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Home > Guidelines for the treatment of alcohol problems.

Shand, Fiona and Gates, Jennifer and Fawcett, Julia and Mattick, Richard P (2003) Guidelines for the treatment of alcohol problems. Syndey: National Drug and Alcohol Research Centre.

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Contents:
Chapter 1: Introductory comments 13
• Purpose of the Guidelines 13
• Audience for the Guidelines 14
• Levels of Evidence 14

Chapter 2: Access to treatment: overcoming barriers 21

Chapter 3: Screening and assessment 25
• The need for screening 25
• In-depth assessment before more intensive treatment 33

Chapter 4: Patient-treatment matching 55

Chapter 5: Alcohol withdrawal management 59
• Alcohol withdrawal syndrome 59
• Medical care for alcohol withdrawal complications 61
• Home-based, outpatient and inpatient withdrawal management 69
• Supervised medicated and non-medicated withdrawal management 73

Chapter 6: Post-withdrawal treatment setting 83
• Who should receive residential treatment? 84
• Potential improvements to residential/therapeutic community care 86

Chapter 7: Brief interventions 91

Chapter 8: Psychosocial interventions 99
• Characteristics of effective clinicians 99
• Counselling 100
• Motivational interviewing 103
• Cognitive-behavioural interventions 107
• Skills training 108
• Behavioural self-management 112
• Cognitive restructuring 114
• Cue exposure 116
• Couples and family therapy 117
• Self-guided materials 120
• Standardised versus tailored treatment 121

Chapter 9: Relapse prevention 127
• Identifying factors associated with relapse 127
• Strategies for assessing relapse risk 128
• Reducing the risk of relapse 129
• Pharmacotherapies for relapse prevention 130

Chapter 10: Extended care 145
• Treatment retention 145
• Alcoholics Anonymous 145
• Assertive outreach and structured aftercare 147

Chapter 11: Interventions for specific client groups 151
• Adolescents and young adults 151
• Cognitive impairment 155
• Comorbid disorders 158
• Gender 161
• Indigenous clients 164

Chapter 12: How to put it together 169
• When there is no time available 172
• Brief, one session, face-to-face interventions 172
• Brief outpatient interventions 173
• Longer multi-session outpatient interventions 174
• Brief inpatient/residential withdrawal management 175
• Day patient and inpatient/residential interventions 175

References 179
Appendices 197


Item Type
Report
Publication Type
International, Guideline, Report
Drug Type
Alcohol
Intervention Type
General / Comprehensive, Drug therapy, Treatment method, Prevention, Harm reduction, Education and training, Psychosocial treatment method, Rehabilitation/Recovery, Screening / Assessment
Source
Date
2003
Pages
190 p.
Publisher
National Drug and Alcohol Research Centre
Place of Publication
Syndey
EndNote
Accession Number
HRB (Electronic Only)
Related (external) link
Subjects
A Substance use and dependence > Prevalence > Problem substance use
A Substance use and dependence > Natural history of substance use (pathway) > Recovery
B Substances > Alcohol
G Health and disease > Substance use disorder > Alcohol use disorder
G Health and disease > Substance use disorder > Alcohol use disorder > Alcohol intoxication
G Health and disease > Substance use disorder > Alcohol use disorder > Alcohol dependence
G Health and disease > Substance use disorder > Alcohol use disorder > Alcohol withdrawal syndrome
G Health and disease > Substance related disorder > Substance related mental health disorder > Dual diagnosis
HA Screening, identification, and diagnostic method > Medical screening, assessment and diagnostic method
HA Screening, identification, and diagnostic method > Psychosocial screening, assessment and diagnostic method
HJ Treatment method > Substance disorder treatment method
HJ Treatment method > Psychosocial treatment method
HJ Treatment method > Psychosocial treatment method > Individual therapy > Brief intervention
HJ Treatment method > Psychotherapy > Psychoanalytic therapy > Cognitive behavioural therapy (CBT)
HJ Treatment method > Psychosocial treatment method > Motivational interviewing
J Health care, prevention, harm reduction and rehabilitation > Identification and screening > Identification and screening for substance use
J Health care, prevention, harm reduction and rehabilitation > Treatment and maintenance > Treatment factors
J Health care, prevention, harm reduction and rehabilitation > Health care programme, service or facility > Community-based treatment (primary care)
N Communication, information and education > Education and training > Affective and interpersonal education > Skills building
N Communication, information and education > Recommendations > Practice / clinical guidelines
T Demographic characteristics > Adolescent / youth (teenager / young person)
T Demographic characteristics > Gender differences
VA Geographic area > Australia and Oceania > Australia

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