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Drop-out of patients with substance dependence from in-patient treatment
Fiala, Tomáš ; Kalina, Kamil (advisor) ; Kulhánek, Adam (referee)
Drop out for clients with addiction has an adverse effect on their abstinence - the probability of relapse is very high (Kalina, 2003). By contrast, treatment completion is associated with abstinence, lower criminal activity, fewer relapses and a higher employment rate (Brorson et al., 2013). For effective addiction treatment is crucial to minimize the number of drop outs. Risk factors appear not only on the client side, but also on the side of the service. The study focused on clients who planned to drop out, but at last they decided to stay. Anamnestic data and interviews with clients helped to identify common client traits and answer the questions about the client thinking process during the crisis, what they emphasize, how they evaluate their decision not to drop out and what motivational influences they identify. Frequent common traits of clients who overcame drop out tendencies were a higher age (90 %), criminal record (74 %), contact with psychiatry (84 %) and repeated addiction treatment (74 %). Interpersonal conflicts with staff and clients (50 %) and craving (22 %) were the most frequent reasons to drop out. Nearly 2/3 of clients appreciated the improved mental and physical health. The support from the others was the main reason for retention in treatment (31 % from relatives, 26 % from...
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Drop-out of patients with substance dependence from in-patient treatment
Fiala, Tomáš ; Kalina, Kamil (advisor) ; Kulhánek, Adam (referee)
Drop out for clients with addiction has an adverse effect on their abstinence - the probability of relapse is very high (Kalina, 2003). By contrast, treatment completion is associated with abstinence, lower criminal activity, fewer relapses and a higher employment rate (Brorson et al., 2013). For effective addiction treatment is crucial to minimize the number of drop outs. Risk factors appear not only on the client side, but also on the side of the service. The study focused on clients who planned to drop out, but at last they decided to stay. Anamnestic data and interviews with clients helped to identify common client traits and answer the questions about the client thinking process during the crisis, what they emphasize, how they evaluate their decision not to drop out and what motivational influences they identify. Frequent common traits of clients who overcame drop out tendencies were a higher age (90 %), criminal record (74 %), contact with psychiatry (84 %) and repeated addiction treatment (74 %). Interpersonal conflicts with staff and clients (50 %) and craving (22 %) were the most frequent reasons to drop out. Nearly 2/3 of clients appreciated the improved mental and physical health. The support from the others was the main reason for retention in treatment (31 % from relatives, 26 % from...
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