***TASK*** the task is to summarize an input biomedical literature in six sentences 
    ***INPUT*** the input is a biomedical literature 
    ***OUTPUT*** the output is the summary of an input biomedical literature in six sentences 
    ***DOCUMENTATION*** 
    ***EXAMPLES*** 
    Input: AIMS Home detoxification is a recognized method of treating problem drinkers within their own home environment . The aim of this research is to determine whether a relatively brief psychological intervention adds to its effectiveness . METHODS A pragmatic trial with 91 participants r and omly assigned to either the psychological intervention or treatment as usual .  Community Psychiatric Nurses were trained to administer the brief psychological intervention involving motivational interviewing , coping skills training and social support . A manual was developed in order to st and ardize the training and implementation . RESULTS At the 3 month and 12 month follow-up the psychological intervention result ed in significant positive changes in alcohol consumption , abstinent days , social satisfaction , self-esteem and alcohol-related problems . Further , a cost analysis confirmed that the psychological intervention was a ninth of the cost of inpatient treatment . CONCLUSIONS Adding a psychological intervention to a home detoxification programme was successful and cost-effective The purpose of this study was to compare the cost-effectiveness of conventional outpatient treatment for alcoholic patients ( CT ) with this same conventional treatment plus home visits ( HV ) , a new proposal for intervention within the Brazilian outpatient treatment system . A cost-effectiveness evaluation alongside a 12-week r and omized clinical trial was performed . We identified the re sources utilized by each intervention , as well as the cost according to National Health System ( SUS ) , Brazilian Medical Association ( AMB ) tables of fees , and others based on 2005 data . The incremental cost-effectiveness ratio ( ICER ) was estimated as the main outcome measure – abstinent cases at the end of treatment . There were 51.8 % abstinent cases for HV and 43.1 % for CT , a clinical ly relevant finding . Other outcome measures , such as quality of life , also showed significant improvements that favored HV . The baseline scenario presented an ICER of USD 1,852 . Sensitivity analysis showed an ICER of USD 689 ( scenario favoring HV ) and USD 2,334 ( scenario favoring CT ) . The HV treatment was found to be cost-effective according to the WHO Commission on Macroeconomics and Health The Home Detoxification Service ( HDS ) established in central Scotl and was introduced in response to a high admission rate of problem drinkers to the acute psychiatric wards in Bellsdyke Hospital . This paper reports the results of a comparison of two types of management for people referred to the HDS by local general practitioners ( family doctors ) . Ninety-five patients referred to the HDS were r and omly allocated to two groups of differing treatment intensities . With one group , the home detoxification ( HD ) programme was utilized and with the other , minimal intervention ( MI ) strategies were employed . Post-treatment outcome information collected after 6 months was examined in relation to drinking behaviour , changes in levels of alcohol-related problems and uptake of on-going support from other alcohol agencies . The majority of patients in both treatment groups demonstrated some degree of improvement in relation to these criteria and the most striking factor was that patients in the HD group remained abstinent twice as long after treatment as those in the MI group In this study , 20 subjects who had home detoxification with supervision and support from the Western Australian Alcohol and Drug Authority Community Nursing Service were matched with 20 subjects who had inpatient detoxification in the Authority 's detoxification facility . Subjects were interviewed between nine and 22 months ( mean 15.5 months ) after detoxification to compare client outcomes and the costs of home and inpatient detoxification . The results indicate that , for suitable clients ,  home detoxification  was at least as beneficial as  inpatient detoxification  and that it was achieved at a much lower cost than inpatient care 
    Output:
    
Community detoxification  had high completion rates and was reported to be safe .
Compared to patients undergoing facility based detoxification , those who underwent community detoxification had better drinking outcomes .
Community detoxification  was cheaper than facility based detoxification and generally had good acceptability by various stakeholders .
IMPLICATION S For certain patients , community detoxification should be considered as a viable option to increase access to care .