Mental health and substance use characteristics of flight attendants versus other clients in residential treatment

2010 ◽  
Vol 3 (1) ◽  
pp. 25-37 ◽  
Author(s):  
E. Gail Horton ◽  
Naelys Diaz ◽  
John McIlveen ◽  
Michael Weiner ◽  
Don Mullaney
2021 ◽  
Vol 1 (6) ◽  
Author(s):  
Khai Tran ◽  
Sarah McGill

Moderate to weak evidence suggests that patients with substance use disorders who received residential treatment were more likely than outpatients to complete treatment and be considered abstinent. Comparisons between residential treatment and outpatient programs for other outcomes were unclear. Strong- to weak-quality evidence showed that residential treatment services for patients with substance use disorders was effective in improving various outcomes including substance use, social, criminal activity, and mental health outcomes. However, residential treatment was likely associated with poorest survival outcomes after discharge compared to other treatments. Managed alcohol programs in hospital settings appeared to be effective and safe in preventing and treating alcohol withdrawal syndrome in surgical patients, trauma patients, or hospitalized patients. The level of evidence was not assessed. There was evidence that managed alcohol programs in community settings improved drinking patterns, alcohol-related harm, criminal activity, mental health, and social and physical well-being. The level of evidence was not assessed. The American Society of Addiction Medicine clinical practice guideline provides recommendations for the identification and management of alcohol withdrawal in inpatient and ambulatory settings. Patients’ current signs and symptoms, levels of risk for developing severe or complicated withdrawal or complications of withdrawal, and other dimensions should be taken into consideration in the assessment process to determine the appropriate level of care. Strength of recommendations was not assessed. The Canadian Coalition for Seniors’ Mental Health recommends that patients with cannabis use disorder should be considered for residential treatment if they are unable to effectively reduce or cease their cannabis use (level of evidence: Low; strength of recommendation: Strong).


2016 ◽  
Vol 5 (6) ◽  
pp. 53 ◽  
Author(s):  
Siobhan Morse ◽  
Brian E. Bride

Objective: The purpose of this study was to examine the impact of residential, integrated treatment for co-occurring substance use and mental health disorders on healthcare utilization and costs. More specifically, we compared pre- and post-treatment utilization of emergency room (ER) services and hospital stays for medical, mental health, and substance use problems.Methods: Data from 1,394 patients who attended private, residential treatment for co-occurring disorders and participated in follow-up data collection at 6 months were analyzed using chi-square and t-tests to evaluate what changes, if any, occurred preand post-treatment in regard to ER and hospital overnight utilization.Results: Significant reductions in the number ER visits and overnight stays were realized across the three services domains examined: medical, mental health and substance use.Conclusions: Private, residential treatment for substance use and mental health disorder can support an overall reduction in the utilization and costs of acute care services such as ER visits and hospital overnight stays.


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