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Effectiveness of inpatient withdrawal and residential rehabilitation interventions for alcohol use disorder: A national observational, cohort study in England

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Effectiveness of inpatient withdrawal and residential rehabilitation interventions for alcohol use disorder : A national observational, cohort study in England . / Eastwood, Brian; Peacock, Amy; Millar, Tim; Jones, Andrew ; Knight, Jonathan; Horgan, Patrick; Lowden, Tim; Willey, Peter; Marsden, John.

In: Journal of Substance Abuse Treatment, Vol. 88, 05.2018, p. 1-8.

Research output: Contribution to journalArticle

Harvard

Eastwood, B, Peacock, A, Millar, T, Jones, A, Knight, J, Horgan, P, Lowden, T, Willey, P & Marsden, J 2018, 'Effectiveness of inpatient withdrawal and residential rehabilitation interventions for alcohol use disorder: A national observational, cohort study in England ', Journal of Substance Abuse Treatment, vol. 88, pp. 1-8. https://doi.org/10.1016/j.jsat.2018.02.001

APA

Eastwood, B., Peacock, A., Millar, T., Jones, A., Knight, J., Horgan, P., ... Marsden, J. (2018). Effectiveness of inpatient withdrawal and residential rehabilitation interventions for alcohol use disorder: A national observational, cohort study in England . Journal of Substance Abuse Treatment, 88, 1-8. https://doi.org/10.1016/j.jsat.2018.02.001

Vancouver

Eastwood B, Peacock A, Millar T, Jones A, Knight J, Horgan P et al. Effectiveness of inpatient withdrawal and residential rehabilitation interventions for alcohol use disorder: A national observational, cohort study in England . Journal of Substance Abuse Treatment. 2018 May;88:1-8. https://doi.org/10.1016/j.jsat.2018.02.001

Author

Eastwood, Brian ; Peacock, Amy ; Millar, Tim ; Jones, Andrew ; Knight, Jonathan ; Horgan, Patrick ; Lowden, Tim ; Willey, Peter ; Marsden, John. / Effectiveness of inpatient withdrawal and residential rehabilitation interventions for alcohol use disorder : A national observational, cohort study in England . In: Journal of Substance Abuse Treatment. 2018 ; Vol. 88. pp. 1-8.

Bibtex Download

@article{20734464461d4410a38a6d0935994fd1,
title = "Effectiveness of inpatient withdrawal and residential rehabilitation interventions for alcohol use disorder: A national observational, cohort study in England",
abstract = "BackgroundThis was a national English observational cohort study to estimate the effectiveness of inpatient withdrawal (IW) and residential rehabilitation (RR) interventions for alcohol use disorder (AUD) using administrative data.MethodsAll adults commencing IW and/or RR intervention for AUD between April 1, 2014 and March 31, 2015 reported to the National Drug Treatment Monitoring System (n = 3812). The primary outcome was successful completion of treatment within 12 months of commencement, with no re-presentation (SCNR) in the subsequent six months, analysed by multi-level, mixed effects, multivariable logistic regression.ResultsThe majority (70{\%}, n = 2682) received IW in their index treatment journey; one-quarter (24{\%}, n = 915) received RR; 6{\%} (n = 215) received both. Of treatment leavers, 59{\%} achieved the SCNR outcome (IW: 57{\%}; RR: 64{\%}; IW/RR: 57{\%}). Positive outcome for IW was associated with older age, being employed, and receiving community-based treatment prior to and subsequent to IW. Patients with housing problems were less likely to achieving the outcome. Positive outcome for RR was associated with paid employment, self/family/peer referral, longer duration of RR treatment, and community-based treatment following discharge. Community-based treatment prior to entering RR, and receiving IW during the same treatment journey as RR, were associated with lower likelihood of SCNR.ConclusionsIn this first national effectiveness study of AUD in the English public treatment system for alcohol-use disorders, 59{\%} of patients successfully completed treatment within 12 months and did not represent for more treatment within six months. Longer duration of treatment and provision of structured continuing care is associated with better treatment outcomes.",
author = "Brian Eastwood and Amy Peacock and Tim Millar and Andrew Jones and Jonathan Knight and Patrick Horgan and Tim Lowden and Peter Willey and John Marsden",
year = "2018",
month = "5",
doi = "10.1016/j.jsat.2018.02.001",
language = "English",
volume = "88",
pages = "1--8",
journal = "Journal of Substance Abuse Treatment",
issn = "0740-5472",
publisher = "Elsevier Inc.",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Effectiveness of inpatient withdrawal and residential rehabilitation interventions for alcohol use disorder

T2 - A national observational, cohort study in England

AU - Eastwood, Brian

AU - Peacock, Amy

AU - Millar, Tim

AU - Jones, Andrew

AU - Knight, Jonathan

AU - Horgan, Patrick

AU - Lowden, Tim

AU - Willey, Peter

AU - Marsden, John

PY - 2018/5

Y1 - 2018/5

N2 - BackgroundThis was a national English observational cohort study to estimate the effectiveness of inpatient withdrawal (IW) and residential rehabilitation (RR) interventions for alcohol use disorder (AUD) using administrative data.MethodsAll adults commencing IW and/or RR intervention for AUD between April 1, 2014 and March 31, 2015 reported to the National Drug Treatment Monitoring System (n = 3812). The primary outcome was successful completion of treatment within 12 months of commencement, with no re-presentation (SCNR) in the subsequent six months, analysed by multi-level, mixed effects, multivariable logistic regression.ResultsThe majority (70%, n = 2682) received IW in their index treatment journey; one-quarter (24%, n = 915) received RR; 6% (n = 215) received both. Of treatment leavers, 59% achieved the SCNR outcome (IW: 57%; RR: 64%; IW/RR: 57%). Positive outcome for IW was associated with older age, being employed, and receiving community-based treatment prior to and subsequent to IW. Patients with housing problems were less likely to achieving the outcome. Positive outcome for RR was associated with paid employment, self/family/peer referral, longer duration of RR treatment, and community-based treatment following discharge. Community-based treatment prior to entering RR, and receiving IW during the same treatment journey as RR, were associated with lower likelihood of SCNR.ConclusionsIn this first national effectiveness study of AUD in the English public treatment system for alcohol-use disorders, 59% of patients successfully completed treatment within 12 months and did not represent for more treatment within six months. Longer duration of treatment and provision of structured continuing care is associated with better treatment outcomes.

AB - BackgroundThis was a national English observational cohort study to estimate the effectiveness of inpatient withdrawal (IW) and residential rehabilitation (RR) interventions for alcohol use disorder (AUD) using administrative data.MethodsAll adults commencing IW and/or RR intervention for AUD between April 1, 2014 and March 31, 2015 reported to the National Drug Treatment Monitoring System (n = 3812). The primary outcome was successful completion of treatment within 12 months of commencement, with no re-presentation (SCNR) in the subsequent six months, analysed by multi-level, mixed effects, multivariable logistic regression.ResultsThe majority (70%, n = 2682) received IW in their index treatment journey; one-quarter (24%, n = 915) received RR; 6% (n = 215) received both. Of treatment leavers, 59% achieved the SCNR outcome (IW: 57%; RR: 64%; IW/RR: 57%). Positive outcome for IW was associated with older age, being employed, and receiving community-based treatment prior to and subsequent to IW. Patients with housing problems were less likely to achieving the outcome. Positive outcome for RR was associated with paid employment, self/family/peer referral, longer duration of RR treatment, and community-based treatment following discharge. Community-based treatment prior to entering RR, and receiving IW during the same treatment journey as RR, were associated with lower likelihood of SCNR.ConclusionsIn this first national effectiveness study of AUD in the English public treatment system for alcohol-use disorders, 59% of patients successfully completed treatment within 12 months and did not represent for more treatment within six months. Longer duration of treatment and provision of structured continuing care is associated with better treatment outcomes.

U2 - 10.1016/j.jsat.2018.02.001

DO - 10.1016/j.jsat.2018.02.001

M3 - Article

VL - 88

SP - 1

EP - 8

JO - Journal of Substance Abuse Treatment

JF - Journal of Substance Abuse Treatment

SN - 0740-5472

ER -

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