The 130th Annual Meeting of APHA

4092.0: Tuesday, November 12, 2002 - Board 3

Abstract #47130

Which trauma patient is most likely to accept interventional counseling?

John Czernik, CARS, Raymond Roberson, CADC, Areta Kowal-Vern, MD, Seth Eisenberg, MD, Deepak Kapoor, MD, and John Barrett, MD. Cook County Hospital, 1835 West Harrison Street, Chicago, IL 60612, 312-633-8075,

OOJECTIVE: There is a paucity of literature on the demographics of substance users who are approached for interventional treatment after a traumatic injury. We sought to compare characteristics of patients who either refuse or accept interventional counseling. METHODS: Between April 2000 and January 2001, there were 3864 admissions. An Interventional Counselor approached 261 (7%) patients with (+) admission drug screens or two-four (+) responses on the CAGE questionnaire. Income consisted of wages/salary, public aid, disability or retirement funds. Statistical significance was determined at p<0.05 (chi-square and one-way ANOVA). RESULTS: Compared to the patients who refused treatment, those who accepted were older (mean 38 vs 34 years, p<0.01), widowed or divorced (17% vs 4%), p<0.03, living alone (47% vs 19%, p<0.03), unemployed (80% vs 59%,p<0.01), and/or on disability, (17% vs 5%, p<0.04). Both groups had a similar ISS; the main type of injury was assault rather than fall or motor vehicle crash. No significant difference was detected between the two groups in reference to sex, race, monetary support of their habit, number of children, attempts to stop the substance use or previous treatment for the addiction. There was a trend for patients with positive ethanol screens to accept treatment, p<0.06. CONCLUSIONS: Trauma patient environmental and social needs play a significant role in the acceptance of interventional counseling. Further analysis with an increase in cohort numbers is underway to substantiate these findings.

Learning Objectives:

Keywords: Needs Assessment, Treatment

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Substance Abuse Treatment Strategies Poster Session

The 130th Annual Meeting of APHA