L K Bald1, M Schouler-Ocak2, S Penka2, N Schoofs2, T Häbel2, F Bermpohl2, S Gutwinski2. 1. Klinik für Psychiatrie und Psychotherapie, St. Hedwig-Krankenhaus, Charité - Universitätsmedizin Berlin, Campus Mitte, Große Hamburger Str. 5-11, 10115, Berlin, Deutschland. lena-karoline.bald@charite.de. 2. Klinik für Psychiatrie und Psychotherapie, St. Hedwig-Krankenhaus, Charité - Universitätsmedizin Berlin, Campus Mitte, Große Hamburger Str. 5-11, 10115, Berlin, Deutschland.
Abstract
BACKGROUND: No regional analyses regarding opioid-dependent patients in maintenance treatment with a migration background have so far been performed in German-speaking countries. OBJECTIVES: This study examined patients with and without a migration background regarding socioeconomic parameters, characteristics of dependency and attitude towards opiate maintenance treatment (OMT). MATERIAL AND METHODS: From May to October 2011 patients in OMT from all of the 20 psychiatry clinics and 110 physician practices in Berlin with a licence to provide OMT were included in this analysis. RESULTS: Out of the 986 participating patients, 956 gave information on migration background and of these, 204 (21.3 %) originated from a country other than Germany. Compared to patients without a migration background, their participation in a maintenance program was significantly shorter and they more often expressed a desire to end OMT and wanted a limited duration of OMT. CONCLUSION: The differences regarding duration of OMT and the wish to end OMT can reflect a stronger desire for abstinence and a different attitude towards maintenance treatment of patients with a migration background.
BACKGROUND: No regional analyses regarding opioid-dependent patients in maintenance treatment with a migration background have so far been performed in German-speaking countries. OBJECTIVES: This study examined patients with and without a migration background regarding socioeconomic parameters, characteristics of dependency and attitude towards opiate maintenance treatment (OMT). MATERIAL AND METHODS: From May to October 2011 patients in OMT from all of the 20 psychiatry clinics and 110 physician practices in Berlin with a licence to provide OMT were included in this analysis. RESULTS: Out of the 986 participating patients, 956 gave information on migration background and of these, 204 (21.3 %) originated from a country other than Germany. Compared to patients without a migration background, their participation in a maintenance program was significantly shorter and they more often expressed a desire to end OMT and wanted a limited duration of OMT. CONCLUSION: The differences regarding duration of OMT and the wish to end OMT can reflect a stronger desire for abstinence and a different attitude towards maintenance treatment of patients with a migration background.
Authors: Stefan Gutwinski; Lena Karoline Bald; Andreas Heinz; Christian A Müller; Ane Katrin Schmidt; Corinde Wiers; Felix Bermpohl; Jürgen Gallinat Journal: Dtsch Arztebl Int Date: 2013-06-10 Impact factor: 5.594
Authors: Lena Karoline Bald; Felix Bermpohl; Andreas Heinz; Jürgen Gallinat; Stefan Gutwinski Journal: J Addict Med Date: 2013 Nov-Dec Impact factor: 3.702