Length of outpatient addiction treatment and risk of rehospitalization

Romelsjö, Anders; Palmstierna, Tom; Hansagi, Helen; Leifman, Anders

doi:10.1016/j.jsat.2004.12.010

« PreviousJournal of Substance Abuse Treatment
Volume 28, Issue 3 , Pages 291-296, April 2005

Length of outpatient addiction treatment and risk of rehospitalization

Anders Romelsjö, M.D., Ph.D.
- Centre for Social Research on Alcohol and Drugs (SoRAD), Stockholm University, 106 91 Stockholm, Sweden
- Karolinska Institutet, Department of Public Health Sciences
- Corresponding author. Centre for Social Research on Alcohol and Drugs (SoRAD), Stockholm University, 106 91 Stockholm, Sweden. Tel: +46 816 4124; fax: +46 867 47686
Tom Palmstierna, M.D., Ph.D.
- Stockholm Addiction Centre, Magnus Huss Clinic, Karolinska Hospital, 17176 Stockholm
- Karolinska Institutet, Neurotec Department, Division of Forensic Psychiatry, Stockholm, Sweden
Helen Hansagi, Ph.D.
- Stockholm Addiction Centre, Magnus Huss Clinic, Karolinska Hospital, 17176 Stockholm
- Karolinska Institutet, Department of Clinical Neurosciences
Anders Leifman, M.S.E.
- Stockholm Addiction Centre, Magnus Huss Clinic, Karolinska Hospital, 17176 Stockholm
- Karolinska Institutet, Department of Public Health Sciences

Received 18 October 2003; received in revised form 21 June 2004; accepted 1 December 2004.

Abstract

Several studies, mainly from the U.S. and usually with selected male samples, show that aftercare is positively related to lower risk of re-addiction or re-treatment. The present study extends this line of research in a report from public health health care addiction treatment services in Stockholm County. The study sample comprises all 196 men and 100 women alcohol-dependent patients from 10 districts hospitalized for at least 2 days during 1997–99 and who received outpatient care within 5 days. These patients were followed up until 2000, without attrition for renewed rehospitalization.

Greater length of outpatient treatment was significantly related to reduced rehospitalization, but only in men. The intensity (average number of visits) of outpatient treatment was not significantly related to rehospitalization. The different effect of length of outpatient treatment between the genders may be due to differences in severity of alcohol dependence, social situation, psychiatric co-morbidity, and/or the extent to which treatment met patients’ needs.

Keywords: Outpatient treatment, Alcohol dependence, Gender, Public addiction treatment