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Alcohol and Alcoholism Vol. 35, No. 1, pp. 66-69, 2000
© 2000 Medical Council on Alcoholism

DETOXIFICATION FROM ALCOHOL: A COMPARISON OF HOME DETOXIFICATION AND HOSPITAL-BASED DAY PATIENT CARE

Carole Allan*, Iain Smith1 and Michael Mellin2

Lansdowne Clinic, 3 Whittingehame Gardens, Glasgow G12 0AA,
1 Alcohol Problems Treatment Unit, Gartnavel Royal Hospital, 1055 Great Western Road, Glasgow G12 0YN and
2 Community Alcohol Service, Goldenhill Resource Centre, 2 Stewart Drive, Clydebank G81 6AH, UK

Received 8 April 1999; first review notified 9 May 1999; accepted 24 May 1999

An uncontrolled study was carried out to examine two types of ambulatory care for patients undergoing detoxification from alcohol. The safety, efficacy, and acceptability of home detoxification was compared to detoxification within a day hospital setting. Seventy-nine per cent of home detoxification patients, many of whom had major alcohol-related problems and were severely dependent on alcohol, were successfully detoxified at 10 days. The day hospital group overlapped in severity with the home group and 78% completed detoxification. At 60 days, 45% of home detoxification patients and 31% of the day hospital group showed significant improvements in a range of alcohol-related difficulties. Improved outcome was associated with attendance for further treatment for both groups. Both home and day hospital detoxifications were viable alternatives to in-patient detoxification for selected groups of patients.


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