A NATURALISTIC COMPARISON OF OUTCOMES AT SOCIAL AND CLINICAL MODEL SUBSTANCE ABUSE TREATMENT PROGRAMS. Since the 1970s, much of the public treatment system in California has been based on a social model orientation to recovery for alcoholics, but there has been minimal research on program outcomes. This article reports on follow-up interviews conducted with a …∞
Although some patients have mild symptoms and may even be managed in the outpatient setting, others have more severe symptoms
Posted in Addiction, Alcohol, Alcoholism, Assessment, Detoxification, Disease of addiction, Drugs, Stages of Change, Symptoms of addiction and tagged detox, DT, liver, neurologist, outpatient, patient, physician, psychitrist, Wernickeâ€“Korsakoff, withdrawal. Use this permalink for a bookmark.
Twelve-Step and Mutual-Help Programs for Addictive Disorders This important statement was made after an extensive review of outcomes research on addiction treatment. It reflects the conclusions of recent scientific reviews that alcohol and other drug addictions are chronic, relapsing diseases of the brain. The Minnesota Model, which throughout the 1980s featured 28 days of intensive …∞
Posted in 12-Step Groups, Addiction, Alcohol, Alcoholics Anon, Alcoholism, Brain, Detoxification, Disease of addiction, Higher Power, Mutual-help, Recovery, Relapse prevention, Self-help and tagged Minnesota Model, psychiatrists, residential treatment. Use this permalink for a bookmark.
Long-term effects of
relapse prevention in
Background: There is
growing evidence that
with two of the best
drugs, acamprosate and
naltrexone, is efficacious in
promoting abstinence in
recently detoxified alcohol-
Objective: The stability of
effects after termination of
treatment remains to be
answered, especially when
combining both the drugs.
detoxification, 160 alcohol-
participated in a
naltrexone or acamprosate
or a combination of
acamprosate or placebo for
12 weeks. Patients were
assessed weekly by
evaluation based on
It is not getting into treatment, however, that makes the difference. Instead, it is what a person gets out of treatment.
In a Spanish hospital, 7% of patients died during 539 episodes of withdrawal. Most patients who are experiencing alcohol detoxification do not require acute care or specific treatments. For the few with symptoms that are severe enough to require hospitalization, mortality has decreased substantially since the introduction of benzodiazepines more than 40 years ago, but …∞
Going slower is better. Patients’ risks for relapse increase when lithium or antipsychotic medications are discontinued rapidly rather than gradually. To compare rapid (1–7 days) versus slow ( 14 days) discontinuation of antidepressants, researchers in Sardinia followed 398 patients with recurrent major depressive disorder (n=224), panic disorder (n=75), bipolar II disorder (n=62), or bipolar I …∞
A cohort study of male subjects attending an Alcoholics Anonymous program in India: One-year follow-up for sobriety. A cohort of subjects in India who completed detoxification treatment and a de-addiction program based on the Alcoholics Anonymous (AA) model were followed-up at 1 year to investigate the factors associated with complete abstinence. Patients (N = 187 …∞
The Role of Nutritional Therapy in Alcoholic Liver Disease By Christopher M. Griffith, M.D., and Steven Schenker, M.D. Alcoholic liver disease (ALD) evolves through various stages, and malnutrition correlates with the severity of ALD. Poor nutrition is caused both by the substitution of calories from alcohol for calories from food and by the malabsorption and …∞
Principles of Effective Treatment Addiction is a complex but treatable disease that affects brain function and behavior. Drugs of abuse alter the brain’s structure and function, resulting in changes that persist long after drug use has ceased. This may explain why drug abusers are at risk for relapse even after long periods of abstinence and …∞