Hostname: page-component-77c89778f8-sh8wx Total loading time: 0 Render date: 2024-07-21T19:00:30.075Z Has data issue: false hasContentIssue false

A Structured Programme for Out-patient Alcohol Detoxification

Published online by Cambridge University Press:  02 January 2018

Mark N. Collins
Affiliation:
Department of Psychiatry, St George's Hospital Medical School, Jenner Wing, Cranmer Terrace, Tooting, London SW17 0RE
Tom Burns*
Affiliation:
St George's Hospital, London
Peter A. H. Van Den Berk
Affiliation:
St George's Hospital, London
Gary F. Tubman
Affiliation:
Springfield Hospital, London
*
Department of Psychiatry, St George's Hospital Medical School, Jenner Wing, Cranmer Terrace, Tooting, London SW17 0RE

Abstract

An out-patient alcohol detoxification service based in a psychiatric emergency clinic is described. Of 173 patients referred during the first year, 76 (44%) were accepted for the programme; 60 (79%) of these successfully completed detoxification with no medical complications. Compared with previous years, during the year of operation of the service there was a 50% fall in the number of in-patient admissions for detoxification to the local hospital. We conclude that a structured out-patient detoxification programme is safe and effective, and may obviate the need for many patients to be admitted, freeing psychiatric beds for other uses.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1990 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alsen, M. (1975) Out-patient treatment of acute withdrawal states. British Journal of Addiction, 10, (suppl. 1), 5363.Google Scholar
Bjorkqvist, S.-E., Isohanni, M., Makela, R., et al (1976) Ambulant treatment of alcohol withdrawal symptoms with carbamazepine: a formal multicentre double-blind comparison with placebo. Acta Psychiatrica Scandinavica, 53, 333342.CrossRefGoogle ScholarPubMed
Butler, D. & Messiha, F. S. (1986) Alcohol withdrawal and carbamazepine. Alcohol, 3, 113129.CrossRefGoogle ScholarPubMed
Drummond, L. M. & Chalmers, L. (1986) Prescribing chlormethiazok reducing regimes in an emergency clinic. British Journal of Addiction, 81, 247250.CrossRefGoogle Scholar
Edwards, G., Orford, J., Egert, S., et al (1977) Alcoholism: a controlled trial of “treatment” and “advice”. Journal of Studies on Alcohol, 38, 10041031.CrossRefGoogle ScholarPubMed
Feldman, D. J., Pattison, E. M., Sobell, L. C., et al (1975) Outpatient alcohol detoxification: initial findings on 564 patients. American Journal of Psychiatry, 132, 407412.Google ScholarPubMed
Lim, M. H. (1983) A psychiatric emergency clinic: a study of attendances over six months. British Journal of Psychiatry, 143, 460466.CrossRefGoogle Scholar
McInnes, G. T. (1987) Chlormethiazole and alcohol: a lethal cocktail. British Medical Journal, 294, 592.CrossRefGoogle ScholarPubMed
Naranjo, C. A. & Sellers, E. M. (1986) Clinical assessment and pharmacotherapy of the alcohol withdrawal syndrome. Recent Developments in Alcohol, 4, 265281.CrossRefGoogle ScholarPubMed
Stinnett, J. L. (1982) Outpatient detoxification of the alcoholic. International Journal of Addiction, 17, 10311046.CrossRefGoogle ScholarPubMed
Stockwell, T., Hodgson, R., Edwards, G., et al (1979) The development of a questionnaire to measure severity of alcohol dependence. British Journal of Addiction, 74, 7987.Google ScholarPubMed
Stockwell, T., Murphy, D. & Hodgson, R. (1983) The severity of alcohol dependence questionnaire: its use, reliability and validity. British Journal of Addiction, 78, 145155.CrossRefGoogle ScholarPubMed
Stockwell, T., Bolt, E. & Hooper, J. (1986) Detoxification from alcohol at home managed by general practitioners. British Medical Journal, 292, 733735.CrossRefGoogle ScholarPubMed
Webb, M. & Unwin, A. (1988) The outcome of outpatient withdrawal from alcohol. British Journal of Addiction, 83, 929934.CrossRefGoogle ScholarPubMed
Submit a response

eLetters

No eLetters have been published for this article.