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'I'm a sick person, not a bad person': patient experiences of treatments for alcohol use disorders

McCallum, Stacey L, Mikocka-Walus, Antonina A, Gaughwin, Matthew D, Andrews, Jane M and Turnbull, Deborah A 2016, 'I'm a sick person, not a bad person': patient experiences of treatments for alcohol use disorders, Health expectations, vol. 19, no. 4, pp. 828-841, doi: 10.1111/hex.12379.

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Title 'I'm a sick person, not a bad person': patient experiences of treatments for alcohol use disorders
Author(s) McCallum, Stacey L
Mikocka-Walus, Antonina A
Gaughwin, Matthew D
Andrews, Jane M
Turnbull, Deborah A
Journal name Health expectations
Volume number 19
Issue number 4
Start page 828
End page 841
Total pages 14
Publisher Wiley
Place of publication Chichester, Eng.
Publication date 2016-08
ISSN 1369-6513
1369-7625
Keyword(s) alcohol use disorder
continuity of care
patient satisfaction
qualitative research
treatment need
Summary BACKGROUND: Emerging research indicates that standard treatments for alcohol use disorders may not fully meet the needs of patients with co-occurring severe mental health symptoms. Investigating health quality indicators may provide insight into how current treatment might be improved.

OBJECTIVE: To better understand the experiences of patients receiving treatment for alcohol use disorders and compare the experiences of patients with and without co-occurring severe mental health symptoms.

DESIGN: Cross-sectional qualitative research design using semi-structured interviews methods and framework analysis approach.

SETTING: Inpatient hospital, outpatient service, inpatient detoxification clinic and a residential/ therapeutic community.

PARTICIPANT'S: Thirty-four patients receiving treatment for an alcohol use disorder.

MAIN VARIABLES STUDIED: Themes relating to patients' experiences of continuity of care, treatment need and satisfaction with treatment were studied. The qualitative data were divided into two groups: patients with (n = 15) and without (n = 19) severe mental health symptoms.

RESULTS: Five themes relating to patient satisfaction with treatment were identified, including: perceived effectiveness of treatment, supportive relationships, specialized but holistic care, patient autonomy and continuity of care. A diverse range of patient treatment needs, staff and service continuity and stigma were also identified as major themes. Five basic themes were identified as more critical to the experiences of patients with severe mental health symptoms.

DISCUSSION AND CONCLUSIONS: Findings suggest that patients look for supportive relationships with others, to be involved in treatment decisions, effective specialized and holistic approaches to care and a non-judgemental treatment environment.
Language eng
DOI 10.1111/hex.12379
Field of Research 111799 Public Health and Health Services not elsewhere classified
1117 Public Health And Health Services
1110 Nursing
1701 Psychology
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30088622

Document type: Journal Article
Collections: School of Psychology
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.