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Home > Guidelines for the treatment of alcohol problems.

Haber, Paul and Lintzeris, Nicholas and Proude, Elizabeth and Lopatko, Olga [Australian Government, Department of Health and Aging] . (2009) Guidelines for the treatment of alcohol problems. Sydney: Commonwealth of Australia. 267 p.

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Summary of recommendations vii
1. Introduction 1
• Purpose of the guidelines 1
• Structure of the guidelines 1
• Evidence-based health care 3
• Community and population approaches to alcohol problems 4
• A note on terminology 4

2. Prevalence of alcohol consumption and related harms in Australia 7
• Prevalence of alcohol use 7
• Alcohol-related harm 8

3. Screening, assessment and treatment planning 13
• Screening 13
• Comprehensive clinical assessment 21
• Treatment planning 32

4. Brief interventions 41
• Who to target for brief interventions 41
• How to deliver brief interventions 42
• Who can deliver brief interventions? 43
• Where should brief interventions be delivered? 43
• Limitations of brief intervention 45

5. Alcohol withdrawal management 49
• Alcohol withdrawal syndrome: Clinical presentation 49
• Assessment and treatment matching 51
• Supportive care 57
• Medications for managing alcohol withdrawal 61
• Treating severe withdrawal complications 68
• Wernicke–Korsakoff’s syndrome 76

6. Psychosocial interventions for alcohol use disorders 81
• Overview of psychosocial interventions 81
• When to use psychosocial interventions 82
• Choosing psychosocial interventions: a stepped care approach 82
• Motivational interviewing 85
• Cognitive behavioural interventions 86
• Relapse prevention strategies 89
• Residential rehabilitation programs 89

7. Pharmacotherapies for alcohol dependence 93
• Naltrexone 93
• Acamprosate 96
• Combined acamprosate and naltrexone 98
• Disulfiram 98
• Other medications 101
• Integration with psychosocial treatments 102
• Increasing medication adherence 102
• Selecting medications for individual patients 103

8. Self-help programs 107
• Alcoholics Anonymous 107
• SMART RecoveryR 110
• Self-help for families 111

9. Specific populations 115
• Adolescents and young people 115
• Pregnant and breastfeeding women 121
• Indigenous Australians and people from other cultures 130
• Older people 135
• Cognitively impaired patients 138

10. Comorbidities 145
• Physical comorbidity 145
• Co-occurring mental and alcohol-use disorders 147
• Polydrug use and dependence 153

11. Aftercare and long-term follow-up 161
• Aftercare 161
• Working with the persistent problem drinker 161

Appendixes 165
• Appendix 1 Screening and diagnostic instruments 167
• Appendix 2 Diagnostic criteria for alcohol use disorders 195
• Appendix 3 Withdrawal scales 197
• Appendix 4 Alcohol and drug interactions 202
• Appendix 5 Getting through alcohol withdrawal: A guide for patients and carers 205
• Appendix 6 A guide for people with alcohol-related problems 208
• Appendix 7 Disulfiram Agreement 213
• Appendix 8 Treatment guidelines for mental disorders 214
• Appendix 9 Standard drinks 215

Glossary 221
Acronyms 225
References 229


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, Alternative medical treatment, Education and training, Psychosocial treatment method
Date
2009
Pages
267 p.
Publisher
Commonwealth of Australia
Place of Publication
Sydney
EndNote
Accession Number
HRB (Electronic Only)
Subjects
A Substance use, abuse, and dependence > Natural history of substance use > Recovery
B Substances > Alcohol
B Substances > Opioids (opiates) > Opioid product > Naltrexone
E Concepts in biomedical areas > Pregnancy
G Health and disease > Substance related disorder > Dual diagnosis (comorbidity)
G Health and disease > Substance use disorder > Alcohol use > Alcohol intoxication
G Health and disease > Substance use disorder > Alcohol use > Alcohol dependence
G Health and disease > Substance use disorder > Alcohol use > Alcohol withdrawal syndrome
HA Screening, identification, and diagnostic method > Medical screening and diagnostic method
HA Screening, identification, and diagnostic method > Psychosocial screening and diagnostic method
HJ Treatment method > General treatment method concepts
HJ Treatment method > Substance disorder treatment method
HJ Treatment method > Substance disorder treatment method > Substance replacement method (substitution)
HJ Treatment method > Substance disorder treatment method > Substance replacement method (substitution) > Disulfiram therapy
HJ Treatment method > Substance disorder treatment method > Substance disorder relapse prevention method
HJ Treatment method > Psychosocial treatment method
HJ Treatment method > Psychosocial treatment method > Individual therapy > Brief intervention
HJ Treatment method > Directive and nondirective therapy > Psychoanalytic therapy > Cognitive behavioural therapy (CBT)
HJ Treatment method > Psychosocial treatment method > Motivational interviewing
J Health care, prevention and rehabilitation > Identification and screening > Identification and screening for substance use
J Health care, prevention and rehabilitation > Treatment and maintenance > Treatment factors
N Communication, information and education > Recommendations or guidelines > Practice / clinical guidelines
T Demographic characteristics > Elderly / Older person
VA Geographic area > Australia and Oceania > Australia

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