BACKGROUND: The dropout rate from the treatment of patients with substance use disorders (SUD) negatively affects overall treatment outcomes. Little is known about the specific role of various psychiatric and psychosocial factors in the individual patients. Limited data is available in regards to mindset and addiction treatment, giving the opportunity of testing such interventions in the future.

AIM: To identify the key psychological, psychosocial, and other treatment related factors in the patients from the inpatient substance use treatment with addiction who have dropped out of the program...

Background: Physical health problems are common in people receiving opioid agonist treatment (OAT). A study was conducted on these health issues in OAT patients in the Czech Republic and Norway from 2010 to 2019, with a focus on gender differences.

Methods: In this study, it was a population-based cohort study that linked multiple health records to investigate physical diseases (using ICD-10 codes) in patients receiving OAT in the Czech Republic (4,280 patients) and Norway (11,389 patients) from 2010 to 2019. A gender-stratified analysis was performed.

Results: The study found that both male...

BACKGROUND: Implementing quality measurement is still a challenge in the field of drug treatment and harm reduction. In this case study, we investigate which strategies can be used to enhance the implementation of a policy in which quality indicators are made public.

METHODS: Building on an evidence-based methodology, this case study shows how an organisation in Flanders – the Flemish Institute for Quality of Care – develops quality indicators along with its strategies to implement the measurement of the indicators.

RESULTS: The study shows three types of quality indicators in the field of...

INTRODUCTION: In the favourable political climate of the mid-2010s, the standards for Assessment & Selection of Prevention programmes Issued from the Review of EDPQS (ASPIRE) were developed to support project planning in drug prevention.

METHODS: This case study is a narrative from the main coordinator responsible for drafting this quality assurance material.

RESULTS: The framework that led to the creation of the ASPIRE standards is described. The production process is then explained and, thereby, the 12 ASPIRE standards resulting from it are presented. These quality standards and their...

CONTEXTO: A implementação de padrões de qualidade pela Coolmine envolve um período de gestão de mudanças, planejamento estratégico e desenvolvimento de políticas nacionais.

MÉTODOS: Estudo de caso narrativo com foco na política nacional e no planejamento estratégico interno.

CONCLUSÕES: A partir de 2000, a Coolmine embarcou em uma jornada de gestão da mudança que manteve a organização na vanguarda do tratamento de drogas e álcool na Irlanda e internacionalmente, mantendo a fidelidade à Comunidade Terapêutica. A estratégia de garantia de qualidade é replicável em organizações semelhantes.

INTRODUCTION: The Cyprus National Addictions Authority (NAAC) is the main coordinating body for all matters related to licit and illicit substances as well as pathological gambling in Cyprus and it is responsible, inter alia, for the licensing, evaluation, funding (where possible), coordination, and reinforcement of all programmes, actions, and activities related to substances and gambling. Licensing and funding are based on the fulfilment of certain criteria and a certain level of quality.

METHODS: The process that led to the establishment of a quality standards system for licensing and...

BACKGROUND: The implementation of quality standards in the treatment of substance use disorders in Lithuania is not well documented in the literature. AIMS: To describe the process of the development of quality standards from grassroots initiatives to their integration into mainstream healthcare under the leadership of the Ministry of Health.

METHODS: Narrative review of retrieved documents, including related legal acts, followed by a subsequent content analysis.

RESULTS: The implementation was divided into three stages characterised by specific activities, leading stakeholders, and the...

CONTEXTO: O abuso de medicamentos psicoativos tem se tornado cada vez mais comum na República Tcheca. Essas drogas incluem sedativos, hipnóticos, ansiolíticos (benzodiazepínicos e Z-hipnóticos) e opioides. Pacientes com dependência desses medicamentos prescritos apresentam sintomas associados ao uso prolongado, particularmente problemas psicológicos e somáticos, distúrbios do sono, funcionamento cognitivo prejudicado e irritabilidade. Há necessidade de uma resposta flexível às suas necessidades.

OBJETIVOS: O objetivo da pesquisa é descrever sintomas psicológicos selecionados e a qualidade de...