Nervenarzt
Volume 87, Issue 5, 2016, Pages 521-527

Maintenance treatment in opioid-dependent patients with migration background [Opioidsubstitution bei heroinabhängigen Patienten mit Migrationshintergrund] (Article)

Bald L.K.* , Schouler-Ocak M. , Penka S. , Schoofs N. , Häbel T. , Bermpohl F. , Gutwinski S.
  • a Klinik für Psychiatrie und Psychotherapie, St. Hedwig-Krankenhaus, Charité - Universitätsmedizin Berlin, Campus Mitte, Große Hamburger Str. 5–11, Berlin, 10115, Germany
  • b Klinik für Psychiatrie und Psychotherapie, St. Hedwig-Krankenhaus, Charité - Universitätsmedizin Berlin, Campus Mitte, Große Hamburger Str. 5–11, Berlin, 10115, Germany
  • c Klinik für Psychiatrie und Psychotherapie, St. Hedwig-Krankenhaus, Charité - Universitätsmedizin Berlin, Campus Mitte, Große Hamburger Str. 5–11, Berlin, 10115, Germany
  • d Klinik für Psychiatrie und Psychotherapie, St. Hedwig-Krankenhaus, Charité - Universitätsmedizin Berlin, Campus Mitte, Große Hamburger Str. 5–11, Berlin, 10115, Germany
  • e Klinik für Psychiatrie und Psychotherapie, St. Hedwig-Krankenhaus, Charité - Universitätsmedizin Berlin, Campus Mitte, Große Hamburger Str. 5–11, Berlin, 10115, Germany
  • f Klinik für Psychiatrie und Psychotherapie, St. Hedwig-Krankenhaus, Charité - Universitätsmedizin Berlin, Campus Mitte, Große Hamburger Str. 5–11, Berlin, 10115, Germany
  • g Klinik für Psychiatrie und Psychotherapie, St. Hedwig-Krankenhaus, Charité - Universitätsmedizin Berlin, Campus Mitte, Große Hamburger Str. 5–11, Berlin, 10115, Germany

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. © 2015, Springer-Verlag Berlin Heidelberg.

Author Keywords

Migration background Understanding of dependency Opioid maintenance therapy Abstinence Opioid dependency

Index Keywords

Germany comprehension Long-Term Care long term care human middle aged statistics and numerical data heroin dependence opiate Aged opiate substitution treatment Temperance ethnology maintenance therapy Patient Education as Topic Young Adult Humans migrant psychology Adolescent male Emigrants and Immigrants female socioeconomics opiate addiction patient education Article major clinical study adult migration alcohol abstinence health literacy Berlin
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84937906224&doi=10.1007%2fs00115-015-4386-6&partnerID=40&md5=a11b6a48bba0a21d89ca9791c3b79980
DOI: 10.1007/s00115-015-4386-6
ISSN: 00282804
Cited by: 1
Original Language: German