Broadening the Base of Treatment for Alcohol Problems (1990) / Chapter Skim
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Chapter 1--Our Vision
Chapter 1--Our Vision
Pages 13-22
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From page 13... ...
Briefly put, the committee's vision is that the treatment of people with alcohol problems has undergone an historical evolution. From an originally and perhaps necessarily circumscribed focus, the base of the treatment enterprise has begun to broaden in a number of important ways, a development the committee believes should be encouraged.
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From page 14... ...
Thus, the treatment of alcohol problems in the United States can be traced back for about 200 years-a brief span by historical standards but it is, in many significant respects, a much more recent phenomenon. On account of the hiatus introduced by
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From page 15... ...
There is not one problem but rather many problems. The committee believes that this broad range of problems requires the attention of a knowledgeable individual who can gather the appropriate information and make a reasonable decision about what to do (or what not to do)
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From page 16... ...
Yet there is another sense in which the base of treatment has been broadened, and the committee believes this aspect of the evolution of treatment is worthy of special emphasis. Until quite recently, the treatment of alcohol problems was viewed as the exclusive province of a specialized treatment sector.
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From page 17... ...
The committee believes, however, that implementation should not wait upon the final completion of an extensive program of research. Relevant research is well under way and, if the reasons for implementing these processes are compelling, as the committee believes they are, ways must be found to make them broadly available.
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From page 18... ...
The operational location of the community role in treatment is diverse; it is partly in the health care sector, partly in the social services sector, and partly in the workplace, in educational settings, and in the
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From page 19... ...
Although the available evidence suggests that direct and relatively straightforward treatment within community settings can deal effectively with a substantial proportion of the population of individuals with alcohol problems, others will need specialized treatment. Specialized treatment is shown on the right side of the diagram and is concerned with persons who have substantial or severe alcohol problems, as well as other persons for whom a brief intervention has not proven sufficient.
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From page 20... ...
The modern paradigm, not by any means intended by its protagonists to replace but rather to broaden prevailing thought, interacts disease with personal, social, and psychological factors to explain individual differences in illness. Despite face and experiential validity, the broadened paradigm has not achieved wide acceptance.
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From page 21... ...
1986. Cellular mechanisms underlying differences in acute ethanol sensitivity: Effects of tolerance and genetic factors upon neuronal sensitivity to alcohol.
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From page 22... ...
Menlo Park, Calif.: The Henry J Kaiser Family Foundation.
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