Broadening the Base of Treatment for Alcohol Problems (Photocopy Only)

640 Pages·1990·3.54 MB·English

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ge bry ins Broadening the Base of Treatment
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m terr Report of a Study by a Committee of the
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eakerte National Academy Press 2101 Constitution Avenue, NW Washington, DC 20418
ge bry ins NbeOrsT aIrCeE d:r Tawhen pfrroomjec tth teh acto uisn tchiels soufb tjheec tN oaf ttihoinsa rle Apocratd wemasy a opfp Srocvieendc besy, tthhee GNoavtieornnainl gA cBaodaermd yo fo tfh Ee nNgaintieoenrainl gR, easneda rtchhe CInosutintcuitle, wofh Moseed miceinme-.
Paall The members of the committee responsible for the report were chosen for their special competencies and with regard for appropriate balance.
s. ent This report has been reviewed by a group other than the authors according to procedures approved by a Report Review Committee con-
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ginal typay have hLrTeohisblee rA awarbcrouhyrs,k oea ofna nCnd d woe ndAhugilccrchaeo tshtishoo iCnlsi. sapmtua bloolfigc taihnteigo D-nin eip-sP abruatmbseleidcn awt toiaofs n Hp Deeraaflottharm anedd pHuurmsuaann tS teor vCicoenst.ract No. ADM-281-87-003 with the National Institute on Alco-
orim Institute of Medicine (U.S.)
he ors Broadening the base of treatment for alcohol problems : report of a study by a committee of the Institute of Medicine, Division of
m terr Mental Health and Behavioral Medicine.
k, not froographic p“c“CoC. ncootmnmetn.rmtasci.ttt eneo .f oAr DthMe -S2t8u1d-y8 7of-0 T0r3e awtmithe ntht ea nNda Rtieohnaabl iIlnitsattiitounte S oenr vAiclceos hfoolr AAblcuosheo alnisdm A alncdo hAollcisomho ol fA thbeu sDe”e-p-aPr.t mfoelnlot wofin Hg etaalbthle aonfd
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er bme t Includes bibliographical references.
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he original ained, and 1ta[hDn. edAN SAlLctuMlocdho:yo h1 looi.sf la miTslcm-ro-eT ha(rUtomel.aiSestmmn.)t -e Ia-IntnIht.d- e-T rCRaitoeplehny.ag. brWeilsiMstae st2i.o 72n4. SAI5el8rcv5oibhccoe]sli cfos-r- ARelchoahboilliitsamti oann-d- CAolncoghreosls A. Ib. uIsnes.t iItIu.t Ne oatfi oMneadl iIcnisnteit u(Ute. So.n) .A Clocomhmoli tAtebeu fsoer
m tret RC565.I4893 1990
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ML filowev FSiercsot nPdr iPnrtiinngti,n Ag,p Ariul g1u9s9t0 1991
Xh Third Printing, March 1995
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eakerte This book is dedicated to the memory of E. MANSELL PATTISON, M.D. 1933-1989 in recognition of his
ge bry ins many contributions to the treatment of alcohol pro1b9le8m7-s1; 9a8n8d to the memory of SARAH CAITLIN GLASER
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ge bry ins Committee for the Study of Treatment and Rehabilitation Services for Alcoholism and
Paall Alcohol Abuse
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original typmay have ROBHoEfe RMaTlti hnW nCe.e sBnotLteaUr, ,M MFai,n rMmnei.aDnpg.o,t olPinsH,, .CMDoi.n,n nAneescsstooitccauiatte Professor of Pediatrics and Maternal and Child Health, University
he ors CHAD D. EMRICK, PH.D., Assistant Clinical Professor of Clinical Psychology in Psychiatry, University of
m terr Colorado Health Sciences Center, Denver, Colorado
k, not froographic JEIDMW PFAeRnRAnDsNy ClvGEaOKniT,a MTH.SE.WIL.,, CM.E.D.A.,. PP.,H P.rDes.,i dPenrot,f eJismso rF raonf cePks yacnhdi aAtrsys,o cJiaetfefes,r sIonnc ., MNoedrwicaallk ,C Coolnlengeec,t icPuhtiladelphia,
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er bome ty MERCWenYteNr fRor. HGeRaEltEhN RLeIsCeaKrc, hP, HK.aDis.,e*r +P eVrmicaen Pernetsei,d Peonrtt l(aRneds,e Oarrcehg)o, nKaiser Foundation Hospitals, and Director,
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ps DAVID C. LEWIS, M.D., Professor of Medicine and Community Health, Donald G. Millar Professor of Alcohol
original ed, and aSncdh oAold,d Picrotivoind eSntcued,i eRsh, oadned IDsliarnedctor, Center for Alcohol and Addiction Studies, Brown University Medical
he ain G. ALAN MARLATT, PH.D., Professor of Psychology, University of Washington, Seattle, Washington
m tret THOMAS F. MCGOVERN, ED.D., C.A.D.A.C., Associate Professor of Psychiatry, Department of Psychiatry,
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ea of Public Management and Economics, and Executive Director, Leonard Davis Institute of Health
es crer, c Economics, University of Pennsylvania, Philadelphia, Pennsylvania
L filwev BARBARA ROSS-LEE, D.O., Professor and Chairman, Department of Family Medicine, College of
XMho Osteopathic Medicine, Michigan State University, East Lansing, Michigan.
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eakerte HARVEY A. SKINNER, PH.D., Professor and Chairman, Department of Behavioural Science, Faculty of
ge bry ins MCaendaidciane, University of Toronto, and Senior Scientist Addiction Research Foundation, Toronto, Ontario,
s. Paallent CYNTHIA P. TURNURE, PH.D., Executive Director, Chemical Dependency Program Division, Minnesota
ed Department of Human Services, Saint Paul, Minnesota
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al typhave CONSTANCE M. WEISNER, M.S.W., DR. P.H., Senior Scientist, Alcohol Research Group, Institute of
ginay Epidemiology and Behavioral Medicine, Medical Research Institute of San Francisco Pacific Medical
orim Center, and Lecturer, School of Public Health, University of California at Berkeley, California
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ok, not fropographic SFHRTEEURDDMEYAR NSICT IKA. D FBIFE. GSELNAHSEARU, SM, P.DH..,D F..,R A.Css.Po.c(iCat)e, SSttuuddyy DDiirreeccttoorr
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apo BARBARA A. KELLEY, Project Secretary
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original ed, and FERLAEDINREIC L ASOWLSOOMNO, ANd, mMi.nDis.,t rDatiirveec tSoer,c rDeitvarisyi,o Dn iovfi sMioenn otafl M Heenatlathl Haneda lBthe ahnadvi Boreahl aMvieodriacli Mneedicine
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m terr Chapter 1 — Our Vision 13
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he ain Chapter 8 — Who pays for treatment? 183
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L filwev Chapter 12 — Determining Outcome 313
XMho Chapter 13 — Implementing the vision 329
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ge bry ins ChSapectetiro 2n1 V —I: GuLideiandge rtshhei pOngoing Effort 4 85
s. Paallent Acknowledgements, 505
ed Appendixes:
ting filesetbeen acci ABC... ITMnrteeemartnmbaeterinos tno Mafl toRhdeea vTliiateisweks :oF fPo rTrocrceeesastsm aenndt aOnudt cRoemheabilitation Services for Alcoholism and 555501071
al typhave Alcohol Abuse, by M. Grant and E. B. Ritson
ginay D. Coercion in Alcohol Treatment, by C. M. Weisner 579
orim Index 611
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