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Dropout Reasons in an Intensive Outpatient Treatment for Substance Use Disorders. Reflections on New Treatment
Gustavo Irazoqui1, Rafael Groisman2, Isis Gruccos3
1Magíster en terapia cognitivo conductual de las adicciones, Psicoterapeuta del Dispositivo Pavlovsky, Ciudad Autónoma de Buenos Aires, Argentina. irazoquigustavo@gmail.com.
Introduction:
There are scarce studies about why patients dropout addiction treatments.
Methods:
A mixed analysis about data from 55 patients who discontinued an intensive outpatient approach between June 2019 and November 2021 and their responses to a questionnaire were evaluated.
Results:
The dropout rate was 29.2%, with a median [95% CI] of 113 days [47-255]. Of the total, 40/55 responded to the questionnaire, 12.5% reported an increase in use and 75% were under mental health treatment. The main reason for dropout was personal, related to ambivalence and the perception of not having a problem. Reasons associated with the program approach included global abstinence and group therapy.
Conclusions:
Admission strategies, diversification of proposals and inclusion of bond therapy could improve the effectiveness of outpatient addiction programs.
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