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EPA-0783 – Establishing a Specific Inpatient Treatment Offer for Adults at Younger Ages with Mental Disorders due to Multiple Drug use: A Retrospection Over 4 Years

Published online by Cambridge University Press:  15 April 2020

J. Schneider
Affiliation:
Psychiatry Behavioural Medicine and Psychosomatics, Klinikum Chemnitz gGmbH, Chemnitz, Germany
B.S. Voigtlaender
Affiliation:
Psychiatry Behavioural Medicine and Psychosomatics, Klinikum Chemnitz gGmbH, Chemnitz, Germany
H. Groß
Affiliation:
Psychiatry Behavioural Medicine and Psychosomatics, Klinikum Chemnitz gGmbH, Chemnitz, Germany
T. Barth
Affiliation:
Psychiatry Behavioural Medicine and Psychosomatics, Klinikum Chemnitz gGmbH, Chemnitz, Germany

Abstract

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Introduction:

Regarding the patient clientele with main diagnosis (MD) F19.*[ICD 10] new needs have been seen to emerge. The increase in the number of consumers of N-methylamphetamine (by 29 % in 2011) in Saxony correlates with an impressive increase of the number of inpatients and emphasizes the need of adapted treatment offers.

Objectives:

In this context, in 2009 an open-door ward (8 beds) for detoxification and motivation treatment for adults at age between 18-40 years with MD F19.* was opened which pursues an integrative therapeutic concept including both addiction-specific group- and talking therapy orientation and behavioral therapy approaches.

Methods:

By using a pre-post study (pre: 2008, post I: 2010, post II: 2011, post III: 2012) selected key figures such as length of stay, readmission rate and kind of discharge, trends in individual substance-related detoxification motivation and associated mental disorders (F19.5) were monitored.

Results:

A continuous growing number of patients with MD F19.* has been achieved, marked by an increase of treated cases (pre: 77, post III: 156) and planned admissions (pre: 58 %, post III: 72%). Other data (length of stay, readmissions, treatment discontinuations) showed no significant changes. Individual detoxification motivation data point to a trend in favour of N-methylamphetamine. The number of patients with MD F19.5 (psychotic disorder) increased by >100 %.

Summary:

The results refer to the necessity of identifying and monitoring valid quality indicators regarding our treatment concept. Therefore, those as yet evaluated indicators may act as a preliminary basis. Further projects are planned.

Type
EPW33 - Addictive Behaviours 3
Copyright
Copyright © European Psychiatric Association 2014
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