Psychiatry Investig.
2024 Jul;21(7):792-802. 10.30773/pi.2023.0314.
Effectiveness of the Korean-Patient Placement Criteria for Alcohol Use Disorders: A Prospective Exploratory Study
- Affiliations
-
- 1Department of Psychiatry, National Cancer Center, Goyang, Republic of Korea
- 2Department of Psychiatry, Hallym University, Chuncheon Sacred Heart Hospital, Chuncheon, Republic of Korea
- 3Department of Neuropsychiatry, Presbyterian Medical Center, Jeonju, Republic of Korea
- 4Department of Psychiatry, Konyang University College of Medicine, Konyang University Hospital, Daejeon, Republic of Korea
- 5Department of Psychiatry, Hanyang University College of Medicine, Seoul, Republic of Korea
- KMID: 2558022
- DOI: http://doi.org/10.30773/pi.2023.0314
Abstract
Objective
Various patient placement criteria (PPC) have been developed to address alcohol use disorder (AUD), which has a high relapse rate and imposes substantial socioeconomic costs. Although research has shown PPC to be an effective tool, evidence supporting the Korean-PPC (K-PPC) is insufficient. This paper investigated whether treatment matching with the K-PPC was effective, based on variables related to AUD.
Methods
In total, 524 participants were evaluated using the 6 dimensions of the K-PPC and levels of care (LoC) were recommended based on the results. Participants whose treatment matched with the recommended LoC were classified into the matched group, and those whose treatment did not match were classified into the mismatched group. Subsequently, treatment was planned according to the determined LoC, and a total of 3 follow-up evaluations were conducted at 1 month, 3 months, and 6 months.
Results
There was no significant difference in the follow-up rate between the K-PPC matched group and the mismatched group. Of the variables measured by the 6 dimensions of the K-PPC, alcohol-related variables, depression, insight, and biomedical outcomes showed the most significant results (especially alcohol-related variables) from the baseline evaluation to the 6-month follow-up. In addition, the average adherence to the treatment program in the 6-month period was found to be higher in the matched group than in the mismatched group.
Conclusion
The K-PPC could be effective for placing patients and providing treatment by matching patient characteristics. Enhancing treatment program retention can also have a positive effect on clinical outcomes.
