Evaluation of a social-setting detoxication program.

Sparadeo, Francis R.; Zwick, William R.; Ruggiero, Simona; Meek, Daniel; Carloni, Joe; Simone, Shannon

doi:10.15288/jsa.1982.43.1124

Cited by 16 publications

(3 citation statements)

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“…Research, however, shows no persuasive advantage for inpatient over outpatient treatment of alcohol/drug problems (Institute of Medicine, 1990a;McLellan et al, 1994; U.S. Congress, Office of Technology Assessment, 1983). Even acute detoxification, the period of greatest medical concern, can be handled safely and effectively on an outpatient basis in the vast majority of cases (Schuckit, 1995;Sparadeo et al, 1982;Whitfield et al, 1978). Although psychoactive substances by definition provoke significant physiological and neurochemical changes and behavioral-genetic research clearly points to hereditary risk factors for alcohol and drug dependence, most of the clinical activity that occurs even in medically oriented treatment programs is psychosocial in nature and focuses on rehabilitation.…”

Section: The Nature Of Alcohol Ancl Other Drug Problemsmentioning

confidence: 99%

Why psychologists should treat alcohol and drug problems.

Miller¹,

Brown²

1997

American Psychologist

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Because of the prevalence of substance abuse in general clinical populations, it is important for psychologists to have knowledge and skill in this area. Psychologists also have special expertise to offer in the assessment and treatment of alcohol/drug problems. Current evidence indicates that (a) alcohol/drug problems generally obey ordinary behavioral principles and processes, (b) substance abuse frequently occurs within a broader cluster of psychological problems, (c) the treatment approaches most strongly supported by outcome research are fundamentally psychological in nature, (d) cognitive-behavioral principles are of demonstrable value in motivating change in alcohol/drug use, and (e) clinical skills and styles (e.g., empathy) commonly included in the training of psychologists are important determinants of favorable treatment outcomes with substance use disorders. These factors in the context of changing health care indicate that psychologists should play an increasing role in assessing and treating addictive behaviors.

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Section: The Nature Of Alcohol Ancl Other Drug Problemsmentioning

confidence: 99%

Why psychologists should treat alcohol and drug problems.

Miller¹,

Brown²

1997

American Psychologist

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“…He further asserted that about half of all alcoholics do not require detoxification in any residential facility but can withdraw from alcohol safely at home, given appropriate assistance and support. Outcomes from SSD have also been documented by Sparadeo et al (1982). Of 987 admissions for detoxification (SSD), only six experienced seizures and 14 required referral to a hospital for a withdrawal-related emergency.…”

Section: Controlled Researchmentioning

confidence: 99%

Inpatient alcoholism treatment: Who benefits?

Miller¹,

Hester²

1986

American Psychologist

334

114

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Although uncontrolled studies have yielded mixed findings, 26 controlled comparisons have consistently shown no overall advantage for residential over nonresidential settings, for longer over shorter inpatient programs, or for more intensive over less intensive interventions in treating alcohol abuse. Predictor data suggest that intensive treatment may be differentially beneficial for more severely deteriorated and less socially stable individuals. The outcome of alcoholism treatment is more likely to be influenced by the content of interventions than by the settings in which they are offered. Third-party reimbursement policy shouM discourage the use of intensive residential models for addressing alcohol abuse when more cost-effective alternatives are available and should reinforce the use of research-supported treatment methods regardless of setting. Such policy priorities run directly counter to the current practices and financial interests of many for-profit providers.

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“…WHY PSYCHOLOGISTS SHOULD TREAT ALCOHOL AND DRUG PROBLEMS the period of greatest medical concem, can be handled safely and effectively on an outpatient basis in the vast majority of cases (Schuckit, 1995;Sparadeo et al, 1982;Whitfield et al, 1978). Although psychoactive substances by definition provoke significant physiological and neurochemical changes and behavioral-genetic research clearly points to hereditary risk factors for alcohol and dmg dependence, most of the clinical activity that occurs even in medically oriented treatment programs is psychosocial in nature and focuses on rehabilitation.…”

Section: The Nature Of Alcohol and Other Drug Problemsmentioning

confidence: 99%

Why psychologists should treat alcohol and drug problems.

Miller¹,

Brown²

2009

Addictive Behaviors: New Readings on Etiology, Prevention, and Treatment.

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It is no coincidence that the American Psychological Association's (APA's) College of Professional Psychology selected treatment of substance use disorders as the first proficiency area for specialist certification (S. A. Brown, 1996). There are persuasive reasons why all practicing psychologists should be proficient in assessing and treating alcohol/dmg problems and why psychologists should be contributing to treatment systems, policy, and research in this area. PREVALENCE AND IMPACT OF ALCOHOL AND DRUG PROBLEMSSurveys since the 1960s have consistently found that about 1 in 10 American adults in the general population has significant problems related Preparation of this chapter was supported by Grants K05-AA00133 and R01-AA07033 from the National Institute on Alcohol Abuse and Alcoholism.

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Evaluation of a social-setting detoxication program.

Cited by 16 publications

References 0 publications

Why psychologists should treat alcohol and drug problems.

Why psychologists should treat alcohol and drug problems.

Inpatient alcoholism treatment: Who benefits?

Why psychologists should treat alcohol and drug problems.

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