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10.1016/j.jsat.2021.108303

http://scihub22266oqcxt.onion/10.1016/j.jsat.2021.108303
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34016295!8065063!34016295
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suck abstract from ncbi


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pmid34016295      J+Subst+Abuse+Treat 2021 ; 125 (ä): 108303
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  • A real-world ten-week follow-up of the COVID outbreak in an outpatient drug clinic in Salamanca (Spain) #MMPMID34016295
  • Aguilar L; Vicente-Hernandez B; Remon-Gallo D; Garcia-Ullan L; Valriberas-Herrero I; Macia-Casas A; Perez-Madruga A; Garzon MA; Alvarez-Navares A; Roncero C
  • J Subst Abuse Treat 2021[Jun]; 125 (ä): 108303 PMID34016295show ga
  • OBJECTIVE: To compare over ten weeks the number of relapses, hospital admissions, calls made, admissions to therapeutic communities, face-to-face visits, treatment adjustment, number of injectables administered, and number of emergencies attended due to emotional and behavioral alterations and/or substance use disorder, and to describe and quantify social emergencies in an outpatient drug clinic (ODC) in Salamanca (Spain) from March 16, 2020, to May 22, 2020. METHODS: This is an ecological study of the COVID pandemic over ten weeks. The study examines the set of alcohol or other drug-dependent or dual disorder patients in the population of Salamanca, Spain. The measurements were: professionals; calls made; percentage of successful calls; face-to-face visits; first visits made; reviews made; techniques; injectable treatments; other treatments; evolution; relapses. The ODC includes about 375 new patients each year and another 650 other patients annually. RESULTS: The study found the number of relapses to be greater in the last five weeks of the 10-week study period. Patients' psychopathological instability also increased, and face-to-face visits were necessary. The most frequent psychopathology that required face-to-face intervention was depressive disorder. The number of interventions with patients increased. In parallel, social workers' efforts were greater after the seventh week. There was a decrease in response to calls. Throughout this time, the ODC attended to patients who needed to be treated for the first time. CONCLUSIONS: Confinement due to the coronavirus pandemic generated maladaptive emotional responses and other behaviors, such as excessive alcohol consumption. The number of face-to-face consultations, admissions, and referrals to therapeutic communities increased. Patients under stress and in social isolation resorted more often to substance use. The ODC had to adopt a flexible approach to evaluate patients with more serious problems, by using face-to-face assessments.
  • |*Disease Outbreaks[MESH]
  • |*Substance Abuse Treatment Centers[MESH]
  • |COVID-19/*epidemiology[MESH]
  • |Follow-Up Studies[MESH]
  • |Humans[MESH]
  • |Mental Health[MESH]
  • |Outpatients/*psychology[MESH]
  • |Psychopathology[MESH]
  • |Spain/epidemiology[MESH]


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