Utilisation of alcohol-related treatment after a first alcohol use disorder diagnosis in Hamburg, Germany
Abstract Background A variety of treatment options for people with alcohol use disorder (AUD) exist. Surveys estimate that 1 in 10 people with AUD utilise treatment, but real-world treatment pathways remain covert. This data-linkage study seeks to characterise treatment utilisation patterns to ide...
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Cambridge University Press
2025-01-01
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| Series: | European Psychiatry |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933825000082/type/journal_article |
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| author | Jakob Manthey Kilian Huß Sven Buth Ludwig Kraus Anna Schranz Carolin Kilian Jürgen Gallinat Ingo Schäfer Bernd Schulte |
| author_facet | Jakob Manthey Kilian Huß Sven Buth Ludwig Kraus Anna Schranz Carolin Kilian Jürgen Gallinat Ingo Schäfer Bernd Schulte |
| author_sort | Jakob Manthey |
| collection | DOAJ |
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Abstract
Background
A variety of treatment options for people with alcohol use disorder (AUD) exist. Surveys estimate that 1 in 10 people with AUD utilise treatment, but real-world treatment pathways remain covert. This data-linkage study seeks to characterise treatment utilisation patterns to identify gaps in treatment access and delivery in Germany.
Methods
Linking individual-level data from three sources (statutory health insurance, pension funds, outpatient addiction care services) identified seven alcohol-related treatment types delivered in outpatient (brief psychiatric consultation; formal psychotherapy; pharmacotherapy; low-threshold counselling), inpatient (standard, somatic inpatient treatment; intensive inpatient treatment with somatic and psychosocial care), or either of the two settings (long-term rehabilitation treatment) during 2016–2021. For patients with a new AUD diagnosis (ICD-10: F10.1–9), treatment utilisation over 24 months was recorded and patterns were identified using latent class analyses.
Results
Of n = 9,491 patients with a new AUD diagnosis, 30% utilised at least one alcohol-related treatment type. Treatment utilisation was associated with younger age, female sex, unemployment, German nationality, and lower physical comorbidity. Among treatment entrants, nearly half received only brief psychiatric consultation. A similar share of patients utilised standard or intensive inpatient treatment; the latter occasionally followed by rehabilitation treatment. Formal psychotherapy, low-threshold counselling, and pharmacotherapy were rarely utilised and were mostly used in conjunction with other treatments.
Conclusions
The real-world utilisation of alcohol-related treatments contrasts with existing guidelines, as most patients with diagnosed AUD do not receive adequate care. Structural and social barriers should be minimised to ensure healthcare provision for those affected.
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| format | Article |
| id | doaj-art-f2386c05a1f1421eb668c921450b0f2c |
| institution | Kabale University |
| issn | 0924-9338 1778-3585 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj-art-f2386c05a1f1421eb668c921450b0f2c2025-02-03T10:36:37ZengCambridge University PressEuropean Psychiatry0924-93381778-35852025-01-016810.1192/j.eurpsy.2025.8Utilisation of alcohol-related treatment after a first alcohol use disorder diagnosis in Hamburg, GermanyJakob Manthey0https://orcid.org/0000-0003-1231-3760Kilian Huß1Sven Buth2https://orcid.org/0000-0003-2490-1973Ludwig Kraus3https://orcid.org/0000-0001-7282-0217Anna Schranz4https://orcid.org/0009-0007-9125-7360Carolin Kilian5https://orcid.org/0000-0001-5913-6488Jürgen Gallinat6https://orcid.org/0000-0003-0313-5843Ingo Schäfer7Bernd Schulte8https://orcid.org/0000-0003-1139-030XCentre for Interdisciplinary Addiction Research (ZIS), University Medical Center Hamburg-Eppendorf, Hamburg, Germany Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany Department of Psychiatry, Medical Faculty, University of Leipzig, Leipzig, GermanyCentre for Interdisciplinary Addiction Research (ZIS), University Medical Center Hamburg-Eppendorf, Hamburg, GermanyCentre for Interdisciplinary Addiction Research (ZIS), University Medical Center Hamburg-Eppendorf, Hamburg, GermanyCentre for Interdisciplinary Addiction Research (ZIS), University Medical Center Hamburg-Eppendorf, Hamburg, Germany Department of Public Health Sciences, Centre for Social Research on Alcohol and Drugs, Stockholm University, Stockholm, Sweden Institute of Psychology, ELTE Eötvös Loránd University, Budapest, HungaryCentre for Interdisciplinary Addiction Research (ZIS), University Medical Center Hamburg-Eppendorf, Hamburg, GermanyCentre for Interdisciplinary Addiction Research (ZIS), University Medical Center Hamburg-Eppendorf, Hamburg, Germany Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyDepartment of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyCentre for Interdisciplinary Addiction Research (ZIS), University Medical Center Hamburg-Eppendorf, Hamburg, Germany Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyCentre for Interdisciplinary Addiction Research (ZIS), University Medical Center Hamburg-Eppendorf, Hamburg, Germany Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany Abstract Background A variety of treatment options for people with alcohol use disorder (AUD) exist. Surveys estimate that 1 in 10 people with AUD utilise treatment, but real-world treatment pathways remain covert. This data-linkage study seeks to characterise treatment utilisation patterns to identify gaps in treatment access and delivery in Germany. Methods Linking individual-level data from three sources (statutory health insurance, pension funds, outpatient addiction care services) identified seven alcohol-related treatment types delivered in outpatient (brief psychiatric consultation; formal psychotherapy; pharmacotherapy; low-threshold counselling), inpatient (standard, somatic inpatient treatment; intensive inpatient treatment with somatic and psychosocial care), or either of the two settings (long-term rehabilitation treatment) during 2016–2021. For patients with a new AUD diagnosis (ICD-10: F10.1–9), treatment utilisation over 24 months was recorded and patterns were identified using latent class analyses. Results Of n = 9,491 patients with a new AUD diagnosis, 30% utilised at least one alcohol-related treatment type. Treatment utilisation was associated with younger age, female sex, unemployment, German nationality, and lower physical comorbidity. Among treatment entrants, nearly half received only brief psychiatric consultation. A similar share of patients utilised standard or intensive inpatient treatment; the latter occasionally followed by rehabilitation treatment. Formal psychotherapy, low-threshold counselling, and pharmacotherapy were rarely utilised and were mostly used in conjunction with other treatments. Conclusions The real-world utilisation of alcohol-related treatments contrasts with existing guidelines, as most patients with diagnosed AUD do not receive adequate care. Structural and social barriers should be minimised to ensure healthcare provision for those affected. https://www.cambridge.org/core/product/identifier/S0924933825000082/type/journal_articlealcohol use disordersdata linkagehealthcare pathwayshealthcare utilisation |
| spellingShingle | Jakob Manthey Kilian Huß Sven Buth Ludwig Kraus Anna Schranz Carolin Kilian Jürgen Gallinat Ingo Schäfer Bernd Schulte Utilisation of alcohol-related treatment after a first alcohol use disorder diagnosis in Hamburg, Germany European Psychiatry alcohol use disorders data linkage healthcare pathways healthcare utilisation |
| title | Utilisation of alcohol-related treatment after a first alcohol use disorder diagnosis in Hamburg, Germany |
| title_full | Utilisation of alcohol-related treatment after a first alcohol use disorder diagnosis in Hamburg, Germany |
| title_fullStr | Utilisation of alcohol-related treatment after a first alcohol use disorder diagnosis in Hamburg, Germany |
| title_full_unstemmed | Utilisation of alcohol-related treatment after a first alcohol use disorder diagnosis in Hamburg, Germany |
| title_short | Utilisation of alcohol-related treatment after a first alcohol use disorder diagnosis in Hamburg, Germany |
| title_sort | utilisation of alcohol related treatment after a first alcohol use disorder diagnosis in hamburg germany |
| topic | alcohol use disorders data linkage healthcare pathways healthcare utilisation |
| url | https://www.cambridge.org/core/product/identifier/S0924933825000082/type/journal_article |
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