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The American Journal of Drug and Alcohol Abuse
Encompassing All Addictive Disorders
Volume 33, 2007 - Issue 5
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A Comparison of Mental Health Hospital Admissions in a Cohort of Heroin Users Prior to and After Rapid Opiate Detoxification and Oral Naltrexone Maintenance

D. E. Arnold-Reed School of Psychiatry and Clinical Neurosciences, University of Western Australia, Crawley, Western Australia
,
P. O'Neil School of Psychiatry and Clinical Neurosciences, University of Western Australia, Crawley, Western Australia
,
C. D. J. Holman School of Population Health, University of Western Australia, Crawley, Western Australia
,
M. K. Bulsara School of Population Health, University of Western Australia, Crawley, Western Australia
,
C. Rodiguez School of Psychiatry and Clinical Neurosciences, University of Western Australia, Crawley, Western Australia
,
G. Gawthorne School of Psychiatry and Clinical Neurosciences, University of Western Australia, Crawley, Western Australia
,
R. J. Tait School of Psychiatry and Clinical Neurosciences, University of Western Australia, Crawley, Western AustraliaCorrespondence[email protected]
&
G. K. Hulse School of Psychiatry and Clinical Neurosciences, University of Western Australia, Crawley, Western Australia
 show all
Pages 655-664 | Published online: 07 Jul 2009
 
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Abstract

Mental health (MH) hospital admissions were investigated in a cohort (N = 1184) of heroin dependent persons using linked health records. All MH in-patient admissions were extracted 36 months before to 36 months after commencing rapid opioid detoxification (ROD) and oral naltrexone. Results show that the incidence rate ratio (IRR) of drug-related and other MH admissions peaked in the 3 months immediately prior to treatment. All categories subsequently declined to baseline levels by 36 months following treatment. The authors conclude that treatment for heroin dependence reduces risk of MH admissions.

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