at the hospital and advising them about outpatient treatment, presenting an ‘attendance contract’ and offering a first appointment.Results: One hundred consecutive patients were randomized while hospitalized, 55 received TAU and 45 OV. About 84.4% OV patients presented for treatment at the outpatient clinic compared to 58.2% TAU-patients (p = .004). About 46.7% OV patients received continuing care for at least 3 months compared to 23.6% TAU-patients (p = .016).Conclusion: OV are an effective strategy for ensuring continued treatment.

KW - Detoxification

KW - addiction

KW - care transitions

KW - contracting

KW - outreach

KW - treatment

KW - Humans

KW - Middle Aged

KW - Ambulatory Care/statistics & numerical data

KW - Male

KW - Adult

KW - Female

KW - Referral and Consultation/statistics & numerical data

KW - Hospitals, Psychiatric/statistics & numerical data

KW - Continuity of Patient Care/statistics & numerical data

KW - Alcoholism/therapy

U2 - 10.1080/08039488.2018.1451557

DO - 10.1080/08039488.2018.1451557

M3 - Journal article

VL - 72

SP - 303

EP - 310

JO - Nordic Journal of Psychiatry

JF - Nordic Journal of Psychiatry

SN - 0803-9488

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ER -