CLINICAL AND PSYCHOSOCIAL CHARACTERISTICS OF DRUG ADDICTED PATIENTS IN THE INPATIENT REHABILITATION DEPARTMENT
Z. Bereza
Medical center Bechterev, Psychotherapy, Sain-Peterburg, Russia.

Objectives:
The assessment of dynamics of the clinical indicators of patients during the rehabilitation process and predictors of the inclusion in the program of medico-social rehabilitation.

Background:
Due to the lack of methadone maintenance treatment for opioid addicts in Russia, an integrated medical and social rehabilitation is the principal method of medical care of such patients

Materials and Methods:
176 drug-addicted patients, admitted for hospital treatment, having agreed to participate in the study. All the patients were divided into two groups: 1. The patients who completed their treatment (n= 87). They were examined four times: the first-during the first weeks of the treatment, the second - after 45-60 days,  the third time - after 6 months, the fouth time- after 12 months. 2. The patient who prematurely stopped treatment on their own (n=89).They were examined only once.  Assessment of clinical, psychological, social indicators in patients were conducted by the clinical method, using a validated scale- Addiction Severity Index (EuropASI version). Also we collected the follow-up data.

Results and Conclusions:
Some social factors related to the successful inclusion in the rehabilitation program have been found: high level of the education, employment status, living in "drug safe" family, lack of financial independence. In patients who had a full course of inpatient rehabilitation, a year later remission was observed three times more often than in patients who interrupted their treatment.
During the rehabilitation, positive changes in the clinical and psychological characteristics have been revealed: the problems associated with the state of somatic and mental health, problems with the law, improved psychoemotional condition.