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A Journal on Internal Medicine
Indexed/Abstracted in: Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,236
Minerva Medica 2013 April;104(2):193-206
Alcohol-addiction inpatient: characteristics of patients and rehabilitation program
Zambon A. 1, Soares Pinto S. P. 1, Agostini D. 2, Aliotta F. 2, Biondini F. 3, Bizzi P. 4, Cerizza G. 5, Dattola A. 6, Forghieri M. 7, Giorgi I. 8, Girardi F. 9, Hinnenthal I. M. 10, Jaretti Sodano A. 11, Liberto L. 9, Majolino E. 12, Mioni D. 13, Movalli M. 3, Pedretti L. 7, Propato A. 6, Ranaletti P. 5, Spolaor G. 14, Vizzuso P. 11, Zucchi G. 4, Vittadini G. 15 ✉
1 Dipartimento di Statistica, Università degli Studi Milano Bicocca, Milano, Italia;
2 Casa di Cura Villa Silvia, Senigallia, Ancona, Italia;
3 Servizio per le Alcoldipendenze, Ospedale San Raffaele Turro, Milano, Italia;
4 Ospedale Privato Accreditato Villa Maria Luigia, Parma, Italia
5 Unità Operativa di Riabilitazione Alcologica, Ospedale S. Marta, Azienda Ospedaliera Ospedale Maggiore, Crema, Italia;
6 Fondazione Stella Maris Mediterraneo, Chiaromonte, Potenza, Italia;
7 Centro di Riabilitazione Alcologica Villa Rosa, Modena, Italia;
8 Servizio di Psicologia, Fondazione S. Maugeri IRCCS, Istituto Scientifico di Pavia, Pavia, Italia;
9 Unità Operativa Ospedale San Pancrazio, Istituto di Riabilitazione S. Stefano, Trento, Italia;
10 Economia e Gestione Aziende Sanitarie, Università Cattolica del Sacro Cuore, Roma, Italia;
11 Unità Operativa Alcolfarmacodipendenze Presidio Ospedaliero Fatebenefratelli, Torino, Italia;
12 Centro Terapeutico Dipendenze, Ospedale Bad Bachgart Comprensorio Sanitario, Bressanone, Italia;
13 Casa di Cura Parco dei Tigli, Padova, Italia;
14 Comunità Terapeutica Villa Soranzo, Venezia, Italia;
15 Unità Operativa Riabilitazione Alcologica, Fondazione S. Maugeri IRCCS, Istituto Scientifico di Pavia, Italia
Aim: The treatment of alcohol addiction in Italy has had a progressive evolution of therapeutic structures for in-and outpatiens. During the last 20 years there had been a crescent presence of short residential treatment facilities (1-6 months) characterized by a high level of medical and psychotherapeutic intervention. About two years ago 12 of them jointed together in an association called CORRAL (COordinamento of Residenzialità Riabilitive Alcologiche). The aim of this study was to describe the socio-demographic medical and other characteristics of the patients coming for this type of treatment and to describe the characteristics of the residential treatment itself including referring and aftercare.
Methods: Two thousand sixty-one hospitalized patients of the 12 rehabilitative alcohol units were examined by using a questionnaire and collecting various sociodemographic variables and clinical diagnosis of the patients. Even it was asked who had referred the patients, the characteristics of the residential treatment and of the planned aftercare.
Results: The present residential facilities are mainly distributed in the North of Italy. The typical patient is male, with a high school instruction and with a comorbidity regarding psychiatric and liver disorders. The majority of the patients were referred by the public ambulatory services for addictions (SerT/SerD). The characteristics of the residential treatment were medical, pharmacological and psychotherapeutic interventions with a high intensity and the presence of a general-purpose staff.
Conclusions: This study outlined a model of residential rehabilitation of alcohol disorders characterized by short duration and a complex, intense therapeutic intervention mainly addressed to patients with a severe clinical condition and a low level of social problems. Further research should be useful to understand better which sort of patient characteristics obtain a better clinical result and for that even economically a major effectiveness from this type of residential treatment.