0000000000266984

AUTHOR

ØIstein Kristensen

showing 6 related works from this author

Readiness to change among involuntarily and voluntarily admitted patients with substance use disorders

2019

AbstractBackgroundHealth care workers in the addiction field have long emphasised the importance of a patient’s motivation on the outcome of treatments for substance use disorders (SUDs). Many patients entering treatment are not yet ready to make the changes required for recovery and are often unprepared or sometimes unwilling to modify their behaviour. The present study compared stages of readiness to change and readiness to seek help among patients with SUDs involuntarily and voluntarily admitted to treatment to investigate whether changes in the stages of readiness at admission predict drug control outcomes at follow-up.MethodsThis prospective study included 65 involuntarily and 137 volu…

AdultMalemedicine.medical_specialtylcsh:Social pathology. Social and public welfare. CriminologyAdolescentSubstance-Related Disordersmedia_common.quotation_subject030508 substance abuseMandatory ProgramsSubstance use disorderlcsh:HV1-9960Young Adult03 medical and health sciences0302 clinical medicineDrug controlHealth careHumansMedicineProspective Studies030212 general & internal medicineProspective cohort studyTreatment motivationmedia_commonMotivationVDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin sosialmedisin: 801Norwaybusiness.industryResearchHealth PolicyAddictionPublic healthlcsh:Public aspects of medicinelcsh:RA1-1270Middle AgedPatient Acceptance of Health CareAbstinencemedicine.diseaseInvoluntary admission to treatmentSubstance abusePsychiatry and Mental healthHealth psychologyFamily medicineFemale0305 other medical sciencebusinessSubstance Abuse Treatment, Prevention, and Policy
researchProduct

Mental distress following inpatient substance use treatment, modified by substance use; comparing voluntary and compulsory admissions

2017

Background Treatment services to patients with substance use disorders (SUDs), including those mandated to treatment, needs to be evaluated and evidence based. The Norwegian Municipal Health Care Act (NMHCA) calls for compulsory treatment for persons with “severe and life-threatening substance use disorder” if these individuals are not otherwise willing to be voluntarily treated and consequently risk their lives over drug use. Mental distress is known to be high among SUD patients admitted to inpatient treatment. The purpose of this study is to describe changes in mental distress from admission to a 6-month follow-up in patients with SUDs, which underwent either voluntary or compulsory trea…

AdultMalemedicine.medical_specialtyEvidence-based practiceMental distressSubstance-Related DisordersSeverity of Illness Index03 medical and health sciencesMental distress0302 clinical medicineSeverity of illnessmedicinefollow-upHumans030212 general & internal medicineProspective StudiesPsychiatryProspective cohort studyDepression (differential diagnoses)Substance use disordersPsychiatric Status Rating ScalesInpatientsbusiness.industryNorwayMental DisordersHealth PolicyPatient Acceptance of Health Caremedicine.diseaseCompulsory admission030227 psychiatrySubstance abuseHospitalizationDistressTreatment OutcomeCommitment of Mentally IllFemalebusinessSomatizationStress PsychologicalResearch ArticleFollow-Up StudiesBMC Health Services Research
researchProduct

Improved drug-use patterns at 6 months post-discharge from inpatient substance use disorder treatment: Results from compulsorily and voluntarily admi…

2016

Background Treatment services to patients with substance use disorders (SUDs), including those mandated to treatment, needs to be evaluated and evidence based. The Norwegian Municipal Health Care Act calls for mandated treatment for persons with “severe and life-threatening substance use disorder” if these individuals are not otherwise willing to be voluntarily treated and consequently risk their lives over drug use. This study aims to examine substance use–related outcomes at 6 months following inpatient treatment and to analyse factors associated with improved outcomes and abstinence. Method This prospective study followed 202 hospitalized patients with SUD who were admitted voluntarily (…

AdultMaleDrugmedicine.medical_specialtyEvidence-based practiceSubstance-Related DisordersCompulsory treatmentmedia_common.quotation_subject030508 substance abuseMandatory ProgramsSubstance use disorderMedication Adherence03 medical and health sciences0302 clinical medicineInternal medicineHealth caremedicineHumansProspective Studies030212 general & internal medicinePsychiatryAmphetamineProspective cohort studymedia_commonInpatientsNorwaybusiness.industryPublic healthHealth PolicyAbstinencemedicine.diseasePatient DischargeHospitalizationSubstance abuseTreatment OutcomeRegression AnalysisFemale0305 other medical sciencebusinessResearch Articlemedicine.drug
researchProduct

Perceived coercion to enter treatment among involuntarily and voluntarily admitted patients with substance use disorders

2016

Background Perceived coercion is a sense of pressure related to the experience of being referred to treatment. The sense of pressure arises from the patient’s internal perception of coercion. The sources of coercion may be the legal system, the family, the health system, or self-criticism (internal sources). Here, we studied patients diagnosed with substance use disorders that were involuntarily admitted to hospital, pursuant to a social services act. We sought to determine whether these patients perceived coercion differently than patients that were admitted voluntarily. Methods This study included patients admitted to combined substance use disorder and psychiatry wards in three publicly …

AdultMaleSocial Workmedicine.medical_specialtySubstance-Related DisordersCoercionmedia_common.quotation_subjectPerceived coercion030508 substance abusePsychiatric Department HospitalCoercionSubstance use disorderbehavioral disciplines and activitiesHealth administration03 medical and health sciencesPatient Admission0302 clinical medicineSurveys and QuestionnairesmedicineHumansPsychiatrymedia_commonNorwaybusiness.industryMental Disorderslcsh:Public aspects of medicineHealth PolicyNursing researchPublic healthInvoluntary admissionlcsh:RA1-1270social sciencesMiddle Agedmedicine.disease030227 psychiatryTest (assessment)HospitalizationSubstance abuseFeelingbehavior and behavior mechanismsCommitment of Mentally IllFemalePerception0305 other medical sciencebusinessResearch ArticlePsychopathology
researchProduct

Quality of life improved following in-patient substance use disorder treatment

2015

Background Quality of life (QoL) is increasingly recognized as central to the broad construct of recovery in patients with substance use disorders (SUD). However, few longitudinal studies have evaluated changes in QoL after SUD treatment and included patients with SUD that were compulsorily hospitalized. This study aimed to describe QoL among in-patients admitted either voluntarily or compulsorily to hospitalization and to examine patterns and predictors of QoL at admission and at 6 months post treatment. Methods This prospective study followed 202 hospitalized patients with SUD that were admitted voluntarily (N=137) or compulsorily (N=65). A generic QoL questionnaire (QoL-5) was used to as…

Quality of lifeAdultMaleSubstance-Related DisordersResearchHealth StatusPublic Health Environmental and Occupational HealthSubstance use disorder treatmentTreatment outcomesCompulsory hospitalizationMiddle AgedhumanitiesSex FactorsTreatment OutcomeSurveys and QuestionnairesHumansFemaleLongitudinal StudiesProspective StudiesFollow-Up StudiesHealth and Quality of Life Outcomes
researchProduct

Additional file 1: of Perceived coercion to enter treatment among involuntarily and voluntarily admitted patients with substance use disorders

2016

30-Item Perceived Coercion Questionnaire. Description: List of questions in the Perceived Coercion Questionnaire, and the alterations applied for the present study. (DOCX 90 kb)

researchProduct