Skip to main content
SpringerLink
Log in

Rehabilitation

  • Chapter
Book cover Drug and Alcohol Abuse

Part of the book series: Critical Issues in Psychiatry ((CIPS))

  • 46 Accesses

Abstract

This chapter serves as an introduction to the concept of rehabilitation for alcoholism and drug abuse rather than a definitive discussion of all aspects of care. It can be read for general knowledge, for guidelines to the appropriate referral of patients, as a framework for the critical evaluation of programs, or as a basis for the development of your own treatment efforts. I will first present a series of general rules that (with modifications) fit rehabilitation for all substance misusers. These are followed by a discussion of guidelines specifically tailored to particular drug approaches.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. McGuire, F. L. Alcohol rehabilitation: Fact or myth? American Journal of Drug and Alcohol Abuse 8: 131–135, 1981.

    Article  PubMed  CAS  Google Scholar 

  2. Schuckit, M. A., & Cahalan, D. Evaluation of alcoholism treatment programs. In W. J. Filstead, J. J. Rossi, & M. Keller (Eds.), Alcohol and Alcohol Problems: New Thinking and New Directions. Cambridge, Mass.: Ballinger, 1976.

    Google Scholar 

  3. Smart, R. G. Spontaneous recovery in alcoholics. Drug and Alcohol Dependence 1: 277–285, 1976.

    Article  PubMed  CAS  Google Scholar 

  4. Slater, E. J., & Linn, M. W. Predictors of rehospitalization in a male alcoholic population. American Journal of Drug and Alcohol Abuse 9: 211–220, 1983

    Article  CAS  Google Scholar 

  5. Moos, R. J., Finney, J. W., & Chan, D. A. The process of recovery from alcoholism. Journal of Studies on Alcohol 42: 383–420, 1981.

    PubMed  CAS  Google Scholar 

  6. Schuckit, M. A. Treatment of alcoholism in office and outpatient settings. In J. H. Mendelson & N. K. Mello (Eds.), Diagnosis and Treatment of Alcoholism (2nd ed.). New York: McGraw-Hill, 1984.

    Google Scholar 

  7. Cole, S. G., Lehman, W. E., Cole, E. A., et al. Inpatient vs. outpatient treatment of alcohol and drug abusers. American Journal of Drug and Alcohol Abuse 5: 329–345, 1981.

    Article  Google Scholar 

  8. Stinson, D. J., Smith, W. G., Amidjaya, I., et al. Systems of care and treatment outcomes for alcoholic patients. Archives of General Psychiatry 36: 535–539, 1979.

    Article  PubMed  CAS  Google Scholar 

  9. Orvis, B. R., Armor, D. J., Williams, C. E., et al. Effectiveness and cost of alcohol rehabilitation in the United States Air Force. A Project Air Force Report prepared for the United States Air Force. Santa Monica, Calif.: Rand, Dec. 1981.

    Google Scholar 

  10. Mosher, V., Davis, J., Mulligan, D., et al. Comparison of outcome in a 9-day and 30-day alcoholism treatment program. Journal of Studies on Alcohol 36: 1277–1281, 1975.

    PubMed  CAS  Google Scholar 

  11. Stein, L. I., Newton, J. R., & Bowman, R. S. Duration of hospitalization for alcoholism. Archives of General Psychiatry 32: 247–252, 1975.

    Article  PubMed  CAS  Google Scholar 

  12. Nirenberg, T. D., Sobell, L. C., & Sobell, M. B. Effective and inexpensive procedures for decreasing client attrition in an outpatient alcohol treatment program. American Journal of Drug and Alcohol Abuse 7: 73–82, 1980.

    Article  PubMed  CAS  Google Scholar 

  13. Smart, R. G., Gray, G., Finely, J., et al. A comparison of recidivism rates for alcoholic detox residents referred to hospitals, halfway houses, and outpatient facilities. American Journal of Drug and Alcohol Abuse 4: 223–232, 1977.

    Article  PubMed  CAS  Google Scholar 

  14. Vaillant, G. E. Natural history of male alcoholism. Archives of General Psychiatry 39: 127–133, 1982.

    Article  PubMed  CAS  Google Scholar 

  15. Schuckit, M. A. Inpatient and residential approaches to the treatment of alcoholism. In J. H. Mendelson & N. K. Mello (Eds.), Diagnosis and Treatment of Alcoholism (2nd ed.). New York: McGraw-Hill, 1984.

    Google Scholar 

  16. Edwards, G., Orford, J., Egert, S., et al. Alcoholism: A controlled trial of “treatment” and “advice.” Journal of Studies on Alcohol 38: 1004–1031, 1977.

    CAS  Google Scholar 

  17. West, J. W. The general hospital as a primary setting for the treatment of alcoholism. Presented at the National Council on Alcoholism Seventh Annual Conference, Washington, D.C., May 1976.

    Google Scholar 

  18. Goodwin, D. W., & Guze, S. B. (Eds.). Psychiatric Diagnosis ( 2nd ed. ). New York: Oxford University Press, 1977.

    Google Scholar 

  19. Baldessarini, R. J. Chemotherapy in Psychiatry. Cambridge: Harvard University Press, 1977.

    Google Scholar 

  20. Berger, F. Alcoholism rehabilitation. Hospital and Community, 1983, in press.

    Google Scholar 

  21. Emrick, C. D. A review of psychologically oriented treatment of alcoholism. II. Journal of Studies on Alcohol 36: 88–108, 1975.

    PubMed  CAS  Google Scholar 

  22. Forrest, G. G. The Diagnosis and Treatment of Alcoholism. Springfield, 111.: Charles C Thomas, 1975.

    Google Scholar 

  23. Brown, S., & Yalom, I. D. Interactional group therapy with alcoholics. Journal of Studies on Alcohol 38: 426–456, 1977.

    PubMed  CAS  Google Scholar 

  24. Briddell, D. W., & Nathan, P. E. Behavior assessment and modification with alcoholics: Current status and future trends. In M. Hersen, R. Eisler, & P. Miller (Eds.), Progress in Behavior Modification (Vol. 2 ). New York: Academic Press, 1976.

    Google Scholar 

  25. Nathan, P. E., & Lisman, S. A. Behavioral and motivational patterns of chronic alcoholics. In R. E. Tartar & A. A. Sugarman (Eds.), Alcoholism: Interdisciplinary Approaches to an Enduring Problem. Reading, Mass.: Addison-Wesley, 1976.

    Google Scholar 

  26. Pendery, M. L., Maltzman, I. M., & West, L. J. Controlled drinking by alcoholics? New findings and a réévaluation of a major affirmative study. Science 217: 169–175, 1982.

    Article  PubMed  CAS  Google Scholar 

  27. Goodwin, D. W., & Reinhard, J. Disulfiram-like effects of trichomonacidal drugs: A review and double blind study. Quarterly Journal of Studies on Alcohol 33: 734–740, 1972.

    PubMed  CAS  Google Scholar 

  28. Kitson, T. M. The disulfiram-ethanol reaction. Journal of Studies on Alcohol 38: 96–113, 1977.

    PubMed  CAS  Google Scholar 

  29. Wilson, A., Davidson, W. J., & White, J. Disulfiram implantation: Placebo, psychological deterrent, and pharmacological deterrent effects. British Journal of Psychiatry 129: 277–280, 1976.

    Article  PubMed  CAS  Google Scholar 

  30. Schuckit, M. A. Disulfiram (Antabuse) and the treatment of alcoholic men. Advances in Alcoholism 11: 1–4, 1981.

    Google Scholar 

  31. Lindros, K. O. The disulfiram-alcohol reaction in alcoholics: Its treatment with 4-methylpyrazole. Alcoholism: Clinical and Experimental Research 5: 528–530, 1981.

    Article  CAS  Google Scholar 

  32. Wilson, A. Disulfiram implantation in alcoholism treatment: A review. Journal of Studies on Alcohol 36: 555–565, 1975.

    CAS  Google Scholar 

  33. Vaillant, G. E. Natural history of male alcoholism. V: Is alcoholism the cart to sociopathy or the horse? Presented at the American Psychiatric Association Meeting in Toronto, May 1982.

    Google Scholar 

  34. Schuckit, M. A. Alcoholism and sociopathy: Diagnostic confusion. Quarterly Journal of Studies on Alcohol 34: 157–164, 1973.

    PubMed  CAS  Google Scholar 

  35. Van Ryswyk, C., Churchill, M., & Velasquez, J. Effectiveness of halfway house placement for alcohol and drug abusers. American Journal of Drug and Alcohol Abuse 8: 499–512, 1982.

    Article  Google Scholar 

  36. O. G. Alcoholics Anonymous. Journal of the American Medical Association 236: 1505–1506, 1976.

    Google Scholar 

  37. Goldstein, A. Heroin addiction. Sequential treatment employing pharmacologic supports. Archives of General Psychiatry 33: 353–358, 1976.

    Article  PubMed  CAS  Google Scholar 

  38. Oppenheimer, E., Stinson, G., & Thorley, A. Seven-year follow-up of heroin addicts. British Medical Journal 2: 627–730, 1979.

    Article  PubMed  CAS  Google Scholar 

  39. McClellan, A. T., Ball, J. C., Rosen, L., et al. Pretreatment source of income and response to methadone maintenance: A follow-up study. American Journal of Psychiatry 138: 785–789, 1981.

    Google Scholar 

  40. Simpson, D. D., & Savage, L. J. Drug abuse treatment readmissions and outcomes. Archives of General Psychiatry 37: 896–901, 1980.

    Article  PubMed  CAS  Google Scholar 

  41. Stephens, R. C., & Weppner, R. S. Legal and illegal use of methadone: One year later. American Journal of Psychiatry 130: 1391–1394, 1973.

    CAS  Google Scholar 

  42. McLellan, A. T., Luborsky, L., O’Brien, C. P., et al. Is treatment for substance abuse effective? Journal of the American Medical Association 247: 1423–1428, 1982.

    Article  PubMed  CAS  Google Scholar 

  43. Jaffe, J. H., & Martin, W. R. Opioid analgesics and antagonists. In L. S. Goodman & A. G. Gilman (Eds.), The Pharmacological Basis of Therapeutics (6th ed.). New York: Mac- millan, 1980.

    Google Scholar 

  44. Brown, B. S., Watters, J. K., & Iglehart, A. S. Methadone maintenance dosage levels and program retention. American Journal of Drug and Alcohol Abuse 9: 129–139, 1983.

    Article  CAS  Google Scholar 

  45. McGlothlin, W. H., & Anglin, M. D. Long-term follow-up of clients of high- and low- dose methadone programs. Archives of General Psychiatry 38: 1055–1063, 1981.

    Article  PubMed  CAS  Google Scholar 

  46. Ling, W., Charuvastra, V. C., Kaim, S. C., et al. Methadryl acetate and methadone as maintenance treatments for heroin addicts. Archives of General Psychiatry 33: 709–720, 1976.

    Article  PubMed  CAS  Google Scholar 

  47. Razani, J., Chilholm, D., Glasser, M., et al. Self-regulated methadone detoxification of heroin addicts: An improved technique in an inpatient setting. Archives of General Psychiatry 32: 909–911, 1975.

    Article  PubMed  CAS  Google Scholar 

  48. Senay, E. C., Dorus, W., Goldberg, F., et al. Withdrawal from methadone maintenance: Rate of withdrawal and expectation. Archives of General Psychiatry 34: 361–368, 1977.

    Article  PubMed  CAS  Google Scholar 

  49. Newman, R. G. Methadone maintenance: It ain’t what it used to be. British Journal of Addictions 71: 183–186, 1976.

    Article  CAS  Google Scholar 

  50. Stimmel, B. Heroin Dependency: Medical, Economic, and Social Aspects. New York: Stratton Intercontinental Medical Book Corporation, 1975.

    Google Scholar 

  51. Weissman, M. M., Slobetz, F., Prusoff, B et al. Clinical depression among narcotic addicts maintained on methadone in the community. American Journal of Psychiatry 133: 1434–1438, 1976.

    PubMed  CAS  Google Scholar 

  52. Croughan, J. L., Miller, J. P., Koepke, J., et al. Depression in narcotic addicts—A prospective study with a five-year follow-up. Comprehensive Psychiatry 22: 428–433, 1981.

    Article  PubMed  CAS  Google Scholar 

  53. Green, J., & Jaffe, J. H. Alcohol and opiate dependence: A review. Journal of Studies on Alcohol 35: 1274–1293, 1977.

    Google Scholar 

  54. Simpson, D. D. Treatment for drug abuse. Archives of General Psychiatry 38: 875–880, 1981.

    Article  PubMed  CAS  Google Scholar 

  55. McGlothlin, W., & Anglin, D. Shutting off methadone: Costs and benefits. Archives of General Psychiatry 38: 885–892, 1981.

    Article  PubMed  CAS  Google Scholar 

  56. Schecter, A. The role of narcotic antagonists in the rehabilitation of opiate addicts: A review of naltrexone. American Journal of Drug and Alcohol Abuse 7: 1–18, 1980.

    Article  PubMed  CAS  Google Scholar 

  57. Shapira, J. Drug Abuse: A Guide for the Clinician. New York: American Elsevier, 1975.

    Google Scholar 

  58. Brahan, L. S., Capone, T., Wiechert, V., et al. Naltrexone and cyclazocine: A controlled treatment study. Archives of General Psychiatry 34: 1181–1184, 1977.

    Article  Google Scholar 

  59. Volavka, J., Resnick, R. B., Kestenbaum, R. S., et al. Short-term effects of naltrexone in 155 heroin ex-addicts. Biological Psychiatry 11: 679–685, 1976.

    PubMed  CAS  Google Scholar 

  60. Greenstein, R. A., O’Brien, C. P., McLellan, A. T., et al Naltrexone: A short-term treatment of opiate dependence. American Journal of Drug and Alcohol Abuse 8: 291–300, 1981.

    Article  PubMed  CAS  Google Scholar 

  61. Tennant, F. S., Jr. Propoxyphene napsylate for heroin addiction. Journal of the American Medical Association 226: 1012, 1973.

    Article  Google Scholar 

  62. Grosz, H. J. Propranolol in the treatment of heroin dependence. In H. Bostrum (Ed.), Skandia International Symposia: Drug Dependence, Treatment and Treatment Evaluation. Stockholm: Bastrum, 1974.

    Google Scholar 

  63. Lidz, C. W., Lewis, S. H., Crane, L. E., et al. Heroin maintenance and heroin control. International Journal of Addictions 10: 35–52, 1975.

    CAS  Google Scholar 

  64. Romond, A. M., Forrest, C. K., & Kleber, H. D. Follow-up of participants in a drug dependence therapeutic community. Archives of General Psychiatry 32: 369–374, 1975.

    Article  PubMed  CAS  Google Scholar 

  65. Bale, R. N., Van Stone, W. W., Kuldau, J. M., et al. Therapeutic communities vs. methadone maintenance. Archives of General Psychiatry 37: 179–193, 1980.

    Article  PubMed  CAS  Google Scholar 

  66. Simpson, D. D., Savage, L. J., & Lloyd, M. R. Follow-up evaluation of treatment of drug abuse during 1969 to 1972. Archives of General Psychiatry 36: 772–780, 1979.

    Article  PubMed  CAS  Google Scholar 

  67. Bracy, S. A., & Simpson, D. D. Status of opioid addicts 5 years after admission to drug abuse treatment. American Journal of Drug and Alcohol Abuse 9: 115–127, 1983.

    Article  CAS  Google Scholar 

  68. Simpson, D. D., Joe, G. W., & Bracy, S. A. Six-year follow-up of opioid addicts after admission to treatment. Archives of General Psychiatry 39: 1318–1323, 1982.

    Article  PubMed  CAS  Google Scholar 

  69. Coombs, R. H. Back on the streets: Therapeutic communities’ impact upon drug user?. American Journal of Drug and Alcohol Abuse 8: 185–201, 1981.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Veterans Administration Hospital, University of California, San Diego School of Medicine, San Diego, California, USA

    Marc A. Schuckit M.D.

Authors
  1. Marc A. Schuckit M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 1984 Plenum Press, New York

About this chapter

Cite this chapter

Schuckit, M.A. (1984). Rehabilitation. In: Drug and Alcohol Abuse. Critical Issues in Psychiatry. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-1176-8_15

Download citation

  • DOI: https://doi.org/10.1007/978-1-4684-1176-8_15

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-1178-2

  • Online ISBN: 978-1-4684-1176-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation