RNCohortRevista latino-americana de enfermagem2023

The ability of Psychosocial Care Centers specialized in Alcohol and Drugs to handle crises.

Marianna Martins Pierini, Gabriella de Andrade Boska, Heloísa Garcia Claro and 2 others

PMID 37283417

WHAT IT FOUND

In two São Paulo alcohol and drug crisis centers, 13.4% of 67 users who completed follow-up were referred elsewhere, below the study's 20% threshold for handling crises.

Most stayed 14 days and said needs were met.

Key findings

01Of 67 users who completed 14-day follow-up, 9 were referred to other services, giving a crisis-handling indicator of 86.6%.

02Days using alcohol fell from 20.80 to 12.72, marijuana from 8.83 to 4.39, and crack from 7.76 to 4.13; all p<0.001.

03Most users stayed the planned 14 days, and 79% said their needs were met.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Only 67 of 121 admitted users completed follow-up, so the crisis-handling rate reflects those who stayed in contact. The study used a convenience sample from two São Paulo services, so results may not apply to other places or populations. There was no comparison group, so changes over 14 days cannot be attributed to the service alone. The 20% referral threshold was adapted for these services and not validated for alcohol and drug crisis centers. The study did not examine how crisis care was delivered or why some users were referred.

The easy way to misread this

Do not read the 86.6% crisis-handling rate as proof that these centers can manage every alcohol and drug crisis. It was based on 67 users who completed follow-up out of 121 admitted, in two São Paulo services, and used an adapted referral threshold rather than a validated outcome.

Read it on PubMed →