Psychiatric Services for Addicted Patients
Psychiatric Services for Addicted Patients

Author: American Psychiatric Association

Publisher: American Psychiatric Pub

Published: 1995

Total Pages: 172

ISBN-13: 9780890422762

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The original task force report, completed in the summer of 1994, reflected the current state of addiction treatment and provided recommendations for improving these services in the future. That monograph is reproduced in this book, which accomplishes the following: * Define psychiatrists' current roles and practices in the treatment of substance-dependent patients in relationship to that of other practitioners, with particular attention to issues such as dual diagnosis, methadone treatment, and detoxification* Develop suggestions for appropriate funding mechanisms for the payment of addicted patients' treatment in the context of managed care and indemnity benefit programs* Examine issues related to the funding of public sector programs, including funding of Department of Veterans Affairs programs, block grant funding of state and city programs, as well as funding of voluntary treatment programs within and outside the criminal justice system. This book is divided into four sections. Chapter 1 reviews the history of American psychiatry's interest in addiction disorders and the development of the current network of addiction treatment services. Chapter 2 is a snapshot of the current addiction treatment system, with a description of the services provided in general medical settings, psychiatric hospitals, freestanding residential facilities, and private practice and other outpatient settings. Chapter 3 explores the economics of the treatment system: the costs of addictive diseases to American society and the costs and sources of support for their treatment. Chapter 4 examines the range of system modifications and resource allocations needed to bring high quality, cost-effective treatment to addicted patients and their families. These needs range from improving data collection and treatment research to increasing community involvement and the application of current research findings.

The Oxford Handbook of Substance Use and Substance Use Disorders
The Oxford Handbook of Substance Use and Substance Use Disorders

Author: Kenneth J. Sher

Publisher: Oxford University Press

Published: 2016-07-13

Total Pages: 752

ISBN-13: 0199381720

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Substance use and substance use disorders (SUDs) have been documented in a number of cultures since the beginnings of recorded time and represent major societal concerns in the present day. The Oxford Handbook of Substance Use and Substance Use Disorders provides comprehensive reviews of key areas of inquiry into the fundamental nature of substance use and SUDs, their features, causes, consequences, course, treatment, and prevention. It is clear that understanding these various aspects of substance use and SUDs requires a multidisciplinary perspective that considers the pharmacology of drugs of abuse, genetic variation in these acute and chronic effects, and psychological processes in the context of the interpersonal and cultural contexts. Comprising two volumes, this Handbook also highlights a range of opportunities and challenges facing those interested in the basic understanding of the nature of these phenomena and novel approaches to assess, prevent, and treat these conditions with the goal of reducing the enormous burden these problems place on our global society. Chapters in Volume 1 cover the historical and cultural contexts of substance use and its consequences, its epidemiology and course, etiological processes from the perspective of neuropharmacology, genetics, personality, development, motivation, and the interpersonal and larger social environment. Chapters in Volume 2 cover major health and social consequences of substance involvement, psychiatric comorbidity, assessment, and interventions. Each chapter highlights key issues in the respective topic area and raises unanswered questions for future research. All chapters are authored by leading scholars in each topic. The level of coverage is sufficiently deep to be of value to both trainees and established scientists and clinicians interested in an evidenced-based approach.

Rum Maniacs
Rum Maniacs

Author: Matthew Warner Osborn

Publisher: University of Chicago Press

Published: 2014-03-14

Total Pages: 277

ISBN-13: 022609992X

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"This important study explores the medicalization of alcohol abuse in the 19th century US” and its influence on American literature and popular culture (Choice). In Rum Maniacs, Matthew Warner Osborn examines the rise of pathological drinking as a subject of medical interest, social controversy, and lurid fascination in 19th century America. At the heart of that story is the disease that afflicted Edgar Allen Poe: delirium tremens. Poe’s alcohol addiction was so severe that it gave him hallucinations, such as his vivid recollection of standing in a prison cell, fearing for his life, as he watched men mutilate his mother’s body—an event that never happened. First described in 1813, delirium tremens and its characteristic hallucinations inspired sweeping changes in how the medical profession saw and treated the problems of alcohol abuse. Based on new theories of pathological anatomy, human physiology, and mental illness, the new diagnosis established the popular belief that habitual drinking could become a psychological and physiological disease. By midcentury, delirium tremens had inspired a wide range of popular theater, poetry, fiction, and illustration. This romantic fascination endured into the twentieth century, most notably in the classic Disney cartoon Dumbo, in which a pink pachyderm marching band haunts a drunken young elephant. Rum Maniacs reveals just how delirium tremens shaped the modern experience of alcohol addiction as a psychic struggle with inner demons.