Risk factors for AMA discharge from VA inpatient alcoholism treatment programs
dc.contributor.author | Loveland Cook, Cynthia A. | en_US |
dc.contributor.author | Booth, Brenda M. | en_US |
dc.contributor.author | Blow, Frederic C. | en_US |
dc.contributor.author | McAleenan, Kathleen A. | en_US |
dc.contributor.author | Bunn, Janice Y. | en_US |
dc.date.accessioned | 2006-04-10T18:11:06Z | |
dc.date.available | 2006-04-10T18:11:06Z | |
dc.date.issued | 1994 | en_US |
dc.identifier.citation | Loveland Cook, Cynthia A., Booth, Brenda M., Blow, Frederic C., McAleenan, Kathleen A., Bunn, Janice Y. (1994)."Risk factors for AMA discharge from VA inpatient alcoholism treatment programs." Journal of Substance Abuse Treatment 11(3): 239-245. <http://hdl.handle.net/2027.42/31610> | en_US |
dc.identifier.uri | http://www.sciencedirect.com/science/article/B6T90-460XJCW-34/2/5b71f96756c02d55a9a382cdfad00073 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/31610 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=8072052&dopt=citation | en_US |
dc.description.abstract | This study was designed to identify those risk factors associated with discharge from inpatient alcoholism treatment against medical advice (AMA) and the underlying reasons for these discharges. Data on the characteristics of patients and their index hospitalization were obtained from the systematic review of medical records for 186 alcoholics who were discharged AMA and 201 alcoholics who completed treatment. Comorbid medical diagnosis reduced the risk of AMA discharge by one quarter, whereas court referral to treatment reduced the risk by one half. A college education, vocational or other training, being employed, and having a history of previous AMA discharges significantly increased the risk. The most common reasons for AMA discharge, as perceived by treatment providers, were psychosocial problems, difficulties in the treatment program, and lack of interest in treatment. The clinical implications of these findings for the inpatient treatment of alcoholics are discussed. | en_US |
dc.format.extent | 799379 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.language.iso | en_US | |
dc.publisher | Elsevier | en_US |
dc.title | Risk factors for AMA discharge from VA inpatient alcoholism treatment programs | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Psychology | en_US |
dc.subject.hlbsecondlevel | Psychiatry | en_US |
dc.subject.hlbtoplevel | Social Sciences | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | University of Michigan Alcohol Research Center, Department of Psychiatry, Ann Arbor, Michigan, USA | en_US |
dc.contributor.affiliationother | George Warren Brown School of Social Work, Washington University, St. Louis, Missouri, USA | en_US |
dc.contributor.affiliationother | Center for Health Services Research, University of Iowa, Iowa City, Iowa, USA | en_US |
dc.contributor.affiliationother | George Warren Brown School of Social Work, Washington University, St. Louis, Missouri, USA | en_US |
dc.contributor.affiliationother | Center for Health Services Research, University of Iowa, Iowa City, Iowa, USA | en_US |
dc.identifier.pmid | 8072052 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/31610/1/0000540.pdf | en_US |
dc.identifier.doi | http://dx.doi.org/10.1016/0740-5472(94)90081-7 | en_US |
dc.identifier.source | Journal of Substance Abuse Treatment | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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