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:NDARC
Date:2003
Pages:190 p.
Publisher:National Drug and Alcohol Research Centre
Place of Publication:Syndey
EndNote:View
Accession Number:HRB (Electronic Only)
Related URLs:
Subjects:A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Problem drugs and alcohol use
HJ Treatment method > Drugs and alcohol disorder treatment method
HJ Treatment method > Psychosocial treatment method > Motivational interviewing
HJ Treatment method > Psychosocial treatment method > Individual therapy > Brief intervention
B Drugs and alcohol substances > Alcohol
VA Geographic area > Australia and Oceania > Australia
G Health and disease > Drugs and alcohol 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 > Drugs and alcohol disorder > Alcohol use
J Health care, prevention and rehabilitation > Health care programme or facility > Community-based treatment (primary care)
G Health and disease > Drugs and alcohol 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 drugs and alcohol use
HA Screening, identification, and diagnostic method > Medical screening and diagnostic method
A Drugs and alcohol use, abuse, and dependence > Natural history of drugs and alcohol use > Drugs and alcohol recovery
HA Screening, identification, and diagnostic method > Psychosocial screening and diagnostic method
G Health and disease > Drugs and alcohol 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 > Drugs and alcohol related disorder > Dual diagnosis (comorbidity)
T Demographic characteristics > Gender differences

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