Crack/cocaine abusers in the general hospital: assessment and initiation of care
OBJECTIVE: Cocaine, either smoked (as "crack") or taken intranasally, is now a common cause of psychiatric illness. This study was designed to assess the impact of cocaine abuse on a general psychiatric service and an obstetrics service in an urban general hospital and to evaluate a progra...
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| Veröffentlicht in: | The American journal of psychiatry 1992-06, Vol.149 (6), p.810-815 |
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| container_title | The American journal of psychiatry |
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| creator | GALANTER, M EGELKO, S DE LEON, G ROHRS, C FRANCO, H |
| description | OBJECTIVE: Cocaine, either smoked (as "crack") or taken intranasally, is
now a common cause of psychiatric illness. This study was designed to
assess the impact of cocaine abuse on a general psychiatric service and an
obstetrics service in an urban general hospital and to evaluate a program
for engaging affected patients in addiction treatment. METHOD: The charts
of 300 general psychiatric patients (not admitted for addiction treatment)
and 60 cocaine-abusing prenatal or postpartum patients were reviewed. A
treatment referral program based on professionally directed peer leadership
was established for patients with cocaine abuse. Results of evaluation and
referral of 100 other cocaine-abusing psychiatric patients and the 60
prenatal or postpartum patients were then determined. RESULTS: Fully 64% (N
= 191) of the 300 psychiatric patients were diagnosed as substance abusers;
38% (N = 113) of them abused cocaine. Almost one-third of these cocaine
abusers had no axis I diagnosis other than substance abuse/dependence, and
the majority were homeless. Urine samples were positive for cocaine in a
majority of the obstetric patients studied. A majority of the psychiatric
patients who were referred through the peer-led program enrolled in
outpatient cocaine treatment--three times as many as in the chart review
group. Most of the obstetric patients suitable for referral enrolled for
treatment as well. CONCLUSIONS: Cocaine abuse may be responsible for a
large portion of psychiatric admissions in urban public general hospitals.
Cocaine abusers in psychiatric and obstetrics services are apparently
responsive to a peer-oriented mode of referral into treatment. |
| doi_str_mv | 10.1176/ajp.149.6.810 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_220470430</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1310606411</sourcerecordid><originalsourceid>FETCH-LOGICAL-a407t-884425ca6fecc28aa6737def0cf7525f7970be30066dae65884b89044d7ca013</originalsourceid><addsrcrecordid>eNp1kLtPwzAQhy0EKuUxMiJZwISUcnb8SNhQxUuqBAMDm3V1HOrSJsFOB_57XLUCBphOp_v0u7uPkBMGI8a0usJ5N2KiHKlRwWCHDJnMZaY5L3bJEAB4Vsr8dZ8cxDhPLeSaD8iAyRJEWQ7J8zigfb-yrUXfOIrTVXQhUt_Qfubom2tcwAWdtbHzPS6uKcboYly6pqfYVInzvcfetw1ta2oxuCOyV-MiuuNtPSQvd7cv44ds8nT_OL6ZZChA91lRCMGlRVU7a3mBqHSuK1eDrbXkstalhqnLAZSq0CmZ-GmRbhaVtggsPyRnm9gutB8rF3szb1ehSRsN5yA0iBwSdP4fxHIGCpRg66hsQ9nQxhhcbbrglxg-DQOzVmySYpMUG2WS4sSfblNX06WrfuiN0zS_2M4xWlzUARvr4zcm01OyWGOXGwy7zv867M-dX94Bj_s</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1310606411</pqid></control><display><type>article</type><title>Crack/cocaine abusers in the general hospital: assessment and initiation of care</title><source>MEDLINE</source><source>Psychiatry Legacy Collection Online Journals 1844-1996</source><source>Periodicals Index Online</source><creator>GALANTER, M ; EGELKO, S ; DE LEON, G ; ROHRS, C ; FRANCO, H</creator><creatorcontrib>GALANTER, M ; EGELKO, S ; DE LEON, G ; ROHRS, C ; FRANCO, H</creatorcontrib><description>OBJECTIVE: Cocaine, either smoked (as "crack") or taken intranasally, is
now a common cause of psychiatric illness. This study was designed to
assess the impact of cocaine abuse on a general psychiatric service and an
obstetrics service in an urban general hospital and to evaluate a program
for engaging affected patients in addiction treatment. METHOD: The charts
of 300 general psychiatric patients (not admitted for addiction treatment)
and 60 cocaine-abusing prenatal or postpartum patients were reviewed. A
treatment referral program based on professionally directed peer leadership
was established for patients with cocaine abuse. Results of evaluation and
referral of 100 other cocaine-abusing psychiatric patients and the 60
prenatal or postpartum patients were then determined. RESULTS: Fully 64% (N
= 191) of the 300 psychiatric patients were diagnosed as substance abusers;
38% (N = 113) of them abused cocaine. Almost one-third of these cocaine
abusers had no axis I diagnosis other than substance abuse/dependence, and
the majority were homeless. Urine samples were positive for cocaine in a
majority of the obstetric patients studied. A majority of the psychiatric
patients who were referred through the peer-led program enrolled in
outpatient cocaine treatment--three times as many as in the chart review
group. Most of the obstetric patients suitable for referral enrolled for
treatment as well. CONCLUSIONS: Cocaine abuse may be responsible for a
large portion of psychiatric admissions in urban public general hospitals.
Cocaine abusers in psychiatric and obstetrics services are apparently
responsive to a peer-oriented mode of referral into treatment.</description><identifier>ISSN: 0002-953X</identifier><identifier>EISSN: 1535-7228</identifier><identifier>DOI: 10.1176/ajp.149.6.810</identifier><identifier>PMID: 1590499</identifier><identifier>CODEN: AJPSAO</identifier><language>eng</language><publisher>Washington, DC: American Psychiatric Publishing</publisher><subject>Addictive behaviors ; Adult ; Adult and adolescent clinical studies ; Biological and medical sciences ; Cocaine ; Comorbidity ; Crack Cocaine ; Female ; Homeless Persons ; Hospitalization - statistics & numerical data ; Hospitals ; Hospitals, General - statistics & numerical data ; Humans ; Male ; Medical sciences ; Mental disorders ; Mental Disorders - epidemiology ; Obstetrics and Gynecology Department, Hospital - statistics & numerical data ; Pregnancy ; Pregnancy Complications - epidemiology ; Psychiatric Department, Hospital - statistics & numerical data ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Referral and Consultation ; Social research ; Substance Abuse Detection ; Substance-Related Disorders - epidemiology ; Urban areas</subject><ispartof>The American journal of psychiatry, 1992-06, Vol.149 (6), p.810-815</ispartof><rights>1992 INIST-CNRS</rights><rights>Copyright American Psychiatric Association Jun 1992</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a407t-884425ca6fecc28aa6737def0cf7525f7970be30066dae65884b89044d7ca013</citedby><cites>FETCH-LOGICAL-a407t-884425ca6fecc28aa6737def0cf7525f7970be30066dae65884b89044d7ca013</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://psychiatryonline.org/doi/epdf/10.1176/ajp.149.6.810$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/ajp.149.6.810$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>314,780,784,2859,21629,27869,27924,27925,77791,77792</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=5300589$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1590499$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>GALANTER, M</creatorcontrib><creatorcontrib>EGELKO, S</creatorcontrib><creatorcontrib>DE LEON, G</creatorcontrib><creatorcontrib>ROHRS, C</creatorcontrib><creatorcontrib>FRANCO, H</creatorcontrib><title>Crack/cocaine abusers in the general hospital: assessment and initiation of care</title><title>The American journal of psychiatry</title><addtitle>Am J Psychiatry</addtitle><description>OBJECTIVE: Cocaine, either smoked (as "crack") or taken intranasally, is
now a common cause of psychiatric illness. This study was designed to
assess the impact of cocaine abuse on a general psychiatric service and an
obstetrics service in an urban general hospital and to evaluate a program
for engaging affected patients in addiction treatment. METHOD: The charts
of 300 general psychiatric patients (not admitted for addiction treatment)
and 60 cocaine-abusing prenatal or postpartum patients were reviewed. A
treatment referral program based on professionally directed peer leadership
was established for patients with cocaine abuse. Results of evaluation and
referral of 100 other cocaine-abusing psychiatric patients and the 60
prenatal or postpartum patients were then determined. RESULTS: Fully 64% (N
= 191) of the 300 psychiatric patients were diagnosed as substance abusers;
38% (N = 113) of them abused cocaine. Almost one-third of these cocaine
abusers had no axis I diagnosis other than substance abuse/dependence, and
the majority were homeless. Urine samples were positive for cocaine in a
majority of the obstetric patients studied. A majority of the psychiatric
patients who were referred through the peer-led program enrolled in
outpatient cocaine treatment--three times as many as in the chart review
group. Most of the obstetric patients suitable for referral enrolled for
treatment as well. CONCLUSIONS: Cocaine abuse may be responsible for a
large portion of psychiatric admissions in urban public general hospitals.
Cocaine abusers in psychiatric and obstetrics services are apparently
responsive to a peer-oriented mode of referral into treatment.</description><subject>Addictive behaviors</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Biological and medical sciences</subject><subject>Cocaine</subject><subject>Comorbidity</subject><subject>Crack Cocaine</subject><subject>Female</subject><subject>Homeless Persons</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Hospitals</subject><subject>Hospitals, General - statistics & numerical data</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental disorders</subject><subject>Mental Disorders - epidemiology</subject><subject>Obstetrics and Gynecology Department, Hospital - statistics & numerical data</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - epidemiology</subject><subject>Psychiatric Department, Hospital - statistics & numerical data</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Referral and Consultation</subject><subject>Social research</subject><subject>Substance Abuse Detection</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>Urban areas</subject><issn>0002-953X</issn><issn>1535-7228</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>K30</sourceid><recordid>eNp1kLtPwzAQhy0EKuUxMiJZwISUcnb8SNhQxUuqBAMDm3V1HOrSJsFOB_57XLUCBphOp_v0u7uPkBMGI8a0usJ5N2KiHKlRwWCHDJnMZaY5L3bJEAB4Vsr8dZ8cxDhPLeSaD8iAyRJEWQ7J8zigfb-yrUXfOIrTVXQhUt_Qfubom2tcwAWdtbHzPS6uKcboYly6pqfYVInzvcfetw1ta2oxuCOyV-MiuuNtPSQvd7cv44ds8nT_OL6ZZChA91lRCMGlRVU7a3mBqHSuK1eDrbXkstalhqnLAZSq0CmZ-GmRbhaVtggsPyRnm9gutB8rF3szb1ehSRsN5yA0iBwSdP4fxHIGCpRg66hsQ9nQxhhcbbrglxg-DQOzVmySYpMUG2WS4sSfblNX06WrfuiN0zS_2M4xWlzUARvr4zcm01OyWGOXGwy7zv867M-dX94Bj_s</recordid><startdate>19920601</startdate><enddate>19920601</enddate><creator>GALANTER, M</creator><creator>EGELKO, S</creator><creator>DE LEON, G</creator><creator>ROHRS, C</creator><creator>FRANCO, H</creator><general>American Psychiatric Publishing</general><general>American Psychiatric Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>HAWNG</scope><scope>HBMBR</scope><scope>IBDFT</scope><scope>K30</scope><scope>PAAUG</scope><scope>PAWHS</scope><scope>PAWZZ</scope><scope>PAXOH</scope><scope>PBHAV</scope><scope>PBQSW</scope><scope>PBYQZ</scope><scope>PCIWU</scope><scope>PCMID</scope><scope>PCZJX</scope><scope>PDGRG</scope><scope>PDWWI</scope><scope>PETMR</scope><scope>PFVGT</scope><scope>PGXDX</scope><scope>PIHIL</scope><scope>PISVA</scope><scope>PJCTQ</scope><scope>PJTMS</scope><scope>PLCHJ</scope><scope>PMHAD</scope><scope>PNQDJ</scope><scope>POUND</scope><scope>PPLAD</scope><scope>PQAPC</scope><scope>PQCAN</scope><scope>PQCMW</scope><scope>PQEME</scope><scope>PQHKH</scope><scope>PQMID</scope><scope>PQNCT</scope><scope>PQNET</scope><scope>PQSCT</scope><scope>PQSET</scope><scope>PSVJG</scope><scope>PVMQY</scope><scope>PZGFC</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>19920601</creationdate><title>Crack/cocaine abusers in the general hospital: assessment and initiation of care</title><author>GALANTER, M ; EGELKO, S ; DE LEON, G ; ROHRS, C ; FRANCO, H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a407t-884425ca6fecc28aa6737def0cf7525f7970be30066dae65884b89044d7ca013</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Addictive behaviors</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Biological and medical sciences</topic><topic>Cocaine</topic><topic>Comorbidity</topic><topic>Crack Cocaine</topic><topic>Female</topic><topic>Homeless Persons</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Hospitals</topic><topic>Hospitals, General - statistics & numerical data</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental disorders</topic><topic>Mental Disorders - epidemiology</topic><topic>Obstetrics and Gynecology Department, Hospital - statistics & numerical data</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - epidemiology</topic><topic>Psychiatric Department, Hospital - statistics & numerical data</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Referral and Consultation</topic><topic>Social research</topic><topic>Substance Abuse Detection</topic><topic>Substance-Related Disorders - epidemiology</topic><topic>Urban areas</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>GALANTER, M</creatorcontrib><creatorcontrib>EGELKO, S</creatorcontrib><creatorcontrib>DE LEON, G</creatorcontrib><creatorcontrib>ROHRS, C</creatorcontrib><creatorcontrib>FRANCO, H</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Periodicals Index Online Segment 13</collection><collection>Periodicals Index Online Segment 14</collection><collection>Periodicals Index Online Segment 27</collection><collection>Periodicals Index Online</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - West</collection><collection>Primary Sources Access (Plan D) - International</collection><collection>Primary Sources Access & Build (Plan A) - MEA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Midwest</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Northeast</collection><collection>Primary Sources Access (Plan D) - Southeast</collection><collection>Primary Sources Access (Plan D) - North Central</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Southeast</collection><collection>Primary Sources Access (Plan D) - South Central</collection><collection>Primary Sources Access & Build (Plan A) - UK / I</collection><collection>Primary Sources Access (Plan D) - Canada</collection><collection>Primary Sources Access (Plan D) - EMEALA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - North Central</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - South Central</collection><collection>Primary Sources Access & Build (Plan A) - International</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - International</collection><collection>Primary Sources Access (Plan D) - West</collection><collection>Periodicals Index Online Segments 1-50</collection><collection>Primary Sources Access (Plan D) - APAC</collection><collection>Primary Sources Access (Plan D) - Midwest</collection><collection>Primary Sources Access (Plan D) - MEA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Canada</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - UK / I</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - EMEALA</collection><collection>Primary Sources Access & Build (Plan A) - APAC</collection><collection>Primary Sources Access & Build (Plan A) - Canada</collection><collection>Primary Sources Access & Build (Plan A) - West</collection><collection>Primary Sources Access & Build (Plan A) - EMEALA</collection><collection>Primary Sources Access (Plan D) - Northeast</collection><collection>Primary Sources Access & Build (Plan A) - Midwest</collection><collection>Primary Sources Access & Build (Plan A) - North Central</collection><collection>Primary Sources Access & Build (Plan A) - Northeast</collection><collection>Primary Sources Access & Build (Plan A) - South Central</collection><collection>Primary Sources Access & Build (Plan A) - Southeast</collection><collection>Primary Sources Access (Plan D) - UK / I</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - APAC</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - MEA</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>The American journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>GALANTER, M</au><au>EGELKO, S</au><au>DE LEON, G</au><au>ROHRS, C</au><au>FRANCO, H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Crack/cocaine abusers in the general hospital: assessment and initiation of care</atitle><jtitle>The American journal of psychiatry</jtitle><addtitle>Am J Psychiatry</addtitle><date>1992-06-01</date><risdate>1992</risdate><volume>149</volume><issue>6</issue><spage>810</spage><epage>815</epage><pages>810-815</pages><issn>0002-953X</issn><eissn>1535-7228</eissn><coden>AJPSAO</coden><abstract>OBJECTIVE: Cocaine, either smoked (as "crack") or taken intranasally, is
now a common cause of psychiatric illness. This study was designed to
assess the impact of cocaine abuse on a general psychiatric service and an
obstetrics service in an urban general hospital and to evaluate a program
for engaging affected patients in addiction treatment. METHOD: The charts
of 300 general psychiatric patients (not admitted for addiction treatment)
and 60 cocaine-abusing prenatal or postpartum patients were reviewed. A
treatment referral program based on professionally directed peer leadership
was established for patients with cocaine abuse. Results of evaluation and
referral of 100 other cocaine-abusing psychiatric patients and the 60
prenatal or postpartum patients were then determined. RESULTS: Fully 64% (N
= 191) of the 300 psychiatric patients were diagnosed as substance abusers;
38% (N = 113) of them abused cocaine. Almost one-third of these cocaine
abusers had no axis I diagnosis other than substance abuse/dependence, and
the majority were homeless. Urine samples were positive for cocaine in a
majority of the obstetric patients studied. A majority of the psychiatric
patients who were referred through the peer-led program enrolled in
outpatient cocaine treatment--three times as many as in the chart review
group. Most of the obstetric patients suitable for referral enrolled for
treatment as well. CONCLUSIONS: Cocaine abuse may be responsible for a
large portion of psychiatric admissions in urban public general hospitals.
Cocaine abusers in psychiatric and obstetrics services are apparently
responsive to a peer-oriented mode of referral into treatment.</abstract><cop>Washington, DC</cop><pub>American Psychiatric Publishing</pub><pmid>1590499</pmid><doi>10.1176/ajp.149.6.810</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-953X |
| ispartof | The American journal of psychiatry, 1992-06, Vol.149 (6), p.810-815 |
| issn | 0002-953X 1535-7228 |
| language | eng |
| recordid | cdi_proquest_journals_220470430 |
| source | MEDLINE; Psychiatry Legacy Collection Online Journals 1844-1996; Periodicals Index Online |
| subjects | Addictive behaviors Adult Adult and adolescent clinical studies Biological and medical sciences Cocaine Comorbidity Crack Cocaine Female Homeless Persons Hospitalization - statistics & numerical data Hospitals Hospitals, General - statistics & numerical data Humans Male Medical sciences Mental disorders Mental Disorders - epidemiology Obstetrics and Gynecology Department, Hospital - statistics & numerical data Pregnancy Pregnancy Complications - epidemiology Psychiatric Department, Hospital - statistics & numerical data Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Referral and Consultation Social research Substance Abuse Detection Substance-Related Disorders - epidemiology Urban areas |
| title | Crack/cocaine abusers in the general hospital: assessment and initiation of care |
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