Oncotarget

Research Papers:

Evaluation of a community-based integrated heroin addiction treatment model in Chinese patients

Hong-He Zhang, Lin-Xiang Tan, Wei Hao and Qi-Jian Deng _

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Oncotarget. 2017; 8:54046-54053. https://doi.org/10.18632/oncotarget.18681

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Abstract

Hong-He Zhang1,2, Lin-Xiang Tan1, Wei Hao1 and Qi-Jian Deng1

1 Mental Health Institute of the Second Xiangya Hospital, Central South University, The China National Clinical Research Center for Mental Health Disorders, National Technology Institute of Psychiatry, Key Laboratory of Psychiatry and Mental Health of Hunan Province, Changsha, Hunan, China

2 Xiamen Xianyue Hospital, Xiamen Mental Health Center, Xiamen, Fujian, China

Correspondence to:

Qi-Jian Deng, email:

Keywords: heroin dependence, social psychological intervention, seamless connection, relapse prevention, model study

Received: April 03, 2017 Accepted: May 31, 2017 Published: June 27, 2017

Abstract

In this study, we analyzed the efficacy and feasibility of a community-based integrated heroin addiction treatment model in Chinese patients. The 210 heroin addicts belonging to six Chinese communities received an integrated biopsychosocial intervention that included pharmacological treatment, counseling and social assistance. High proportions of study participants were retained at the 12-month (91.9%; 193/210) and 24-month (88.1%; 185/210) follow-up visits. The number of morphine-positive subjects declined from 61.4% at baseline to 36.2% and 30.5% (Q=52.01; P<0.001) after 12 and 24 months, respectively. The crime rate decreased from 32.4% at baseline to 2.2% and 1.6% (Q=7.84; P<0.001) after 12 and 24 months, respectively. The number of patients that were employed increased from 24.3% at baseline to 37.8% and 50.8% after 12 and 24 months, respectively (Q=41.68; P<0.001). Addiction-related issues and mental health status improved according to Addiction Severity Index (ASI) and Symptom Checklist-90 (SCL-90). We therefore conclude that this community-based, integrated heroin addiction treatment model is highly feasible with high treatment retention, reduced drug use, a lower crime rate, improved health and increased employment.


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