Treatment related Psycho-Social Needs of Persons with Complicated Alcohol Withdrawal in Delirium Tremens: a Qualitative Enquiry from India
Journal Title: INDIAN JOURNAL OF MENTAL HEALTH - Year 2017, Vol 4, Issue 1
Abstract
Background: Understanding the needs of clients seeking treatment for addiction related disorders plays a vital role in treatment outcomes. Alcohol Dependence Syndrome (ADS) is known to impact individuals along with their family members. However, there is a paucity of literature in the Indian context on the treatment needs of persons with ADS. The present study aimed to explore the treatment related felt needs of persons who presented with complicated Alcohol Withdrawal in Delirium Tremens (CAWDT). Methods: Semi-structured interviews were conducted with 25 males who presented with CAWDT at the Centre for Addiction Medicine (CAM), National Institute of Mental Health and Neuro Sciences (NIMHANS), a tertiary health care centre in Bangalore, Karnataka, India. The interviews were recorded, transcribed and analyzed using the General Inductive approach. Results: The mean age of the sample was 36.28 years and their total duration of dependence on alcohol was 12.96 years. From the qualitative data analysis, five 5 broad categories of needs emerged, which were: (i) managing craving and relapse, (ii) personal needs, (iii) informational needs, (iv) cognitive needs and (v) miscellaneous needs such as health related needs, financial help and counselling needs. Conclusion: Patients with CAWDT are a very vulnerable group where repeated withdrawal from alcohol can lead to severe complications including death, making it imperative to address their concerns comprehensively. Assessing and addressing these needs in treatment will help in better treatment outcomes as well as help in developing and personally tailoring psycho-social interventions for better and holistic management.
Authors and Affiliations
Julian A. Joseph Arthur, R. Dhanasekara Pandian, Pratima Murthy
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