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Pages 611-630

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From page 613... ... See Depression AFL-CIO, 112 Aftercare, 60, 61, 62, 66, 67-68. See also Maintenance; Relapse prevention for mentally ill, 333 research on, 530-531 for special populations, 347 Age and alcohol consumption, 371 legal alcohol purchase, 383, 388 and liver disease, 176 and prevalence of alcohol problems, 153-154, 357 in special populations, 345, 347, 349 and treatment facilities, 283, 359, 361, 370 Aid to Families with Dependent Children, 194 Al-Anon, 105, 108, 113-114, 391, 556, 562, 570, 571 Alateen, 108, 391, 556, 562, 570, 571 Alberta Alcoholism and Drug Abuse Commission, 338 Alcohol, 20 craving, pharmacological reduction of, 77-78 exposure to, 217 legal purchase age, 383, 388 metabolism of, 53, 368 oxidation of, 75 tolerance, 29 Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) Read the entire page →
From page 614... ... , 125, 130, 131 "Attack" therapy, 247-248 AUDIT. See Alcohol Use Disorders Identification Test Australia alcohol problems in, 554-555 treatment in, 556, 569-570, 572-573 Aversion therapies, 78, 103, 517-518, 531 B Baltimore, 229 Behavioral self-control training, 80-81, 521-522 Behavioral treatment modalities, 52, 73, 78-81, 431 Benzodiazopines, 74, 77, 555 Beta blockers, 77 Betty Ford Center, 103 Bibliotherapy, 226 Binge drinking, 252 Biofeedback training, 79, 524 Biological factors, 52 Biological markers, 262-263, 322-323, 359 Biopsychosocial model, 35, 51, 52-53, 58 Birch and Davis Associates, Inc., 129-130 Blacks, 371, 372 Minnesota programs for, 116, 117 as special population, 106, 345, 346, 347, 348, 349, 351, 352, 369-370, 399 United Kingdom programs for, 570 Block grant (alcohol, drug abuse, and mental health semices) Read the entire page →
From page 615... ... See Patients: payments by Clinical Institute of Ontario, 285 Withdrawal Assessment for Alcohol, 74-75 Codependency, 392-393 Cognitive-behavioral relapse prevention strategies, 80 Cognitive functioning, 258, 280, 320, 520 College students, 351, 388-391 Colorado Alcohol and Drug Abuse Division, 71 involuntary commitments in, 582 Commission on Accreditation of Rehabilitation Facilities (CARF) , 61, 426 Committee recommendations, 5, 486-488 assessment, 253, 269-270 community role, 211, 218, 235-236 Congress, 488-490 continuity of care, 331, 333 data collection, 124, 205-206 employers and insurers, 493-495 funding studies, 441-444, 461-462 insurance coverage, 468, 469, 473, 474, 475, 480, 481 mandated insurance coverage, 475 matching, 296 NIAAA, 497-500 outcome determination, 326 research, 490, 499 special populations, 10, 358, 399-404 state policies, 491-492 treatment availability studies, 166, 167, 169, 178-179 Read the entire page →
From page 616... ... (1970) , 14, 15, 346, 407, 408-409, 415 Computerization of data bases, 248 in obtaining assessment information, 266, 267, 268-269 "Conceptual level," 280, 283 Confrontational psychotherapy, 280, 519 Connecticut demand-based planning, 166 DWI treatment legislation, 590, 591 involuntary commitment law, 581 social model treatment study, 423 Connecticut, University of, 338, 499 Connecticut General Corporation, 495 Contingency management, 80 Continuing care, 68 Continuity of care, 9, 18, 19, 329, 330-333 and brief intervention, 226 case managers and, 476, 480 community role in, 228 insurance coverage for, 468 as part of treatment system, 46, 334, 336, 338, 339 Continuum of care, 44 under categorical grants, 410 defining, 47-51, 85-86 and homeless persons, 387 insurance coverage for, 430, 480 Minnesota, 112-113 state agencies and, 437~38 INDEX Contra Costa County, Calif., 214 Cooperative Commission on the Study of Alcoholism, 25, 407, 438, 485, 486, 494, 497 Coping skills, 52, 403 Core-Shell Treatment System Project, 285, 286, 290, 331, 336, 338 Correctional institutions, 100 Corroboration of outcome, 323 Costa Rica, treatment in, 563-564, 568, 570, 571, 574 Cost containment, 285, 431-432, 439-440, 444 health maintenance organizations, 433 managed care and, 331, 435-436 Medicare and, 420 preferred providers, 435 Cost-effectiveness, 11, 466, 467 analysis, 455, 459-461 insurance industry and, 426 limitations on treatment, 49 matching and, 461 social model treatment and, 469 treatment setting and, 529 Cost offset, 11, 424, 455, 478 brief interventions and, 468 studies of, 455-459 Costs of alcohol problems, 202-204, 326, 465 assessment and matching, 250, 461 community interventions, 234-235 day treatment, 105 insurance coverage, 411-412 level of services and, 443 of recommended changes, 5-6 treatment, and insurance industry, 424-425 treatment, mandated insurance and, 430 Council of State and Territorial Alcoholism Authorities, 409 Counseling, 46, 76 Counselors, 7, 125-131, 234. Read the entire page →
From page 617... ... See also Intermediate care cost-effectiveness of, 460 mandated insurance and, 430 Delirium tremens, 74 Demographic variables, 256-257, 281, 282, 345 Denoix, P F., 253 Depression and alcohol problems, 385-386 and matching, 282 treatment for, 76, 358, 516, 519 women and, 357 Detoxification, 49, 59, 61, 64, 65, 313, 511-512, 555 costs of, 204 health maintenance organizations and, 434 insurance coverage for, 71, 464, 468 managed care and, 436 Minnesota programs, 114-115 NDATUS classification, 122-123, 169 Oregon programs, 418-419 pharmacotherapies, 73, 74, 515-516 placement criteria, 472 prospective payment system and, 421 setting for, 72 social model and, 52, 56 treatment capacity, 170-172 Detoxification centers, 48, 387, 408 Diagnosis, 303. Read the entire page →
From page 618... ... See also Continuity of care INDEX interviews, 19, 323 and outcome reporting, 314 treatment, 48 Formula grants, 408-409, 415, 438-439 France, treatment in, 47 Fraternity houses, 389 Funding, 10-12. See also Block grant; Costeffectiveness; States brief therapy, 235 categories of, 183-187, 204-206 continuum of care and, 47 current environment, 439-441 data collection, 442 expenditure levels, 202-204 federal, 408-411, 414, 419-423 FEHBP, 422 health care, 201-202, 431 health insurance, 125, 411-414 international, 572-573 national policy development, 407-408 outcome determination, 325-326 personnel training, 125 poor and uninsured treatment, 480-483 research, 441-444, 498-499 special population programs, 119, 401 specialty programs, 188-197 private-sector, 200-201 public-sector, 197-200 state and local role, 415-419 and treatment capacity, 173-175 treatment facilities, 115, 116 G Gamma aminobutyric acid (GABA) Read the entire page →
From page 619... ... See also Private health insurance; Public health insurance; Selfinsurance; Uninsured persons availability of, 423 for brief therapy, 235 and cost-effectiveness, 461 and cost offset, 456, 458 coverage appropriateness, 466-467 coverage of minorities, 372 exclusion of alcohol-related disorders, 409 funding of, 125, 185-186, 406-407 model benefit packages, 428, 429-430, 439, 475, 476 insurers and, 426 NLAAA and, 61, 411-412, 423-424 national, 412 optimal conventional coverage, 467-474 reimbursement limits, 476 and treatment quality, 315 Health maintenance, 200, 201 Health Maintenance Organizations (HMO) , 431, 493, 495 cost offset and, 456 coverage of, 425, 432-435 mandated insurance and, 427 research on 434-435 Health Services Funding Regulations and Guidelines, 413 Hippocrates, 159-160 Hispanic Americans, 370-371, 372 Minnesota programs, 117 as special population, 345, 346, 347, 348, 349, 351, 352 Holder, Harold D., 4 Homeless persons, 43, 358, 401 extent of alcohol problems, 231 programs for, 116, 387-388 as special population, 349, 350 United Kingdom programs, 570-571 Homeostasis, 152 Homicide, 366 vehicular, 381 Hospitals admission practices, 409 cost containment, 420-421 cost offset and, 456 mental health programs, 406 prevalence of alcohol problems in patients, 33, 229 619 Hospital treatment. Read the entire page →
From page 620... ... See also Treatment: setting of in Cleveland criteria, 289, 295, 303, 472-473 in international programs, 564-567 managed care and, 436, 437 matching to, 439, 443-444, 470 Life events, 258-260, 357, 364 Lincoln, Abraham, 2 Lithium, 77, 282, 516 Liver disease and cirrhosis and blacks, 369 as index of alcohol problems, 176 mortality, 14, 176-177, 366, 552, 554 treatment costs, 203 and women, 357 Local governments allocation of block grants to, 190-191 responsibility for treatment, 406, 477 treatment funding by, 186, 191, 196-197, 198, 416 Longitudinal studies, 318 Low-income and poor persons, 349 mandated insurance and, 429 treatment financing, 415, 480-483 federal formula grants, 345, 410 Medicaid, 421, 481 state and local, 440, 481 and utilization, 456-457 LSD (lysergic acid diethylamide) , 282 Lutheran General Hospital (Park Ridge, Ill.) Read the entire page →
From page 621... ... , 279 Military personnel, 349 Minnesota, 491 Alcoholics Anonymous membership, 109 assessment and matching in, 265-266, 284, 336, 337 Chemieal Dependency Program Dh ision, 106, 417, 437, 464, 470-472, 490 Civil Service Commission, 128 commitment laws, 584 Consolidated Chemieal Dependency Treatment Fund, 470, 473, 477, 481, 489 490 Department of Public Safety, 114 health maintenance organizations in, 434 treatment services in, 112-117, 204, 316, 325 Minnesota Model of Chemieal Dependence Intervention and Treatment, 67, 385, 526 programs based on, 104, 132, 347, 415416, 418, 428, 559 treatment strategy, 46-47, 58-60, 85 Minnesota Multiphasie Personality Inventory (MMPI) , 219 Missouri, 166 Model Cities Act, 345 Model State Law on Civil Commitment of the Mentally Ill, 583-584 Modifying variables, 217 Monitoring the Future Project, 359 Monoamine oxidase inhibitors, 77 Montana, 415 Moral hazard, 432 Moral model of etiology and treatment, 55 Mortality alcohol-related, 366, 381 liver cirrhosis, 14, 176-177, 366, 552, 554 liver disease, as index of alcohol problems, 176-177 Mortimer-Filkins Interview, 382 Mothers Against Drunk Driving, 383 Motivation, 533-534, 599 Motor vehicle deaths, 366, 381 Multidimensional assessment, 251-255, 269 Multivitamins, 74 Mutual help groups, 57, 304-305, 520-521 N Narcotic Addict Rehabilitation Act (1966) Read the entire page →
From page 622... ... , 14, 108, 407-408, 413, 414, 462 Alcohol Epidemiologic Data System (AEDS) , 165-166, 443 alcohol problems indexes, 176 and American Indians, 366, 367 categorical grants, 119, 190, 409-411 and diagnosis-related groups, 421 and drinking drivers, 381, 382 INDEX and employee assistance programs, 112, 494, 591 funding sources studies, 188, 204, 444 health care costs studies, 183 and health maintenance organizations, 434 435 and homeless persons, 388 and mandated insurance, 426 matching study, 285 model health insurance benefit packages, 411 412, 423-424, 426 personnel training funding, 125, 130, 131, 233 and private health insurance, 61, 426 recommended actions, 497-500 and social model treatment, 56, 423 and special populations, 345-346, 349 State Manpower Development Program, 125 treatment facility surveys, 119-120, 121, 168 Treatment Research Branch, 338, 490, 498 499 and treatment setting, 70, 71 and youth drinking, 389 National Institute on Drug Abuse (NIDA) Read the entire page →
From page 623... ... , 190, 191, 414 Ontario, 243 assessment and referral system, 284, 336, 337 Oregon, 491 alcohol and drug program, 416, 417-419, 437 program licensing in, 71 "Organic mental problems," 420, 421 Orthopedics, 230 Osler, Sir William, 33 Outcome monitoring, 9, 146, 242, 313-316, 329, 334, 335, 336, 339, 358 and case management, 476 CATOR, 337 content of, 320-321 feedback of information, 19, 329, 333-334, 336, 486 funding of, 325-326 limitation on, 317-319 and placement criteria, 473 process of, 321-323 responsibility for, 323-325, 419 setting of, 322-323 specification, 319-320 youth treatment, 362-363 Outcomes biased perceptions of, 263, 314 in coerced populations, 596-601 continuum of, 148 corroboration of, 323 cost-containment and, 444 and special populations, 351, 367 studies of, 147, 296, 384, 571 Outpatient (nonresidential) treatment, 48, 69, 70, 72, 73, 101-102, 104, 122, 123, 406 assessment and, 247, 470, 471 in California, 416-417 cost-effectiveness of, 460 costs of, 117 effectiveness of, 147 extended care, 67 in France, 47 funding sources, 196-197 insurance benefits for, 429 623 length of stay, 412 managed care and, 436 mandated insurance and, 430 matching and, 295, 305-307, 311-312 Medicaid coverage of, 422 model benefit plans and, 429, 439 in Oregon, 418 treatment capacity, 172 utilization of, 169 Oxford English Dictionary, 13, 18 p Pacific Islanders, 368-369 Pare, Ambroise, 152, 159 Parkinson's disease, 32-33 Parkside Medical Services, 59 "Pathological intoxication," 216 Patients. Read the entire page →
From page 624... ... See also Medicaid; Medicare cost offset and, 456-457 and hospital treatment, 440 mandated private coverage and, 429 and model benefit plans, 411 reliance of minorities on, 372 treatment funding, 186, 187, 196, 197-200, 201, 205, 476-477 Public inebriates, 231, 406, 593 commitment of, 588 detoxification programs, 49, 103, 408 homeless persons, 387 social model approach and, 56 as special population, 345, 346, 348, 349-350, 352 support services for, 43 Public intoxication, decriminalization of, 43, 56, 114, 410, 473 Puerto Rican Americans, 370 Puget Sound Health Cooperative, 433 Q Quality of treatment, 146, 313, 413 Quarte~way houses, 70 R Race. See also Blacks in special populations, 345, 349, 351 and treatment outcome, 369 and underutilization, 372 Ramsey Clinic, 303 RAND Corporation, 253, 458 Randomized controlled trials (RCT) Read the entire page →
From page 625... ... See also Inpatient treatment in California, 416 cost-effectiveness of, 460 costs of, 115, 529 effectiveness of, 147 625 funding sources, 196-197 insurance coverage of, 469, 470 insurance industry and, 425 managed care and, 436 mandated insurance coverage, 428 Oregon programs, 418 social model, 407 staffing, 126 in Uniform Act, 48 Resource allocation models, 164-165 Rhode Island State Alcohol/Drug Authority, 430 Risk/benefft analysis, 155 Robert Wood Johnson Foundation, 338 Rogers, Carl, 532 Rogers, Paul, 408 Roger Williams General Hospital (Providence, R.I.) , 100 Royal Edinburgh Hospital, 222 Rush, Benjamin, 14, 153 Russell study of smoking cessation, 224 Rutgers University, 14, 388 S SAA See State alcoholism authorities SADAP. Read the entire page →
From page 626... ... See also State alcoholism authorities accreditation and regulation, 129, 413-414, 426 administration of block grants, 190-191, 414, 415-419, 464, 488, 498 alcohol consumption, per capita, 176 continuum of care definitions, 50 data collection, 442-443 detoxification centers, 103 drinking driver programs, 382-383 employee assistance programs, 592 and federal formula grants, 408-409 insurance coverage for poor, 481-483 involuntary commitment laws, 581-582 mandated insurance coverage, 427, 429-430, 475 and Medicaid, 193 recommended actions, 491-493 resource allocation models, 164-165 social model treatment, adoption of, 415, 416, 417, 440, 441 and special populations, 349, 350 and treatment availability, 170-173, 178-179 treatment program funding by, 186-187, 196197, 406, 476, 477 expenditure levels, 173-175 sources of funds, 189-190, 195, 200, 407, 415, 439 Read the entire page →
From page 627... ... , 32, 345, 346 Time-line interview, 268 Title XX social services funds, 191, 412-413 Training programs, 496-497 NIAAA funding, 125, 130, 131, 233 for outcome monitoring, 321-322 Treatment. See also Funding; Matching; Outcome monitoring; Specialized treatment; Treatment providers; Treatment systems approach accessibility of, 163-164, 600 health insurance and, 423 for special populations, 371, 400-401 alcohol problems deterioration with treatment, 155-156, 159 implications of heterogeneity of, 36-37 improvement without treatment, 152-155, 159, 221 availability of, 8, 163-167, 178-179, 440 cost containment and, 444 mandated insurance and, 429 prevalence of alcohol problems and, 176 178 coerced, 156-157, 159, 382, 534-535, 580-586 compliance with, 534, 597 controversies, 294-296 and cost containment, 431, 444 cost-effectiveness of, 455-456, 457 defining, 42-47, 84-86 effectiveness of, 145, 467, 538 for coerced treatment, 601 for elderly, 364-365 and insurance industry, 413, 424-425 627 for special populations, 401, 402 studies of, 422-423, 511, 526-528, 529 efficacy of, 145, 279, 531-532 etiology and, 35-36 expenditures, 173-175, 188, 198, 202-204, 416, 424, 441, 465 goals of, 62, 257, 295, 313, 320, 512 goals inventory, 290, 291 and health care costs, 183-184 health maintenance organizations, 434 history of, 14-15 insurance coverage of, 422, 474 intensity and duration of, 529 international studies, 555-564, 573-577 modalities of, 73-84 personnel, 124-132, 203, 413 philosophy or orientation of programs and, 51~0, 85-86 progression in, 34, 217 results of, 142-149, 152, 536-537 setting of, 63, 69-73, 101-112, 202, 203 cost offset and, 456, 529 inpatient, 103 intermediate, 104-107 length of stay, 412 outpatient, 104 for special populations, 400-404 specification of, 287-289, 319-320 stages of, 60-69, 72, 103, 105, 202, 204, 402, 437 stigma of, 48 utilization rates, 165, 166, 168-169 for youth, 361-362 Treatment Alternatives to Street Crime, 587 Treatment Outcome Prospective Study, 596, 598 Treatment population assessment of, 246-247 planning treatment for, 248-249 Treatment providers, 7, 98-99 advertising, 432 bias in assessment, 263-266 community sector, 99-101 federal programs, 117-119 insurance industry and, 425-426 Minnesota programs, 112-117 national surveys of, 119-124 public insurance criteria, 489 recommended actions, 495-496 specialist alcohol problems sector, 101-112 Treatment systems approach, 9, 11, 17-19, 329, 334-340, 487 financing of, 474-480 Triage referral, 61, 220 Tricyclic antidepressants, 76-77 Trotter, Thomas, 31-32 Tumor-node-metastasis system, 253-254 Twelfth Step houses, 406 U Uncompensated care, 481 Read the entire page →
From page 628... ... , 368, 369-370, 399 Williams, Harrison, 408 Willmar State Hospital, 58, 59, 85, 128, 132 Winter VA Hospital study, 279, 284 Withdrawal, 49, 264, 472 pharmacotherapy, 74-75 treatment, insurers and, 431-432 Withering, William, 285 Women, 399 adolescent, treatment, 362 and alcohol consumption, 224, 230, 369, 389 American Indian, 366 grant targeting to, 190-191, 414 matching and, 283 prevalence of alcohol problems, 154 as special population, 9, 344, 346, 348, 349350, 351, 352, 356-358 United Kingdom programs, 570 Women for Sobriety, 108, 113-114 World Health Organization (WHO) , 156, 227 AMETHYST study, 224, 228 expert committees, 287 international treatment study, 550, 551, 589 y Yale School of Alcohol Studies, 14, 28, 112 Yale Plan Clinics, 128, 132 YAVIS syndrome, 321 Youth. Read the entire page →
From page 629... ... INDEX programs for, 115, 338, 358-364 in special populations, 9, 345, 346, 348, 349350, 351, 352 United Kingdom programs, 570 Youth Evaluation Service, 338 629 z Zimbabwe, treatment in, 561-563, 568, 573 Zimelidine, 514-515 Read the entire page →

From page 613...

... See Depression AFL-CIO, 112 Aftercare, 60, 61, 62, 66, 67-68. See also Maintenance; Relapse prevention for mentally ill, 333 research on, 530-531 for special populations, 347 Age and alcohol consumption, 371 legal alcohol purchase, 383, 388 and liver disease, 176 and prevalence of alcohol problems, 153-154, 357 in special populations, 345, 347, 349 and treatment facilities, 283, 359, 361, 370 Aid to Families with Dependent Children, 194 Al-Anon, 105, 108, 113-114, 391, 556, 562, 570, 571 Alateen, 108, 391, 556, 562, 570, 571 Alberta Alcoholism and Drug Abuse Commission, 338 Alcohol, 20 craving, pharmacological reduction of, 77-78 exposure to, 217 legal purchase age, 383, 388 metabolism of, 53, 368 oxidation of, 75 tolerance, 29 Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA)

Index Pages 611-630

Index
Pages 611-630