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Updated: Aug 20, 2026

A Prediction Error-driven Retrieval Procedure for Destabilizing and Rewriting Maladaptive Reward Memories in Hazardous Drinkers
Published on: January 5, 2018
[Problematic consumption of addictive drugs in psychiatric rehabilitation]
Winfried Sennekamp1, Beate Basler
1Berufsakademie Villingen-Schwenningen, Studienbereich Sozialwesen, Reha-Zentrum Christiani e. V., Albbruck. Sennekamp@ba-vs.de
Objective:
Is an inferior outcome of psychiatric rehabilitation to be expected with patients who consume alcohol or addictive drugs in a problematic manner during rehabilitation treatment?
Method:
Files and final reports from patients admitted to psychiatric rehabilitation during three successive years were analyzed. Data of patients with or without problematic use of psychotropic substances were compared.
Results:
Patients with a problematic pattern of alcohol or drug consumption have a stronger propensity to quit psychiatric rehabilitation when a) using hard drugs or when b) bearing a diagnosis beyond the schizophrenia spectrum. The outcome of rehabilitation efforts of the subsample with a problematic use of drugs shows an unfavorable tendency concerning housing, but a better result in the vocational area.
Conclusions:
The problem has to be considered in a differenciated manner, which means that, in general, clients with a problematic use of alcohol or drugs should not automatically be excluded from psychiatric rehabilitation.
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