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Home > Guidelines for the treatment of alcohol problems.

Shand, Fiona and Gates, Jennifer and Fawcett, Julia and Mattick, Richard P [NDARC] . (2003) Guidelines for the treatment of alcohol problems. Syndey: National Drug and Alcohol Research Centre. 190 p.

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

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