Introduction: In Italy, 6 months of abstinence from alcohol/substances are required before OLT, evidence for this recommendation remaining controversial. No standard approach linking abstinence duration at the index psychiatric pre-OLT evaluation to referral to Community Services is followed. Aims: To report data of the Modena Consultation-Liaison Psychiatric Service (MCLPS) for pre-OLT patients with Substance Use Disorders (SUDs), and to evaluate patients’ concordance with referrals. Methods: Case-control study. Data source: database of MCLPS. Psychiatric evaluations pre-OLT from 01/01/2008 to 31/12/2013 were extracted. Patients were controls if they had a SUD and abstinent for more than 6 months; cases if they had a SUD with less than 6 months of abstinence. Chi-squared analysis was performed with STATA 13.0. Results: 515 consultations were requested for 309 pre-OLT patients, 36.3% (N=112) of patients had a current or past SUD. Controls were 80 (71.3%), while cases - who had stopped use less than 6 months before the consultation, or were still using- were 20 (17.9%). 52.5% of controls (N=42) and 85.0% of cases (N=17) were referred to community services (Chi 5.71; p=0.02). 70.0% of cases (N=14) and 33.6% of controls (N=27) were seen at least twice (Chi 7.22; p=0.01). 16.7% (N=2) of cases and 23.5 % (N=4) of controls referred to community services reported concordance with Consultant’s recommendation at reassessment, a non-significant difference with cases (Chi 0.00; p=1.00). Conclusions: Consistently with previously research in this field, no difference of concordance with recommendations emerged between patients with SUD with different duration of abstinence.

Psychiatric consultations in pre-orthoptic liver transplantation patients with substance use disorders: focus on timing of cessation and referral and retention by community service / Reggianini, Corinna; Moscara, Maria; Ferrari, Silvia; Laghi, A; Mattei, Giorgio; Piemonte, Chiara; Rigatelli, Marco; Galeazzi, Gian Maria. - In: EUROPEAN PSYCHIATRY. - ISSN 0924-9338. - ELETTRONICO. - 30 (supp. 1):(2015), pp. 490-490. (Intervento presentato al convegno 23rd Annual Congress EPA tenutosi a Vienna nel 28-31 Marzo 2015) [10.1016/S0924-9338(15)30386-2].

Psychiatric consultations in pre-orthoptic liver transplantation patients with substance use disorders: focus on timing of cessation and referral and retention by community service

Reggianini, Corinna;MOSCARA, MARIA;FERRARI, Silvia;Mattei, Giorgio;PIEMONTE, CHIARA;RIGATELLI, Marco;GALEAZZI, Gian Maria
2015

Abstract

Introduction: In Italy, 6 months of abstinence from alcohol/substances are required before OLT, evidence for this recommendation remaining controversial. No standard approach linking abstinence duration at the index psychiatric pre-OLT evaluation to referral to Community Services is followed. Aims: To report data of the Modena Consultation-Liaison Psychiatric Service (MCLPS) for pre-OLT patients with Substance Use Disorders (SUDs), and to evaluate patients’ concordance with referrals. Methods: Case-control study. Data source: database of MCLPS. Psychiatric evaluations pre-OLT from 01/01/2008 to 31/12/2013 were extracted. Patients were controls if they had a SUD and abstinent for more than 6 months; cases if they had a SUD with less than 6 months of abstinence. Chi-squared analysis was performed with STATA 13.0. Results: 515 consultations were requested for 309 pre-OLT patients, 36.3% (N=112) of patients had a current or past SUD. Controls were 80 (71.3%), while cases - who had stopped use less than 6 months before the consultation, or were still using- were 20 (17.9%). 52.5% of controls (N=42) and 85.0% of cases (N=17) were referred to community services (Chi 5.71; p=0.02). 70.0% of cases (N=14) and 33.6% of controls (N=27) were seen at least twice (Chi 7.22; p=0.01). 16.7% (N=2) of cases and 23.5 % (N=4) of controls referred to community services reported concordance with Consultant’s recommendation at reassessment, a non-significant difference with cases (Chi 0.00; p=1.00). Conclusions: Consistently with previously research in this field, no difference of concordance with recommendations emerged between patients with SUD with different duration of abstinence.
2015
30 (supp. 1)
490
490
Reggianini, Corinna; Moscara, Maria; Ferrari, Silvia; Laghi, A; Mattei, Giorgio; Piemonte, Chiara; Rigatelli, Marco; Galeazzi, Gian Maria
Psychiatric consultations in pre-orthoptic liver transplantation patients with substance use disorders: focus on timing of cessation and referral and retention by community service / Reggianini, Corinna; Moscara, Maria; Ferrari, Silvia; Laghi, A; Mattei, Giorgio; Piemonte, Chiara; Rigatelli, Marco; Galeazzi, Gian Maria. - In: EUROPEAN PSYCHIATRY. - ISSN 0924-9338. - ELETTRONICO. - 30 (supp. 1):(2015), pp. 490-490. (Intervento presentato al convegno 23rd Annual Congress EPA tenutosi a Vienna nel 28-31 Marzo 2015) [10.1016/S0924-9338(15)30386-2].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11380/1078763
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