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In this book leading experts in the field of addictions report on
key aspects of addictive disorders. They focus particularly on
relapse, the long-term course of addiction to drugs or alcohol, and
interventions to prevent relapse and promote recovery. A critical
and highly complex public health problem, addiction is seen today
as having biological, psychological, social, and cultural aspects.
This important volume brings together the major perspectives on
addiction, treatment, and recovery along with the current findings
of clinical and scientific research. For those working with
addicted patients and those making policy decisions that affect
treatment and its availability, this book is an essential
reference.
This edited collection builds on the editors' previous works Drug
Abuse Treatment: The Implementation of Innovative Approaches
(Greenwood, 1994) and Innovative Approaches in the Treatment of
Drug Abuse: Program Models and Strategies (Greenwood, 1993). This
new book carries the study further by looking at the effectiveness
of these treatment approaches. The essays represent an effort to
systematically integrate science and practice in order to improve
drug abuse treatment.
This collection of studies by experts on drug abuse treatment
represents the state of the art in research examining what works
best and why in a nationwide effort to improve and expand treatment
to counteract the epidemic use of cocaine and the spread of AIDS.
Investigators at the National Institute on Drug Abuse describe 15
projects that test intervention strategies to improve client
recruitment, retention, performance, and treatment outcomes in a
range of community-based programs relating to different
populations, treatment settings, and research designs addressing
real world issues. The findings, analysis, and recommendations
should counteract misunderstanding and misinformation about the
nature of drug abuse among 5.5 million patients and the
effectiveness of current treatment programs. This report is meant
for students, scholars, and professionals dealing with public
health, criminal justice, America's social problems and
governmental policies. This professional report describes
innovative programs for improving the treatment of drug abuse. The
first part of the book relates to methadone programs limiting the
spread of HIV among high-risk narcotics addicts, improving
retention on methadone maintenance, and enhancing treatment through
a mobile health service. The second segment of the book deals with
residential programs, assessing their impact, evaluating a specific
outreach project, providing a longitudinal evaluation of dually
diagnosed men in different community programs. Case management
programs described in the third section of the study include an
assessment of a model for intravenous drug users, an assertive
community treatment project for hard-to-reach populations, and
problems with and remedies for treatment drop-outs and
noncompliers. The fourth part of the report concerns
system-evaluation of strategies for dealing more effectively with
drug abuse today. It covers multi-modality and other eclectic
programs, such as a therapeutic community day treatment model for
methadone clients, a behavioral model for treating cocaine addicts,
treatments for AIDS risk reduction, and a drug day treatment using
the therapeutic community model.
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