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Comparison of Clients Assigned to In-patient and Out-patient Treatment for Alcoholism and Drug Addiction

Published online by Cambridge University Press:  29 January 2018

Harvey A. Skinner
Harvey A. Skinner*
Affiliation:
Addiction Research Foundation, 33 Russell Street, Toronto, Canada M5S 2S1
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Summary

This study examined characteristics of 296 alcohol and/or drug abuse clients assigned to either (1) in-patient programmes, (2) out-patient programmes, or (3) a lower cost primary care alternative. Multivariate analysis indicated that clients admitted for in-patient care reported greater alcohol consumption and associated problems, fewer community supports and more severe symptoms such as depression and anxiety. They tended to be more frank about their problems while defence mechanisms were more apparent in clients admitted to out-patient and primary care programmes. In general, out-patients ahd more favourable prognostic indicators, such as higher social stability and lower level of alcoholic involvement. The differences among treatment programmes were along quantitative dimensions of problem severity. In particular, the alcohol dependence syndrome was a major discriminating dimension.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 138 , Issue 4 , April 1981 , pp. 312 - 320
Copyright
Copyright © Royal College of Psychiatrists, 1981 

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References

Baekeland, F. (1977) Evaluation of treatment methods in chronic alcoholism. I. Treatment and Rehabilitation of the Chronic Alcoholic, (eds. B. Kissin and H. Begleiter). New York: Plenum Press.Google Scholar
Benton, A. L. (1974) The Revised Visual Retention Test. New York: Psychological Corporation.Google Scholar
Bromet, E. J. Moos, R. H. & Bliss, F. (1976) The social climate of alcoholism treatment programs. Archives of General Psychiatry, 33, 910–916.Google Scholar
Cooley, W. W. & Lohnes, P. R. (1971) Multivariate Data Analysis. New York: Wiley.Google Scholar
Cronkite, R. C. & Moos, R. H. (1978) Evaluating alcoholism treatment programs: an integrated approach. Journal of Consulting and Clinical Psychology, 46, 1105–1119.CrossRefGoogle ScholarPubMed
Delahaye, S. (1977) An analysis of clients using alcoholic agencies within one community service. I. Alcoholism Multidisciplinary Approach, (eds. J. S. Madden, R. Walker and W. H. Kenyon). New York: Plenum Press.Google Scholar
Edwards, G. & Gross, M. M. (1976) Alcohol dependence syndrome: Provisional description of a clinical syndrome. British Medical Journal, i, 1058–1061.Google Scholar
Edwards, G. & Orford, J. (1977) A plain treatment for alcoholism. Proceedings of the Royal Society of Medicine, 70, 344–348.Google Scholar
Edwards, G. Gross, M. M. Keller, M. Moser, J. & Room, R. (1977) Alcohol Related Disabilities. Offset Publication No 32. Geneva: World Health Organization.Google Scholar
Edwards, G. Kyle, E. & Nicholls, P. (1974) Alcoholics admitted to four hospitals in England. I. Social class and the interaction of alcoholics with the treatment system. Quarterly Journal of Studies on Alcohol, 35, 499–522.Google Scholar
Endler, N. S. & Okada, M. (1975) A multidimensional measure of trait anxiety: the S-R inventory of General Trait Anxiousness. Journal of Consulting and Clinical Psychology, 3, 319–329.Google Scholar
English, G. E. & Curtin, M. E. (1975) Personality differences in patients at three alcoholism treatment agencies. Journal of Studies on Alcohol, 36, 52–61.Google Scholar
Glaser, F. B. (1980) Anybody got a match? Treatment research and the matching hypothesis. I. Alcoholism Treatment in Transition, (eds. G. Edwards and M. Grant). London: Croom Helm.Google Scholar
Holmes, T. H. & Rahe, R. H. (1967) The Social Readjustment Rating Scale. Journal of Psychosomatic Research, 11, 213–218.Google Scholar
Horn, J. L. Wanberg, K. W. & Foster, F. M. (1974) The Alcohol Use Inventory. Denver, Colorado: Center for Alcohol-Abuse Research and Evaluation.Google Scholar
Jackson, D. N. (1971) The dynamics of structured personality tests: 1971. Psychological Review, 78, 229–248.Google Scholar
Jackson, D. N. (1974) Personality Research Form Manual. Goshen, NY: Research Psychologists Press.Google Scholar
Jastak, J. F. & Jastak, S. R. (1965) The Wide Range Achievement Test. Wilmington, Delaware: Guidance Associate.Google Scholar
Kern, J. C. Schmelter, W. & Fanelli, M. (1978) A comparison of three alcoholism treatment populations: Implications for treatment. Journal of Studies on Alcohol, 39, 785–792.Google Scholar
Lezak, M. D. (1976) Neuropsychological Assessment. New York: Oxford University Press.Google Scholar
Pattison, E. M. Coe, R. & Doerr, H. O. (1973) Population variation among alcoholism treatment facilities. The International Journal of the Addictions, 8, 199–229.Google Scholar
Raven, J. C. (1960) Guide to the Standard Progressive Matrices. London: Lewis.Google Scholar
Rohan, W. P. (1976) Quantitative dimensions of alcohol use for hospitalized problem drinkers. Diseases of the Nervous System, 37, 154–159.Google Scholar
Rotter, J. B. (1966) Generalized expectancies for internal versus external control of reinforcement. Psychological Monographs, 80, (1 Whole No. 609).CrossRefGoogle Scholar
Schmidt, W. Smart, R. G. & Moss, M. K. (1968) Social Class and the Treatment of Alcoholism: An Investigation of Social Class as a Determinant of Diagnosis, Prognosis and Therapy. Toronto: University of Toronto Press.Google Scholar
Selzer, M. L. (1971) The Michigan Alcoholism Screening Test: The quest for a new diagnostic treatment. American Journal of Psychiatry, 127, 1653–1658.Google Scholar
Skinner, H. A. (1978) What if you ask a simple question? An evaluation of alcohol use scales. Substudy No 1012. Toronto: Addiction Research Foundation.Google Scholar
Skinner, H. A. (1979) A multivariate evaluation of the Michigan Alcoholism Screening Test. Journal of Studies on Alcohol, 40, 831–844.Google Scholar
Skinner, H. A. (1981) Assessment of clients with alcohol problems: Basic principles, critical issues and future trends. I. Research Advances in Alcohol and Drug Problems, (eds. Y. Israel et al). Volume VI. New York: Plenum Press.Google Scholar
Skinner, H. A. Glaser, F. B. & Annis, H. M. (1981) Crossing the threshold: Factors in self-identification as an alcoholic. British Journal of Addiction. In press.Google Scholar
Wechsler, D. (1955) Manual for the Wechsler Adult Intelligence Scale. New York: Psychological Corporation.Google Scholar
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