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Related Experiment Videos

The Manchester detoxification service. Description and evaluation.

N Kessel, B D Hore, J D Makenjuola

    Lancet (London, England)
    |April 14, 1984
    PubMed
    Summary

    Manchester

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    Area of Science:

    • Addiction Medicine
    • Public Health
    • Health Services Research

    Background:

    • Describes a purpose-built hospital-based alcohol detoxification centre in Manchester.
    • Details demographic data, drinking history, admission findings, and outcomes for 235 police referrals.
    • Notes under-utilization by police referrals, with expanded acceptance from other sources.

    Purpose of the Study:

    • To describe the service of an alcohol detoxification centre.
    • To analyze the characteristics and outcomes of police referrals.
    • To evaluate the effectiveness of the centre and inform future service provision.

    Main Methods:

    • Retrospective analysis of 235 police referrals to an alcohol detoxification centre.
    • Collection of demographic data, drinking history, admission findings, disposal arrangements, and outcome data.
    • Comparison of police referrals with those from other sources.

    Main Results:

    • Police referrals were often homeless, episodic drinkers with low incidence of severe withdrawal symptoms.
    • Many self-discharged within 24 hours; few accepted recommended treatments.
    • 1% achieved prolonged abstinence, but some had short-term abstinence and social betterment with follow-up.
    • Readmission rates were high; referrals from medical sources had more severe withdrawal symptoms.

    Conclusions:

    • Detoxification centres can be effective but require close links with specialist medical services.
    • Integration into broader alcoholism services and ongoing assessment are crucial.
    • Referrals from non-police sources were more likely to engage with treatment and achieve better outcomes.

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