ArticleBMC health services research2016
Improved drug-use patterns at 6 months post-discharge from inpatient substance use disorder treatment: results from compulsorily and voluntarily admitted patients.
Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Assessing HIV and overdose risks for people who use drugs exposed to compulsory drug abstinence programs (CDAP): A systematic review and meta-analysis.The International journal on drug policy · 2021Pooled it
- Substance cravings, readiness to change, and perceived social support as determinants of treatment motivation for amphetamine-type stimulant use disorder among youths in malaysian rehabilitation centers.Drug and alcohol dependence reports · 2026Article
- Ayahuasca prevents the reinstatement of cocaine-induced rewarding effects in C57Bl/6 mice.Psychopharmacology · 2025Article
- Personal Social Networks and Relapses in Women With Substance Dependence: Application of the Theory of Planned Behavior.Psychiatry investigation · 2022Article
- Role of Cannabidiol in the Therapeutic Intervention for Substance Use Disorders.Frontiers in pharmacology · 2021Review
- Digital Phenotyping to Enhance Substance Use Treatment During the COVID-19 Pandemic.JMIR mental health · 2020Article
- Secure care: a question of capacity, autonomy and the best interests of the child.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020Article
- Coercion into addiction treatment and subsequent substance use patterns among people who use illicit drugs in Vancouver, Canada.Addiction (Abingdon, England) · 2020Article
- Readiness to change among involuntarily and voluntarily admitted patients with substance use disorders.Substance abuse treatment, prevention, and policy · 2019Article
- The authors respond to comments on the use of secure care in youth.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2019Article
- Secure care: more harm than good.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2019Article
- Mental distress following inpatient substance use treatment, modified by substance use; comparing voluntary and compulsory admissions.BMC health services research · 2017Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTreatment 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.
methodThis prospective study followed 202 hospitalized patients with SUD who were admitted voluntarily (VA; n = 137) or compulsorily (CA; n = 65). The European Addiction Severity Index was used at baseline and at follow-up to assess socio-demographic and substance use variables. Regression analysis was conducted to investigate factors associated with abstinence at 6 months of follow-up.
resultsThe frequency of use of a preferred substance showed marked improvement for both VA and CA patients (61 and 37 %, respectively) at follow-up. Seventy-five percent of VA patients using amphetamine reported improvement compared to 53 % of CA patients. At follow-up, the CA group continued to have a higher rate of injection use. The CA group had experienced higher rates of overdose in the past 6 months and lower abstinence rates (24 % versus 50 %) at follow-up. A lower severity of drug use at intake (non-injection drug use), voluntary treatment modality, and higher treatment involvement during follow-up all were significant factors associated with abstinence at 6 months after treatment.
conclusionVoluntary treatment for SUD generally yielded better outcomes; nevertheless, we also found improved outcomes for CA patients. It is important to keep in mind that in reality, the alternative to CA treatment is no treatment at all and instead a continuation of life-threatening drug use behaviours. Our observed outcomes for CA patients support the continuation of CA treatment.
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