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Chapter 7. Evolution in Addiction Treatment Concepts and Methods

A. Thomas McLellan, Ph.D.
DOI: 10.1176/appi.books.9781585623440.345610

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There has always been broad recognition that alcohol and drug abuse are partly or fully responsible for such serious public health and public safety problems as traffic accidents, street crime, transmission of infectious diseases, child abuse and neglect, and excessive use of medical services. During the 1970s, addiction treatments gained prominence as a social response to these addiction-related problems. This was because addiction treatments were less expensive than the available alternatives (e.g., jail or hospitalization) and because there was social compassion for the many addicted veterans of the Vietnam War whose substance use problems were seen as a result of that war.

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Sample questions:
1.
An initial stage in the clinical treatment of substance dependence is often the medical management of withdrawal states, which may be associated with a period of autonomic instability. For which of the following substances is the dependence illness not associated with a "true" physiological withdrawal state?
2.
Following the initial detoxification and stabilization of substance-dependent patients, the clinician proceeds to a rehabilitation treatment model. Rehabilitation models may have different lengths of treatment. Among the following rehabilitation models, which one may be associated with an indefinite time period?
3.
Adjunctive use of medications may be a critical part of the comprehensive care of the opioid-dependent patient. Which of the following statements about these medications is false?
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Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
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