The Extent of Long-Term Moderate Drinking among Alcoholics Discharged from Medical and Psychiatric Treatment Facilities

Helzer, John E.; Robins, Lee N.; Taylor, John R.; Carey, Kristin; Miller, Richard H.; Combs‐Orme, Terri; Farmer, Anne

doi:10.1056/nejm198506273122605

Cited by 165 publications

(55 citation statements)

References 6 publications

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“…In fact, it has been suggested that behavioral treatment that includes moderation goals may be very appropriate given the cultural context of some ethnic groups (Bach & Bornstein, 1981). Similarly, when compared to men, women have shown a greater ability to drink moderately after behavioral treatment (Helzer et al, 1985;Miller & Joyce, 1979;Sanchez-Craig, Leigh, Spivak, & Lei, 1989), suggesting that women may be excellent candidates for behavioral interventions.…”

Section: Recommendations For Future Research On Treatment For Alcoholmentioning

confidence: 99%

Sociocultural Aspects of Alcohol Use and Abuse: Ethnicity and Gender

Collins

1993

Drugs & Society

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This review focuses on ethnicity and gender as key components of a sociocultural perspective on alcohol use and abuse. Conceptual issues in the use of ethnic categorization, particularly as they relate to the failure to examine differences within groups, are highlighted. Research on the prevalence of use, primary prevention, and treatment is reviewed and recommendations for future research are outlined. It is concluded that more careful attention to the impact of sociocultural factors, rather than the reliance on ethnic and gender based comparisons, will add to the knowledge gained from research on alcohol use and abuse.

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Section: Recommendations For Future Research On Treatment For Alcoholmentioning

confidence: 99%

Sociocultural Aspects of Alcohol Use and Abuse: Ethnicity and Gender

Collins

1993

Drugs & Society

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“…Follow-up research suggests that 90% of clients will relapse (Helzer et al, 1985). It is therefore likely that most persons in treatment will experience the relapse stage.…”

Section: Figure 1 Six Stages Of Change That Signal the Person's Readimentioning

confidence: 99%

Cognitive Behavioral Strategies for Persons with Mental Illness and Substance Abuse Problems

McCracken¹,

Holmes²,

Corrigan³

1998

Psychiatric Rehabilitation Skills

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Cognitive behavioral strategies for treatment of alcohol and other drug use are reviewed. These strategies are organized according to the person's readiness for change. Persons in an early stage of change may benefit from considering the advantages and disadvantages of continued drug use. Persons who admit they have a problem with drug use might participate in skills training, cue exposure, and contingent reinforcement. Most persons who are able to obtain sobriety will relapse, at some point, so relapse prevention and life-style change approaches will help them prepare for situations where lapses have occurred in the past. Staff working in rehabilitation settings need to consider how to adapt these approaches to persons who both abuse alcohol and other drugs AND are also challenged by severe mental illness.

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“…While they announced that their results discounted the value of controlled-drinking therapy, they evaluated hospital treatment that certainly did not practice controlled-drinking therapy. And, of the four hospital treatment settings studied (Helzer et al 1985(Helzer et al : 1670 , "the alcohol -unit inpatients .. . fare[d] the worst.…”

Section: Evaluating Treatment Outcomesmentioning

confidence: 99%

Why and by Whom the American Alcohol Treatment Industry Is Under Siege

Peele

1990

Journal of Psychoactive Drugs

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Conventional disease-based inpatient alcoholism treatment is under attack in the United States and internationally because it accomplishes little beyond simple counseling and is less effective than other life-skill-oriented therapies. Nonetheless, disease-model adherents retain a stranglehold on American alcoholism treatment and attack all "nontraditionalists" who question their approaches. One such attack by Wallace (1989) is discussed. In addition, Wallace's claim that his treatment program at Edgehill Newport as well as other private treatment centers have remission rates ten times as high as those found for typical hospital treatments is examined critically. Finally, the group of researchers who question at least some elements of the standard wisdom about alcoholism and addiction is found to include nearly every major research figure in the field.

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The Extent of Long-Term Moderate Drinking among Alcoholics Discharged from Medical and Psychiatric Treatment Facilities

Cited by 165 publications

References 6 publications

Sociocultural Aspects of Alcohol Use and Abuse: Ethnicity and Gender

Sociocultural Aspects of Alcohol Use and Abuse: Ethnicity and Gender

Cognitive Behavioral Strategies for Persons with Mental Illness and Substance Abuse Problems

Why and by Whom the American Alcohol Treatment Industry Is Under Siege

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