Prevention and Treatment of Alcohol Problems Research Opportunities (1990) / Chapter Skim
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7 The Social and Historical Context of Alcohol Treatment Research
7 The Social and Historical Context of Alcohol Treatment Research
Pages 141-148
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From page 141... ...
The 1967 and 1969 amendments to the Economic Opportunity Act created the first federally funded alcoholism treatment programs. In 1970, amendments to the Community Mental Health Centers Act authorized direct grants for special alcohol treatment projects.
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From page 142... ...
During this period, NIAAA also initiated special cost and utilization studies of various federally and state-mandated programs to provide health insurance coverage for alcohol treatment (NIAAA, 1980, 1985; Plotnick et al., 1982~. In addition to its direct support of treatment services and program evaluation research, the agency promoted early intervention activities directed at high-risk groups.
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From page 143... ...
Alongside the tremendous increases in the availability and scope of alcohol treatment services, there has also been a trend to organize therapeutic approaches around a single inpatient rehabilitation model consisting of detoxification, alcohol education, group confrontational therapy, AA meetings, and disulfiram therapy (Miller and Hester, 1986~. This treatment package is typically delivered to all types of patients in the course of a standard three- to four-week residential program.
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From page 144... ...
. These trends toward multiple substance-use patterns, greater numbers of individuals at risk, and the pervasiveness of alcohol-related problems in general medical patients not only should be taken into consideration in the planning of health services but also should guide the design of health services research For example, the high prevalence of heavy drinking and alcohol abuse among general medical patients suggests that attempts should be made to integrate the identification and management of alcohol abuse into general medical practice and to evaluate the impact of this practice change on the health of the primary care population.
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From page 145... ...
Legally mandated treatment has raised questions about the appropriateness of using the same conventional approaches that in other contexts rely heavily on individual motivation. Another trend that is affecting the design of treatment services is the increasing health consciousness of the American public, combined with changing norms about the advisability and appropriateness of heavy drinking.
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From page 146... ...
· Both the alcohol and the drug abuse fields have benefited from longitudinal cohort studies of clients sampled from multiple facilities (Armor, Polich, and Stambul, 1978; Hubbard, Marsden, and Allison, 1984~. The NIAAA should support major outcome monitoring studies, preferably covering a representative sample of units drawn from the national survey census.
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From page 147... ...
Korcor, M Alcoholism treatment, a growing "product line." American Medical News, October 11, 1985.
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From page 148... ...
National Institute on Alcohol Abuse and Alcoholism. Alcoholism Treatment Impact on Total Health Care Utilization and Costs.
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