BACKGROUND: The dropout rate from the treatment of patients with substance use disorders (SUD) negatively affects overall treatment outcomes. Little is known about the specific role of various psychiatric and psychosocial factors in the individual patients. Limited data is available in regards to mindset and addiction treatment, giving the opportunity of testing such interventions in the future.

AIM: To identify the key psychological, psychosocial, and other treatment related factors in the patients from the inpatient substance use treatment with addiction who have dropped out of the program...

Актуальность: Проблемы с физическим здоровьем часто встречаются у людей, получающих лечение опиоидными агонистами (ОАТ). В период с 2010 по 2019 гг. в Чешской Республике и Норвегии было проведено исследование, посвященное этим проблемам со здоровьем у пациентов с ОАТ, с акцентом на гендерные различия.

Методы: В данном исследовании это было популяционное когортное исследование, которое связало несколько медицинских записей для изучения физических заболеваний (с использованием кодов МКБ-10) у пациентов, получавших ОАТ в Чешской Республике (4 280 пациентов) и Норвегии (11 389 пациентов) в период...

BACKGROUND: Implementing quality measurement is still a challenge in the field of drug treatment and harm reduction. In this case study, we investigate which strategies can be used to enhance the implementation of a policy in which quality indicators are made public.

METHODS: Building on an evidence-based methodology, this case study shows how an organisation in Flanders – the Flemish Institute for Quality of Care – develops quality indicators along with its strategies to implement the measurement of the indicators.

RESULTS: The study shows three types of quality indicators in the field of...

INTRODUCTION: In the favourable political climate of the mid-2010s, the standards for Assessment & Selection of Prevention programmes Issued from the Review of EDPQS (ASPIRE) were developed to support project planning in drug prevention.

METHODS: This case study is a narrative from the main coordinator responsible for drafting this quality assurance material.

RESULTS: The framework that led to the creation of the ASPIRE standards is described. The production process is then explained and, thereby, the 12 ASPIRE standards resulting from it are presented. These quality standards and their...

BACKGROUND: Coolmine’s implementation of quality standards involves a period of change management, strategic planning, and national policy development.

METHODS: A narrative case study focusing on national policy and internal strategic planning.

CONCLUSIONS: From 2000, Coolmine embarked on a change management journey that kept the organisation at the forefront of drug and alcohol treatment in Ireland and internationally while maintaining fidelity to the Therapeutic Community. The strategy for quality assurance is replicable across similar organisations.

ВВЕДЕНИЕ: Кипрское национальное управление по борьбе с зависимостями (NAAC) является основным координирующим органом по всем вопросам, связанным с законными и запрещенными веществами, а также патологическими азартными играми на Кипре, и оно отвечает, среди прочего, за лицензирование, оценку, финансирование (где это возможно), координацию и укрепление всех программ, действий и деятельности, связанных с психоактивными веществами и азартными играми. Лицензирование и финансирование основываются на выполнении определенных критериев и определенном уровне качества.

МЕТОДЫ: Описан процесс, который...

BACKGROUND: The implementation of quality standards in the treatment of substance use disorders in Lithuania is not well documented in the literature. AIMS: To describe the process of the development of quality standards from grassroots initiatives to their integration into mainstream healthcare under the leadership of the Ministry of Health.

METHODS: Narrative review of retrieved documents, including related legal acts, followed by a subsequent content analysis.

RESULTS: The implementation was divided into three stages characterised by specific activities, leading stakeholders, and the...

BACKGROUND: The abuse of psychoactive prescription drugs has become increasingly common in the Czech Republic. These drugs include sedatives, hypnotics, anxiolytics (benzodiazepines and Z-hypnotics), and opioids. Patients with an addiction to these prescription drugs exhibit symptoms associated with long-term use, particularly psychological and somatic problems, sleep disturbances, impaired cognitive functioning, and irritability. There is a need for a flexible response to their needs.

AIMS: The aim of the research is to describe selected psychological symptoms and the quality of life of...

This article provides reflection on the potential application of Bion’s model of basic assumption groups in patients undergoing midterm inpatient addiction treatment. The clinical implications are discussed in terms of the usability of Bion’s model and its possible benefits for patients in regimen addiction treatment, as well as the pitfalls associated with its application in this treatment modality. Despite the highly theoretical nature of this model, clinical experience to date confirms that analysis of the underlying assumptions and associated protomental patterns can provide valuable...