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Evaluation of a community-based integrated heroin addiction treatment model in Chinese patients
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// Hong-He Zhang 1,2 , Lin-Xiang Tan 1 , Wei Hao 1 and Qi-Jian Deng 1 1 Mental Health Institute of the Second Xiangya Hospital, Central South University, The China National Clinical Research Center for Mental Health Disorders, National Technology Institute of Psychiatry, Key Laboratory of Psychiatry and Mental Health of Hunan Province, Changsha, Hunan, China 2 Xiamen Xianyue Hospital, Xiamen Mental Health Center, Xiamen, Fujian, China Correspondence to: Qi-Jian Deng, email: // Keywords : heroin dependence, social psychological intervention, seamless connection, relapse prevention, model study Received : April 03, 2017 Accepted : May 31, 2017 Published : June 27, 2017 Abstract In this study, we analyzed the efficacy and feasibility of a community-based integrated heroin addiction treatment model in Chinese patients. The 210 heroin addicts belonging to six Chinese communities received an integrated biopsychosocial intervention that included pharmacological treatment, counseling and social assistance. High proportions of study participants were retained at the 12-month (91.9%; 193/210) and 24-month (88.1%; 185/210) follow-up visits. The number of morphine-positive subjects declined from 61.4% at baseline to 36.2% and 30.5% ( Q =52.01; P <0.001) after 12 and 24 months, respectively. The crime rate decreased from 32.4% at baseline to 2.2% and 1.6% ( Q =7.84; P <0.001) after 12 and 24 months, respectively. The number of patients that were employed increased from 24.3% at baseline to 37.8% and 50.8% after 12 and 24 months, respectively ( Q =41.68; P <0.001). Addiction-related issues and mental health status improved according to Addiction Severity Index (ASI) and Symptom Checklist-90 (SCL-90). We therefore conclude that this community-based, integrated heroin addiction treatment model is highly feasible with high treatment retention, reduced drug use, a lower crime rate, improved health and increased employment.
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In justice-involved populations, evidence-based SUD treatment is effective in reducing substance use, re-offending, and re-incarceration, and in facilitating recovery.
“In justice- involved populations, evidence- based SUD treat ment is effective in reducing substance use as well as re- offending and re- incarceration, and in facilitating recovery 343- 346 .”
From Substance use disorders: a comprehensive update of classification, epidemiology, neurobiology, clinical aspects, treatment and prevention (2023) · cites this paper as [346]
The Results (page unavailable) report reduced morphine-positive tests and a lower crime rate after community-based heroin treatment; the Discussion describes the model as promoting rehabilitation. But the Participants section identifies recruits from community treatment centers, not specifically a justice-involved population, and the paper does not report re-offending or re-incarceration outcomes. (LLM, conf=0.88)
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Metadata
- Authors
- Zhang, H.-H., Tan, L.-X., Hao, W., & Deng, Q.-J.
- Affiliations
- Mental Health Institute of the Second Xiangya Hospital, Central South University, The China National Clinical Research Center for Mental Health Disorders, National Technology Institute of Psychiatry, Key Laboratory of Psychiatry and Mental Health of Hunan Province, Changsha, Hunan, China
- Central South University (CN)
- ORCID
- Hao, Wei
- Venue
- Oncotarget
- Publisher
- Impact Journals, LLC
- Published
- 2017-06-27
- Volume
- 8
- Issue
- 33
- Pages
- 54046-54053
- ISSN
- 1949-2553 (ISSN-L)
- PMC
- PMC5589561
- OpenAlex
- W2734088582
- Cited by
- 13
- References
- 31
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 3 · 2020: 2
- FWCI
- 0.43
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Oncotarget (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- National Key Research and Development Program of China (2015CB553500)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Keywords
- heroin addiction, opioid dependence treatment, community-based treatment, pharmacotherapy, counseling, social assistance, relapse prevention, treatment retention, drug use reduction, crime reduction, employment effects, mental health, Chinese patients
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