Alcoholism treatment in the United States. An overview

On any given day, more than 700,000 people in the United States receive alcoholism treatment in either inpatient or outpatient settings. For many of those patients, detoxification--with or without pharmacotherapy--is the first step of treatment. The major behavioral approaches currently used in alco...

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Bibliographic Details
Published in:Alcohol research & health 1999-01, Vol.23 (2), p.69-77
Main Authors: Fuller, R K, Hiller-Sturmhöfel, S
Format: Article
Language:English
Subjects:
Alcohol Deterrents - therapeutic use
Alcoholics Anonymous
Alcoholism
Alcoholism - epidemiology
Alcoholism - therapy
Alcoholism counseling
Care and treatment
Cognitive Therapy
Comparative analysis
Humans
Naltrexone - therapeutic use
Narcotic Antagonists - therapeutic use
Planning
Substance abuse treatment
Treatment Outcome
United States - epidemiology
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Summary:On any given day, more than 700,000 people in the United States receive alcoholism treatment in either inpatient or outpatient settings. For many of those patients, detoxification--with or without pharmacotherapy--is the first step of treatment. The major behavioral approaches currently used in alcoholism treatment include cognitive-behavioral therapy, motivational enhancement therapy, and Alcoholics Anonymous (AA) or related 12-step programs. Clinical studies, such as the Project MATCH trial, have compared the effectiveness of these approaches. Overall, that study detected no significant differences among the three treatments in patient outcome, although certain treatment methodologies may be most appropriate for patients with certain characteristics. Pharmacotherapy with aversive or anticraving medications may supplement behavioral treatment approaches. Brief interventions that are delivered by primary health care providers also have been shown to reduce drinking levels, particularly in nondependent drinkers.
ISSN:1535-7414
2168-3492
2169-4796
1930-0573