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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
McGuire, F. L. Alcohol rehabilitation: Fact or myth? American Journal of Drug and Alcohol Abuse 8: 131–135, 1981.
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.
Smart, R. G. Spontaneous recovery in alcoholics. Drug and Alcohol Dependence 1: 277–285, 1976.
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
Moos, R. J., Finney, J. W., & Chan, D. A. The process of recovery from alcoholism. Journal of Studies on Alcohol 42: 383–420, 1981.
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.
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.
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.
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.
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.
Stein, L. I., Newton, J. R., & Bowman, R. S. Duration of hospitalization for alcoholism. Archives of General Psychiatry 32: 247–252, 1975.
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.
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.
Vaillant, G. E. Natural history of male alcoholism. Archives of General Psychiatry 39: 127–133, 1982.
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.
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.
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.
Goodwin, D. W., & Guze, S. B. (Eds.). Psychiatric Diagnosis ( 2nd ed. ). New York: Oxford University Press, 1977.
Baldessarini, R. J. Chemotherapy in Psychiatry. Cambridge: Harvard University Press, 1977.
Berger, F. Alcoholism rehabilitation. Hospital and Community, 1983, in press.
Emrick, C. D. A review of psychologically oriented treatment of alcoholism. II. Journal of Studies on Alcohol 36: 88–108, 1975.
Forrest, G. G. The Diagnosis and Treatment of Alcoholism. Springfield, 111.: Charles C Thomas, 1975.
Brown, S., & Yalom, I. D. Interactional group therapy with alcoholics. Journal of Studies on Alcohol 38: 426–456, 1977.
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.
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.
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.
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.
Kitson, T. M. The disulfiram-ethanol reaction. Journal of Studies on Alcohol 38: 96–113, 1977.
Wilson, A., Davidson, W. J., & White, J. Disulfiram implantation: Placebo, psychological deterrent, and pharmacological deterrent effects. British Journal of Psychiatry 129: 277–280, 1976.
Schuckit, M. A. Disulfiram (Antabuse) and the treatment of alcoholic men. Advances in Alcoholism 11: 1–4, 1981.
Lindros, K. O. The disulfiram-alcohol reaction in alcoholics: Its treatment with 4-methylpyrazole. Alcoholism: Clinical and Experimental Research 5: 528–530, 1981.
Wilson, A. Disulfiram implantation in alcoholism treatment: A review. Journal of Studies on Alcohol 36: 555–565, 1975.
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.
Schuckit, M. A. Alcoholism and sociopathy: Diagnostic confusion. Quarterly Journal of Studies on Alcohol 34: 157–164, 1973.
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.
O. G. Alcoholics Anonymous. Journal of the American Medical Association 236: 1505–1506, 1976.
Goldstein, A. Heroin addiction. Sequential treatment employing pharmacologic supports. Archives of General Psychiatry 33: 353–358, 1976.
Oppenheimer, E., Stinson, G., & Thorley, A. Seven-year follow-up of heroin addicts. British Medical Journal 2: 627–730, 1979.
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.
Simpson, D. D., & Savage, L. J. Drug abuse treatment readmissions and outcomes. Archives of General Psychiatry 37: 896–901, 1980.
Stephens, R. C., & Weppner, R. S. Legal and illegal use of methadone: One year later. American Journal of Psychiatry 130: 1391–1394, 1973.
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.
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.
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.
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.
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.
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.
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.
Newman, R. G. Methadone maintenance: It ain’t what it used to be. British Journal of Addictions 71: 183–186, 1976.
Stimmel, B. Heroin Dependency: Medical, Economic, and Social Aspects. New York: Stratton Intercontinental Medical Book Corporation, 1975.
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.
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.
Green, J., & Jaffe, J. H. Alcohol and opiate dependence: A review. Journal of Studies on Alcohol 35: 1274–1293, 1977.
Simpson, D. D. Treatment for drug abuse. Archives of General Psychiatry 38: 875–880, 1981.
McGlothlin, W., & Anglin, D. Shutting off methadone: Costs and benefits. Archives of General Psychiatry 38: 885–892, 1981.
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.
Shapira, J. Drug Abuse: A Guide for the Clinician. New York: American Elsevier, 1975.
Brahan, L. S., Capone, T., Wiechert, V., et al. Naltrexone and cyclazocine: A controlled treatment study. Archives of General Psychiatry 34: 1181–1184, 1977.
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.
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.
Tennant, F. S., Jr. Propoxyphene napsylate for heroin addiction. Journal of the American Medical Association 226: 1012, 1973.
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.
Lidz, C. W., Lewis, S. H., Crane, L. E., et al. Heroin maintenance and heroin control. International Journal of Addictions 10: 35–52, 1975.
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.
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.
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.
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.
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.
Coombs, R. H. Back on the streets: Therapeutic communities’ impact upon drug user?. American Journal of Drug and Alcohol Abuse 8: 185–201, 1981.
Author information
Authors and Affiliations
Rights 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