RESUMO
This article focuses on differences and similarities between heroin addicts in the community and in three types of treatment and a model for help-seeking. Data were collected with the Addiction Severity Index (ASI). Analyses concentrated on severity of problems, concern regarding the problems, and need for help. The results indicate that differences exist across the groups. Psychological and social problems were more frequently reported by addicts applying for inpatient treatment. Occupational, health, and legal problems appeared not to be triggers for seeking professional help.
Assuntos
Serviços Comunitários de Saúde Mental , Dependência de Heroína/reabilitação , Motivação , Aceitação pelo Paciente de Cuidados de Saúde , Problemas Sociais/psicologia , Adulto , Assistência Ambulatorial , Tomada de Decisões , Feminino , Dependência de Heroína/psicologia , Humanos , Masculino , Metadona/uso terapêutico , Países Baixos , Admissão do Paciente , Meio Social , Comunidade Terapêutica , Resultado do TratamentoRESUMO
Different instruments are used in clinical practice to assess comorbid psychopathology in addicted individuals. This study is aimed at comparing two of those instruments. In total, 327 heroin- and methadone-addicted individuals were interviewed in three treatment settings and outside treatment. Instruments used are the Addiction Severity Index (ASI) and the Composite International Diagnostic Interview (CIDI). The former instrument results in a general measure of severity of psychopathology, while the latter results in categorical DSM-III-R diagnoses. A comparison of the results show, however, that the two types of data do not agree to a large extent. By using the DSM-III-R data as golden standard, it appeared that a part of the psychopathology cases was missed out by the ASI severity measures. The results, that are especially of interest for clinicians using the ASI, are presented for various disorders.
