Home > Alcohol usage and associated treatment outcomes for opiate users entering treatment in Ireland.

Stapleton, RD and Comiskey, Catherine (2010) Alcohol usage and associated treatment outcomes for opiate users entering treatment in Ireland. Drug and Alcohol Dependence , 107 , (1) , pp. 56-61.

URL: http://dx.doi.org/10.1016/j.drugalcdep.2009.09.007

Evidence has shown that frequency and quantity of drug usage are reduced after treatment but the effect of opioid addiction treatment on alcohol consumption remains unclear. As part of the national Research Outcome Study in Ireland Evaluating drug treatment effectiveness (ROSIE, see www.nuim.ie/rosie) comprehensive drug and alcohol data on 404 opiate users were collected.

This study recruited and followed up at 1 and 3 years a prospective cohort of 404 users entering a new treatment episode. Descriptive and inferential statistics were computed and logistic modelling was used to identify key factors effecting outcomes. The cohort represented 8.2% of all new treatments. Follow-up interview rate at 3 years was 88%.

Analysis revealed that those who abstained from alcohol use at 3 years were less likely to be using heroin at 3 years than non-abstainers. In addition, those who abstained from alcohol use at 3 years were also less likely to be using methadone, benzodiazepines and cocaine at 3 years than alcohol users. Outcomes for medium and heavy drinkers were found not to be as good as alcohol abstainers. Finally males tended to reduce the frequency and level of alcohol usage after entering treatment more than females.

Results demonstrate to clinicians that an alcohol strategy is a key component of opiate treatment planning and a comprehensive and regular assessment of the client's alcohol and drug use profile is essential if treatment interventions are to have maximum impact on outcomes.


Item Type:Article
Date:February 2010
Page Range:pp. 56-61
Publisher:Elsevier Science
Volume:107
Number:1
EndNote:View
Accession Number:HRB (Electronic Only)
Subjects:HJ Treatment method > Treatment outcome
VA Geographic area > Europe > Ireland
B Substances > Opioids (opiates)
A Substance use, abuse, and dependence > Prevalence > Substance use behaviour > Alcohol consumption

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