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Outcome of inpatient opiate detoxification treatment in immigrants as compared to native Germans

Published online by Cambridge University Press:  16 April 2020

M. Specka ,
A. Buchholz ,
T. Kuhlmann ,
C. Haasen  and
N. Scherbaum
M. Specka
Affiliation:
Addiction Research Group at the Department of Psychiatry and Psychotherapy, Rhine State Hospital Essen, University of Duisburg-Essen, Virchowstr. 174, 45147Essen, Germany
A. Buchholz
Affiliation:
Department for Psychology, Psychotherapy and Psychological Diagnostics, Institute of Psychology I, Westphalian Wilhelms-University Muenster, Schlossplatz, 2, 48149Muenster, Germany
T. Kuhlmann
Affiliation:
Association of Detoxification Units in North Rhine Westphalia, Hospital of Psychosomatic Medicine, Bergisch-Gladbach, Schlodderdicher Weg 23a, 51469Bergisch Gladbach, Germany
C. Haasen
Affiliation:
Department of Psychiatry, University Medical Center Eppendorf, Martinistraße, 52, 20246Hamburg, Germany
N. Scherbaum*
Affiliation:
Addiction Research Group at the Department of Psychiatry and Psychotherapy, Rhine State Hospital Essen, University of Duisburg-Essen, Virchowstr. 174, 45147Essen, Germany
*
*Corresponding author. E-mail address: [email protected] (N. Scherbaum).
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Abstract

Background

Immigration is a factor with effects on the course of substance abuse and treatment response, however there is little consistent data regarding outcome of inpatient opiate detoxification treatment in immigrants as compared to native patients.

Methods

Patient history and the success of current detoxification treatment were systematically documented in a multicenter study in Germany which included 10 psychiatric hospitals with specialized detoxification wards.

Results

Out of 893 patients, 240 (27%) had a migration history. We further analyzed the three main groups (German, n = 653; Turkish, n = 58; Russian origin, n = 103). There were significant differences between groups regarding sociodemographic data, drug history, treatment experience and success of current treatment. However, considering the younger age of patients with Russian origin, analysis of younger patients (< 31 years) detected only minor group differences. In multiple logistic regressions age and center showed statistically significant associations with all outcome variables (early dropout, achievement of drug-free urine screen, regular completion of detoxification treatment, and referral to further treatment), while (Russian) origin was associated only with premature termination of treatment.

Conclusion

Young men were the main problem group regardless of origin. Significant center effects raise doubts regarding results from monocenter research.

Keywords

Opiate addictionDetoxificationMigration
Type
Original article
Information
European Psychiatry , Volume 25 , Issue 4 , May 2010 , pp. 242 - 248
Copyright
Copyright © Elsevier Masson SAS 2010

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