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    Substance use characteristics, treatment completion rates and related factors of patients in Gaziantep AMATEM in 2019; a retrospective study
    (Taylor & Francis Inc, 2022) Demir, Bahadir; Sahin, Sengul Kocamer; Elboga, Gulcin; Altindag, Abdurrahman; Unal, Ahmet
    Objective: Substance use and addiction are an increasing problem worldwide. Knowledge of the frequency and features of substance use contribute to ascertaining the addiction trends in a country, region or city, taking precautions for drug use, establishing policies on treatment and rehabilitation, and determining patient needs. Methods: The files of individuals who were hospitalized in the Gaziantep Alcohol and Substance Addictions Treatment Center (AMATEM) Clinic between 01.01.2019 and 31.12.2019 were examined retrospectively. The SPSS 22.0 program was used in statistical analyses of patient data. Results: This study included 694 patients, where 670 of whom were male (96.5%) and 24 were female (3.5%). Considering the diagnoses of the patients, opioid use disorder and amphetamine/methamphetamine use disorder were the most common diagnoses at 47.1% and 13%, respectively. A statistically significant difference was found between the diagnostic groups in terms of age, educational status, occupation, whether there was any suicide attempts, and treatment outcomes (p value for all <0.05). Conclusions: Our study is the first study conducted in the Gaziantep AMATEM Clinic, which is the only inpatient drug and alcohol center in the Southeastern Anatolia region. Our findings showed that alcohol/substance use is a dynamic problem that negatively affects many areas of life including work and education life, and family and social relationships.
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    Substance use profile, treatment compliance, treatment outcomes and related factors in probation: a retrospective file review
    (Routledge Journals, Taylor & Francis Ltd, 2021) Demir, Bahadir; Kocamer Sahin, Sengul; Altindag, Abdurrahman; Elboga, Gulcin; Unal, Ahmet
    Objective In this study, we aimed to investigate the sociodemographic characteristics of the individuals who mandated to the probation unit as the substances they use, their compliance with the programs, treatment outcomes and the relationships between these parameters. Secondly we aimed to determine the predictive factors that guide in taking protective measures. Methods The files of the individuals who applied to probation clinic of Gaziantep 25 Aralik State Hospital between 01.01.2019-31.12.2019 were examined retrospectively. SPSS 22.0 program was used to statistical analysis. Results Totally 1024 cases were included in the study. Most of the cases were between the ages of 16-35 (84.1%) and 68.3% of individuals were primary school graduates. Most (n: 607, 59.3%) were single in terms of marital status. Substance was detected in the urine of 30.3% of the applicants (n: 311). Among the substances detected in urine, amphetamine-methamphetamine was in the first place with 13.6%. In terms of treatment compliance levels of probation, it was seen that 593 (57.9%) reports were prepared as no treatment required, 117 (11.4%) were compliant to treatment and 303 (29.6%) were noncompliant to treatment. A statistically significant difference was found between working status and treatment outcomes (p = 0.001). When the first urine result of the patients were grouped as negative and positive; A statistically significant difference was found between the first urine test and the treatment outcomes and criminal score (for both p = 0.001).There was a statistically significant difference between the status of being a probation measure previously and the outcome of treatment (p = 0.019). Conclusion In our study, the most used substance type was found to be amphetamine-methamphetamine (13.6%). Prevalence in substance use appears to be changing. This is an important finding about the prevalence of use of amphetamine-methamphetamine in Turkey. We suggest that those who have irregular jobs in the probation process, those with substance metabolites detected in the first urine, and those who have previously had probation precautions may have a poor prognosis and that it may be more effective to apply to those profiles in a general program that includes social and occupational fields.