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Related Experiment Videos

[The Basel dependence study]

U von Bardeleben1, D Ladewig, A Simon

  • 1Psychiatrische Universitätsklinik, Basel.

Therapeutische Umschau. Revue Therapeutique
|March 1, 1993
PubMed
Summary
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A study found 23% of patients had dependence syndrome, often involving sedatives. Few patients with addiction were referred to specialized treatment, suggesting a need for improved referral services.

Area of Science:

  • Psychiatry
  • Addiction Medicine
  • Public Health

Background:

  • Assessing the prevalence of dependence syndrome in outpatient settings.
  • Identifying psychotropic substance use patterns in affected patients.
  • Evaluating current referral practices for addiction treatment.

Observation:

  • A significant percentage (23%) of patients in outpatient departments and private practices met ICD-10 criteria for dependence syndrome.
  • Sedatives and hypnotics were the most commonly reported substances among patients with dependence syndrome.
  • Follow-up assessments revealed that most patients with dependence syndrome continued treatment at their initial location, with limited referrals to specialized addiction services.

Findings:

  • The study highlights a low referral rate for patients diagnosed with dependence syndrome to specialized addiction treatment centers.

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  • Continued treatment in non-specialized settings may indicate a gap in the current healthcare system's ability to manage addiction effectively.
  • Sedative and hypnotic dependence appears prevalent in this patient population.

    • Implications:

    • Implementing a decentralized, mobile consultation-liaison service could enhance referral rates to specialized addiction institutions.
    • Such a service could improve outpatient departments, hospitals, and private practices' capacity to manage patients with dependence syndrome.
    • Proactive intervention and improved referral pathways are crucial for better addiction treatment outcomes.