Efficacy of Family centered casework intervention for persons with alcohol dependence syndrome

Sinu, E (2010) Efficacy of Family centered casework intervention for persons with alcohol dependence syndrome. In: International Conference on Women Mental Health, 10-12 Oct 2010, Mangalore. (Submitted)

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Abstract

BACKGROUND: Treatment of alcohol use disorders involves a combination of pharmacotherapy and psychosocial interventions. About one-quarter of people with alcohol dependence who seek treatment remain abstinent from three months to one year. Findings on high relapse rates raise the importance of follow-up and additional treatment support. Families play a crucial role in this aspect. Keeping this in mind, “Family centered social casework intervention for persons with alcohol dependence syndrome” was carried out to find out its efficacy on follow-up rates and abstinence. AIM: To assess changes in alcohol consumption patterns following intervention and its efficacy on follow-up rates and abstinence. METHODS: 30 samples (15 experimental and 15 control group) were selected randomly from De-addiction centre, NIMHANS, Bangalore. Experimental design; before and after with control group was adopted. Interview schedule was used to collect data. Statistical analysis: Categorical variables were analyzed by using chi-square test, Fisher exact test. Relationship between variables and changes in alcohol consumption pattern following family centered casework intervention and its effect on follow-up and abstinence was assessed by using correlation analysis and regression analysis. (p<0.05) was considered statistically significant. FINDINGS: Mean age of the respondents was 40.82, mean years of education of the respondents was 9years. 90% of them were employed, significant majority (89%) of them belong to Middle socio-economic status. 73.3% were Hindus, 13.3% were Muslims and Christians respectively. Majority (66.7%) were having late onset, 70% were having history of alcohol dependence in the family, among the 70%, 45% of them were having high family loading. Follow-up rates were equal in both control and experimental group till 6 months after discharge. 40% of them were on regular follow-up from 6 to 18 months, where as in control group only 6%. In control group, 40% of them lost to follow -up where as in experimental group only 3% of them lost to follow-up after discharge. In control group, 40% of them were maintaining abstinence upto 6 months after discharge, where as in experimental group 55% of them maintaining abstinence from 6 to 18 months. Duration of relapse from 7 days to 40 days in experimental group (45%), where as in control group duration of relapse was from 55 days to one year. In experimental group only 6% of them having relapse duration of 3 – 4 months. CONCLUSION: From the findings it may be said that family centered casework intervention is effective in increasing follow-up rates, retention of the patients in treatment and maintaining longer period of abstinence.

Item Type: Conference or Workshop Item (Paper)
Uncontrolled Keywords: family centered casework intervention, follow-up, abstinence, persons with alcohol dependence syndrome
Subjects: Medicine > KMC Manipal > Psychiatry
Depositing User: KMC Manipal
Date Deposited: 04 Mar 2013 04:55
Last Modified: 04 Mar 2013 04:55
URI: http://eprints.manipal.edu/id/eprint/78785

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