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Factors associated with involuntary admissions among patients with substance use disorders and comorbidity: a cross-sectional study
Sørlandet Hospital, Addiction Unit, Norway.
Sørlandet Hospital, Addiction Unit, Norway.
Stavanger University Hospital, regional Centre for Clinical Research in Psychosis.
Oslo University Hospital, Adult Addiction Treatment Unit, Centre for Addiction.
Show others and affiliations
2013 (English)In: BMC Health Services Research, ISSN 1472-6963, Vol. 13, no 57Article in journal (Refereed) Published
Abstract [en]

Background: To investigate factors associated with involuntary admissions to hospital pursuant to a social services act of patients with substance use disorder by comparing the socio-demographic characteristics, substance use, and psychiatric comorbidities with voluntarily admitted patients.

Methods: This cross-sectional study compared two groups admitted to combined substance use disorder and psychiatry wards. Sixty-five patients were involuntarily admitted pursuant to the Social Services Act and 137 were voluntarily admitted. The International Classification of Diseases and Related Health Problems was used for diagnostic purposes regarding substance use disorders, type and severity of psychiatric problems, and level of functioning. Socio-demographic variables were measured using the European Addiction Severity Index, and the Symptom Checklist-90-R instruments were used to evaluate the range of psychological problems and psychopathological symptoms. Logistic regression was performed to investigate the relationship between involuntary admissions and patients characteristics.

Results: Patients who had been involuntarily admitted were more likely to be females, had utilized public welfare services more often, presented more severe substance use patterns, and had a history of more frequent visits to physicians for somatic complaints in the last 6 months, they also had fewer comorbid mental disorders. Still, considerable burdens of comorbid substance use disorders and mental disorders were observed both among involuntary and voluntary admitted patients.

Conclusions: More attention is required for involuntarily admitted patients in order to meet the needs associated with complex and mixed disorders. In addition, treatment centers should offer diagnostic options and therapy regarding substance use, psychiatric and somatic disorders.

Place, publisher, year, edition, pages
2013. Vol. 13, no 57
Keyword [en]
Substance use disorder, Comorbidity, Involuntary admission, Mental disorders
National Category
Social Work Psychiatry Substance Abuse
Identifiers
URN: urn:nbn:se:hj:diva-17965DOI: 10.1186/1472-6963-13-57Local ID: HHJÖvrigtISOAI: oai:DiVA.org:hj-17965DiVA: diva2:516770
Available from: 2012-04-19 Created: 2012-04-19 Last updated: 2015-12-09Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
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  • Other style
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