Broadening the base of treatment for alcohol problems : report of a study by a committee of the Institute of Medicine, Division of Mental Health and Behavioral Medicine.
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Corporate author / creator: | Institute of Medicine (U.S.) |
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Imprint: | Washington, D.C. : National Academy Press, 1990. |
Description: | 1 online resource (viii, 629 pages) : illustrations |
Language: | English |
Series: | [Publication ; 4038] Publication (National Research Council (U.S.)) ; no. 4038. |
Subject: | |
Format: | E-Resource Book |
URL for this record: | http://pi.lib.uchicago.edu/1001/cat/bib/11216477 |
Table of Contents:
- Broadening the Base of Treatment for Alcohol Problems
- Copyright
- Contents
- Introduction and Summary
- The Study Process
- A Summary of the Text
- Our Vision
- Some Fundamental Questions
- Aspects of Treatment
- Special Populations in Treatment
- Aspects of Financing
- Guiding the Ongoing Effort
- REFERENCES
- 1 Our Vision
- A Brief History of Treatment
- Broadening the Base
- Toward Treatment Systems
- Advice to the Reader
- REFERENCES
- 2 What Is Being Treated?
- The Alcohol Problems Perspective
- Other Perspectives
- AlcoholismAlcohol Dependence Syndrome
- A Terminological “Map�
- The Heterogeneity of Alcohol Problems
- Heterogeneity of Presentation
- Heterogeneity of Course
- Heterogeneity of Etiology
- Implications of Heterogeneity for Treatment
- Summary and Conclusions
- REFERENCES
- 3 What Is Treatment?
- Refining the Definition of Treatment for Alcohol Problems
- Defining the Expanded Continuum of Care
- Defining the Elements of Treatment in the Continuum of Care
- Treatment Philosophy or Orientation
- Treatment Stages
- Stage 1: Acute InterventionStage 2: Rehabilitation
- Stage 3: Maintenance
- Treatment Settings
- Treatment Modalities
- Summary and Conclusions
- REFERENCES
- 4 Who Provides Treatment?
- Describing the System to Treat Persons with Alcohol Problems
- Treatment of Alcohol Problems in the Nonspecialist Community Sectors
- Treatment in the Specialist Alcohol Problems Sector
- A State Perspective on Treatment Providers
- A Federal Perspective
- A National Perspective
- Treatment Personnel
- Summary and Conclusions
- REFERENCES
- 5 Does Treatment Work? Reframing the Question
- Answering the Reframed Question: Methods
- The Randomized Controlled Trial
- The Role of Quality Assurance
- Other Methods
- Answering the Reframed Question: Results
- Summary and Conclusions
- REFERENCES
- 6 Is Treatment Necessary?
- Improvement in Alcohol Problems Without Formal Treatment
- Deterioration in Alcohol Problems with Formal Treatment
- Coerced Treatment for Alcohol Problems
- Implications for Treatment
- Treatment Based on Knowledge of Improvement Without Treatment
- Summary and ConclusionsREFERENCES
- 7 Is Treatment Available?
- Distribution of Resources for Alcohol Problems Treatment
- The National Drug and Alcoholism Treatment Unit Survey
- The Distribution of Treatment Capacity
- Expenditure Data
- American Hospital Association Annual Survey of Hospitals
- Relationship Between Treatment Availability and the Prevalence of Alcohol Problems
- Summary and Conclusions
- REFERENCES
- 8 Who Pays for Treatment?
- Who Are the Payers?
- Who Pays for Treatment in Specialty Programs?