3159 : OPIOID DEPENDENT PATIENTS IN SUBSTITUTION THERAPY BY FAMILY PHYSICIANS IN SOUTHERN WUERTTEMBERG GERMANY

Author(s): 
Lorenz, Gernot; Klee, Jens
Text: 
Oral Presentation
Research Based
Concerning ambulatory therapy with substitution by Methadone or other substances performed by Family Physicians, we know few about special characteristics of their patients. We asked all Family Physicians of Southern Wuerttemberg performing opioid substitution programs and their patients by questionnaires about social and medical conditions. 554 patients in 55 practices answered. In the average they were 33,9 (17 / 56) years old, 72% men and 28% women and in substitution since 5 years. 78% were German, 22% foreigners. 37,9% have children of 9 years (average). 50% finished school, 36% have no professional qualification. 50,2% are without job ( 50% depending on unemployment benefit ,42% are on welfare), 5,8% started professional education. 80% have an apartment. 61,7% are single. 45% are in partnership with and 55.% without drug related problems. 67,6% are in debt for 2500-25.000 $. 35% have been in prison, 95% of which have Hepatitis C whereas only 70% of the rest. 2,2% are HIV positive. 40% are considered as mentally solid, 18,6 % able to be stressed, 37% as labile, 38,9% to be depressed, 25,6% Borderline, 11% to have anxiety disorders and 5,1% severe mental disorders. 13% had attempted suicide. Psychotherapy was given in 89,4% by the Family Physicians and in 32% by clinics; only 4% have been followed up by psychologist or 6% by psychiatrist. These patients distinguish from those of addiction clinics or practices described in a study before, having less dramatic somatic signs and better social conditions. Basic psychotherapy by Family physicians is an essential part of the substitution therapy.
Topic: Clinical Practice