Is primary care effective in identifying and treating alcohol-related problems?
With the high prevalence of AUDs in the United States and low rates of treatment seeking, the value of identifying and treating alcohol problems in primary care settings is well known.
What is the best drug to treat alcohol dependence?
Summary Drug therapy for alcohol dependence should only be used in conjunction with a comprehensive treatment plan. Naltrexone and acamprosate have well established efficacy and are first-line treatments.
What is this guide for alcoholics?
This guide is written for individuals, and their family and friends, who are looking for options to address alcohol problems. It is intended as a resource to understand what treatment choices are available and what to consider when selecting among them.
Is culturally based intervention more effective for reducing substance use?
• Culturally based intervention (CTC) was significantly more effective for reducing substance use and related problems than the non-culturally-based intervention (SE) on the Global Assessment of Individual Needs—Quick (GAIN-Q) as follows:
What makes a treatment effective?
3. Effective Treatment Attends to Multiple Needs of the Individual, not just his or her drug use: To be effective, treatment must address the individual's drug use and any associated medical, psychological, social, vocational, and legal problems.
What is the most effective treatment for addiction?
According to American Addiction Centers, Cognitive Behavioral Therapy (CBT) is a valuable treatment tool because it can be used for many different types of addiction including, but not limited to, food addiction, alcohol addiction, and prescription drug addiction.
How does culture affect substance abuse treatment?
Culture is important in substance abuse treatment because clients' experiences of culture precede and influence their clinical experience. Treatment setting, coping styles, social supports, stigma attached to substance use disorders, even whether an individual seeks help—all are influenced by a client's culture.
What techniques are used to treat addiction?
Some of the most common forms of modern addiction treatment include behavioral therapies delivered as individual therapy, group therapy, and family therapy.
What is a treatment plan for substance abuse?
A substance abuse treatment plan is an individualized, written document that details a client's goals and objectives, the steps need to achieve those, and a timeline for treatment. These plans are mutually agreed upon with the client and the clinician.
What are three options for drug abuse treatment?
There are many options that have been successful in treating drug addiction, including:behavioral counseling.medication.medical devices and applications used to treat withdrawal symptoms or deliver skills training.evaluation and treatment for co-occurring mental health issues such as depression and anxiety.More items...•
What is culturally specific treatment?
Culturally specific treatment programs help people of color achieve, maintain sobriety. Such programs often have higher success rates with members of minority populations, who frequently struggle to reach and maintain sobriety using traditional treatment programs.
What are cultural considerations?
1. Defined as the degree to which cultural awareness plays a role interactions with a particular cultural group.
How does cultural competence impact addiction treatment?
Data from various reports indicate providing culturally specific treatment services improves treatment access, utilization, and outcomes. Cultural competence in the addiction treatment community is also vital to enhancing feelings of comfort, support, and structure in the treatment environment.
Is CBT effective in treating addiction?
CBT is commonly used to treat depression, anxiety disorders, phobias, and other mental disorders, but it has also been shown to be valuable in treating alcoholism and drug addiction. This is especially true when it's part of an overall program of recovery.
What is the first step in treating a drug abuse problem?
Detoxification is normally the first step in treatment. This involves clearing a substance from the body and limiting withdrawal reactions. In 80 percent of cases, a treatment clinic will use medications to reduce withdrawal symptoms, according to the Substance Abuse and Mental Health Services Administration (SAMHSA).
Is treatment for drug dependence effective?
According to research that tracks individuals in treatment over extended periods, most people who get into and remain in treatment stop using drugs, decrease their criminal activity, and improve their occupational, social, and psychological functioning.
What are the barriers to behavioral health in Asian cultures?
In Asian cultures, individuals tend to be private and may face cultural barriers to behavioral health treatment. Addiction and substance abuse may be seen as a weakness, and something to be kept behind closed doors and not admitted to anyone outside the family.
How much alcohol abuse did African Americans need in 2011?
This being said, the NSDUH Report publishes that between 2003 and 2011, African Americans needed treatment for alcohol abuse or addiction less than that other ethnic or racial groups: 6.8% versus 7.8%, respectively. African Americans were more likely to need treatment for illicit drug abuse and addiction, however.
Why do people struggle with substance abuse?
Many things factors into why some people struggle with substance abuse. Things like biology and genetics can play a role, as addiction is a heritable disease, and environmental aspects can also be significant. Culture, religion, race, social circles, socioeconomic status, and home environment can all be involved in the way a person thinks, acts, and feels. Race and culture can also be involved in how a person treats alcohol and drug abuse, and how individuals seek necessary addiction treatment, if they do at all.
What are the factors that affect how a person thinks, acts, and feels?
Culture, religion, race, social circles, socioeconomic status, and home environment can all be involved in the way a person thinks, acts, and feels. Race and culture can also be involved in how a person treats alcohol and drug abuse, and how individuals seek necessary addiction treatment, if they do at all. Specialized programs are often most ...
Why are special programs beneficial?
Specialized programs are often most beneficial when they cater to specific demographics, be it gender, race, or both. These focused programs can relate to people on a different level while being understanding and empathetic of individuals’ cultural backgrounds.
Do African Americans need treatment for drug addiction?
African Americans were more likely to need treatment for illicit drug abuse and addiction, however. APA publishes that African American individuals are more likely to abuse more than one drug at a time (polydrug abuse) than other racial demographics.
Should families be included in treatment?
Families should be included in treatment and recovery, as large families are often part of a person’s home environment and daily social circle. Addiction treatment programs may be optimal when they are gender-specific and cater specifically to the Hispanic population.
How to help someone with alcoholism?
It is important that as you try to help your loved one, you find a way to take care of yourself as well. It may help to seek support from others, including friends, family, community, and support groups. If you are developing your own symptoms of depression or anxiety, think about seeking professional help for yourself. Remember that your loved one is ultimately responsible for managing his or her illness.
How many people have alcohol use disorder?
Many people struggle with controlling their drinking at some time in their lives. Approximately 17 million adults ages 18 and older have an alcohol use disorder (AUD) and 1 in 10 children live in a home with a parent who has a drinking problem.
How many times is alcohol dependent?
Studies show that people who are alcohol dependent are two to three times as likely to suffer from major depression or anxiety over their lifetime. When addressing drinking problems, it’s important to also seek treatment for any accompanying medical and mental health issues.
What is cognitive behavioral therapy?
Cognitive–Behavioral Therapy can take place one-on-one with a therapist or in small groups. This form of therapy is focused on identifying the feelings and situations (called “cues”) that lead to heavy drinking and managing stress that can lead to relapse.
What is the first step in a treatment plan?
For anyone thinking about treatment, talking to a primary care physician is an important first step — he or she can be a good source for treatment referrals and medications. A primary care physician can also: Evaluate whether a patient’s drinking pattern is risky. Help craft a treatment plan. Evaluate overall health.
What is behavioral treatment?
Also known as alcohol counseling, behavioral treatments involve working with a health professional to identify and help change the behaviors that lead to heavy drinking. Behavioral treatments share certain features, which can include: Developing the skills needed to stop or reduce drinking.
Is inpatient treatment more expensive?
In addition to choosing the type of treatment that’s best for you, you’ll also have to decide if that treatment is inpatient (you would stay at a facility) or outpatient (you stay in your home during treatment). Inpatient facilities tend to be more intensive and costly.
How to help someone with alcoholism?
It is important that as you try to help your loved one, you find a way to take care of yourself as well. It may help to seek support from others, including friends, family, community, and support groups. If you are developing your own symptoms of depression or anxiety, think about seeking professional help for yourself. Remember that your loved one is ultimately responsible for managing his or her illness.
Why is matching the right therapy to the individual important?
Matching the right therapy to the individual is important to its success . No single treatment will benefit everyone. It may also be helpful to determine whether treatment will be adapted to meet changing needs as they arise.
What is behavioral therapy?
Also known as alcohol counseling, behavioral treatments involve working with a health professional to identify and help change the behaviors that lead to heavy drinking. Behavioral treatments share certain features, which can include:
What is the most common medication for alcohol use disorder?
Disulfiram (Antabuse) was the first medication available for the treatment of alcohol use disorder, and it remains the most widely prescribed medication in some countries. Disulfiram inhibits the low Km alcohol metabolism enzyme aldehyde dehydrogenase 2 (ALDH2) in the liver and the brain, increasing the downstream acetaldehyde levels (Vasiliou et al. 1986). If a person taking disulfiram drinks alcohol, the resulting acetaldehyde levels cause an aversive reaction that is characterized by nausea, vomiting, headaches, a flushed face and neck, and sometimes rare symptoms that include vertigo, blurred vision, hypotension, and syncope (McMahon 1980). Because of this very unpleasant experience, patients often lack motivation to remain compliant. In the United States, disulfiram is rarely prescribed because of its potentially serious side effects.
What determines the bioavailability of a medication?
Additionally, the genetic variations in genes encoding enzymes that determine the bioavailability of a medication, receptor binding and uptake sites, and enzymes involved in a medication’s elimination also could determine individual’s variable responses to medications.
What is the measure of a treatment response?
Changes in drinking patterns or adverse events associated with a treatment, which typically are used to measure “treatment response” are, in fact, on some level determined by changes in the expression of multiple genes involved in drinking behavior that result from an extremely complex combination of environmental factors and the strength and duration of treatment.
What are the drugs that are used to treat AUD?
Researchers have conducted pharmacogenetic trials for improving the efficacy of four drugs to treat AUD: naltrexone and acamprosate as well as two off-label medications, ondansetron and topiramate.
What is the FDA approved drug for AUD?
Food and Drug Administration (FDA) has only approved three specifically for treating AUD (Litten et al. 2014): oral and long-acting injectable naltrexone, acamprosate, and disulfiram.
Is alcohol use disorder prevalent?
Despite decades of research on various methods for treating alcohol use disorder ( AUD), AUD remains prevalent throughout the world, making it critical to develop a more comprehensive approach to address the issue. Heavy drinking is the third largest risk factor for global disease burden, leading to enormous social and economic decline ...
Does acamprosate help with AUD?
The FDA approved acamprosate to treat AUD in 2004, but it mainly is used in Europe for maintaining abstinence presumably by reducing craving, especially after alcohol detoxification (Cochrane 2011). Contrary to these findings, some studies suggest that acamprosate prevents relapse, not through altered craving (Umhau et al. 2011) but rather by reducing central nervous system hyperexcitabilty (Dahchour et al. 1998) and by causing a negative affective state during alcohol withdrawal (Cole et al. 2000).
When Is It Time For Treatment?
Options For Treatment
- When asked how alcohol problems are treated, people commonly think of 12-step programs or 28-day inpatient rehab, but may have difficulty naming other options. In fact, there are a variety of treatment methods currently available, thanks to significant advances in the field over the past 60 years. Ultimately, there is no one-size-fits-all solution,...
What Fda-Approved Medications Are available?
- Certain medications have been shown to effectively help people stop or reduce their drinking and avoid relapse.
Tips For Selecting Treatment
- Professionals in the alcohol treatment field offer advice on what to consider when choosing a treatment program. Overall, gather as much information as you can about the program or provider before making a decision on treatment. If you know someone who has first-hand knowledge of the program, it may help to ask about his or her personal experience. Here are some questions y…
Resources
- Please note: NIAAA recently launched the NIAAA Alcohol Treatment Navigator. This online tool helps you find the right treatment for you — and near you. It guides you through a step-by-step process to finding a highly qualified professional treatment provider. Learn more at https://alcoholtreatment.niaaa.nih.gov.