Prevention and treatment of alcohol problems : research opportunities : report of a study / by a Committee of the Institute of Medicine, Division of Mental Health and Behavioral Medicine.

Format:

Book

Author/Creator:

Institute of Medicine (U.S.). Division of Mental Health and Behavioral Medicine.

Contributor:

Institute of Medicine (U.S.). Committee to Identify Research Opportunities in the Prevention and Treatment of Alcohol-Related Problems.

National Institute on Alcohol Abuse and Alcoholism (U.S.)

Series:

IOM publication ; 89-013.

Publication IOM ; 89-13

Language:

English

Subjects (All):

Alcoholism--Treatment--Research.

Alcoholism.

Alcoholism--Prevention--Research.

Physical Description:

1 online resource (351 p.)

Edition:

1st ed.

Place of Publication:

Washington, D.C. : National Academy Press, 1990.

Language Note:

English

Summary:

A thorough examination of nearly everything known about the prevention and treatment of alcohol problems, this volume is directed particularly at people interested in conducting research and at agencies supporting research into the phenomenon of drinking. The book essentially is two volumes in one. The first covers progress and potential in the prevention of alcohol problems, ranging from the predispositions of the individual to the temptations posed by the environment. The second contains a history and appraisal of treatment methods and their costs, including the health consequences of alcohol abuse. A concluding section describes the funding and research policy emphases believed to be necessary for various aspects of research into prevention and treatment.

Contents:

Prevention and Treatment of Alcohol Problems: Research Opportunities

Copyright

PREFACE

REFERENCES

Contents

SUMMARY

RESEARCH OPPORTUNITIES IN THE PREVENTION OF ALCOHOL PROBLEMS: A PUBLIC HEALTH PERSPECTIVE

The Epidemiology of Alcohol-Related Problems

Individual-Environment Interactions: Focus on the Individual

The Life-Course Developmental Perspective

Social Learning Models

Genetic Determinants of Risk

Individual-Environment Interactions: Focus on the Environment

Community Approaches and Perspectives from Other Health Fields

Methodological Issues in Alcohol Prevention Research: Conclusions and Recommendations

RESEARCH OPPORTUNITIES IN THE TREATMENT OF ALCOHOL PROBLEMS

Historical Factors in Treatment Research

Conceptual and Technical Advances in Assessment

Effectiveness of Treatment Modalities: Studies of Process and Outcome

Early Identification and Treatment

Patient-Treatment Matching and Outcome Improvement in Alcohol Rehabilitation

Advances in the Treatment of Other Psychoactive Substance-Use Disorders: Implications for Alcohol Treatment Research

Health Consequences of Alcohol Abuse

Treatment Costs, Benefits, and Cost Offsets: Public Policy Considerations

FUNDING MECHANISMS AND THE NECESSARY INFRASTRUCTURE FOR TREATMENT AND PREVENTION RESEARCH

Supporting the Scientific Infrastructure for Prevention Research

Supporting the Scientific Infrastructure for Treatment Research

I RESEARCH OPPORTUNITIES IN THE PREVENTION OF ALCOHOL-RELATED PROBLEMS

References

1 A Public Health Perspective on the Prevention of Alcohol Problems

A PUBLIC HEALTH MODEL OF ALCOHOL-RELATED PROBLEMS

PREVENTION RESEARCH FROM A PUBLIC HEALTH PERSPECTIVE

A SYSTEMS APPROACH

2 Epidemiology of Alcohol-Related Problems

INJURIES.

Methodological Problems in Studying Alcohol-Related Injuries

Vehicular Injuries

Falls

Drownings

Fires and Burns

CRIME

SUICIDE

CHILD ABUSE

SEXUALLY TRANSMITTED DISEASES

EARLY SEXUAL ACTIVITY AND ADOLESCENT PREGNANCY

FETAL ALCOHOL SYNDROME AND FETAL ALCOHOL EFFECTS

3 Individual-Environment Interactions: Focus on the Individual

LIFE-COURSE DEVELOPMENT, VULNERABILITY, AND PREVENTION RESEARCH

The Developmental Approach: Rationale and Definitions

The Life-Course Events Approach

Social Fields

Risk Factors: Intraindividual and Environmental Domains

Individual-Environment Interaction

The Prospective Study: Characteristics and Advantages

Findings from Prospective Risk-Factor Research

Limitations in Existing Prospective Research

Research on Preventive Trials: Implications from Prospective Research

Importance of Longitudinal Data Bases

SOCIAL LEARNING MODELS

Implications of Social Learning Theory for Research on Prevention

The Coping Skills Training Approach

Self-Management Techniques

Cognitive Restructuring

Motivation and Readiness to Change Behavior

Life-Style Change

GENETIC DETERMINANTS OF RISK

CONCLUSION

4 Individual Environment Interactions: Focus on the Environment

ENVIRONMENTAL CONTROLS ON THE AVAILABILITY OF ALCOHOLIC BEVERAGES

Studies That Measure the Effect of Multiple Influences on Consumption

Studies That Measure the Effects of Specific Factors upon Consumption Alcohol Prices and Taxation

Minimum Age of Purchase

Zoning and Conditional-Use Permits

ENVIRONMENTAL INFLUENCES ON INDIVIDUAL DRINKING BEHAVIOR

The Normative Environment and the Mass Media

Public Information Campaigns

Commercial Alcohol Advertising

Fictional Media Content

The Legal Environment

Alcohol-Impaired Driving.

Dram Shop or Server Liability

Context and Setting as Environmental Influences

Server Intervention

Drinking Establishments

The Workplace as a Drinking Setting

FACTORS THAT AFFECT THE RISK OR SEVERITY OF THE NEGATIVE CONSEQUENCES OF DRINKING

5 Community Approaches and Perspectives from Other Health Fields

LIMITATIONS OF ALCOHOL PREVENTION RESEARCH

COMMUNITY-BASED CARDIOVASCULAR DISEASE PREVENTION STUDIES

Lessons from the Three-Community-Study and the Five-City Project

Results from Other Comprehensive CVD Prevention Programs

RESULTS FROM PRIMARY PREVENTION PROGRAMS IN OTHER HEALTH FIELDS

Promoting Seat Belt Use

Cancer Prevention through Mass Media Advertising

Smoking Prevention and Cessation

Preventing Adolescent Pregnancy through School-Based Clinics

SUMMARY OF LESSONS LEARNED FROM OTHER FIELDS

IMPLICATIONS FOR ALCOHOL PROBLEM PREVENTION

6 Methodological Issues in Alcohol Prevention Research: Conclusions and Recommendations

RESEARCH DESIGN FOR FUTURE ALCOHOL PREVENTION RESEARCH PROGRAMS

The Importance of Theory

Need for Both Laboratory and Field Prevention Research

The Practical Significance of Prevention Research

DIRECTION AND DESIGN OF FUTURE ALCOHOL PREVENTION RESEARCH PROGRAMS: CONCLUSIONS AND RECOMMENDATIONS

II RESEARCH OPPORTUNITIES IN THE TREATMENT OF ALCOHOL-RELATED PROBLEMS

Introduction

7 The Social and Historical Context of Alcohol Treatment Research

FEDERAL INVOLVEMENT IN ALCOHOL TREATMENT

EMERGING TRENDS IN TREATMENT SERVICES

DEMOGRAPHY, EPIDEMIOLOGY, AND THE DELIVERY OF TREATMENT SERVICES

POPULAR TRENDS IN TREATMENT AND REFERRAL

POLICY-ORIENTED SERVICES RESEARCH

8 Issues of Assessment, Methodology, and Research Design

RECENT DEVELOPMENTS IN CONCEPTUALIZATION.

ADVANCES IN ASSESSMENT TECHNOLOGY

Diagnosis

Differential Assessment

Research on the Reliability and Validity of Assessments

Research on Verbal Report Methods

Use of Biological Markers

Automation of Data Collection

ASSESSMENT OF TREATMENT PROCESS, QUALITY, AND OUTCOME

Treatment Variables

Outcome Variables

GROWING SOPHISTICATION IN METHODOLOGICAL APPROACHES

Experimental Approaches

Quasi-Experimental Approaches

Aggregate-Level Descriptive Studies

9 Treatment Modalities: Process and Outcome

OUTCOME RESEARCH ON SPECIFIC TREATMENT APPROACHES

Pharmacotherapies

Antidipsotropics

Effect-Altering Medications

Psychotropics

Aversion Therapies

Psychotherapy and Counseling

Didactic Approaches

Mutual Help Groups

Behavioral Self-Control Training

Conjoint Therapies

Broad-Spectrum Treatment Strategies

Relapse Prevention

RESEARCH ON TRADITIONAL TREATMENT PROGRAMS

RESEARCH ON THE INTENSITY AND DURATION OF TREATMENT

RESEARCH ON AFTERCARE

TREATMENT PROCESS RESEARCH

Mechanisms of Treatment Efficacy

Therapist Variables

Motivation

Compliance

Mandated Treatment

CONCLUSIONS

Does Treatment Work?

Specific Conclusions

10 Early Identification and Treatment

CONTROLLED TRIALS AND PROGRAM EVALUATIONS

BRIEF INTERVENTIONS AND TREATMENT RESEARCH

RESEARCH ON INTERVENTIONS WITH PREGNANT WOMEN

RESEARCH ON NONABSTINENCE OUTCOMES AND GOALS

SCREENING, RECRUITMENT, AND IMPLEMENTATION

Screening

Recruitment

Implementation

11 Patient-Treatment Matching and Outcome Improvement in Alcohol Rehabilitation

ADVANCES IN PATIENT-TREATMENT MATCHING RESEARCH, 1978-1988

Advances in Research Methodology

Advances in Patient Measurement

ADVANCES IN TREATMENT MEASUREMENT.

RESEARCH ON PATIENT-TREATMENT MATCHING: PERSPECTIVES AND OPPORTUNITIES

Matching before Treatment Starts: Special Populations and Self-Selection

Matching at the Initiation of Treatment: Levels of Treatment Intensity

Matching during the Treatment Process: Role of Treatment Components

Matching following the Rehabilitation Intervention: Role of the Posttreatment Environment

PATIENT-TREATMENT MATCHING: SOME CONCLUSIONS AND RESEARCH RECOMMENDATIONS

12 Advances in the Treatment of Other Psychoactive Substance-Use Disorders: Implications for Research on Treatment of…

SMOKING

Treatment Process Research

Processes and Stages of Change

Cognitive Predictors of Smoking Cessation

Antecedents to Relapse and Coping Skills

Social Support

Motivational Factors

Treatment Studies on Smoking Cessation

Unique and Programmatic Approaches to Smoking Cessation

Physician Counseling

Special Populations

OTHER DRUG DEPENDENCIES

Use of Psychotherapy in the Treatment of Drug-Dependent Patients

Conditioned Factors in Substance Abuse Treatment

Psychopharmacological Treatments for Drug Dependence

Medications That Treat the Associated Psychiatric Symptoms of Drug-Dependent Individuals

13 Health Consequences of Alcohol Abuse: Opportunities for Treatment Research

INTOXICATION

ALCOHOL WITHDRAWAL

Pharmacotherapies for Alcohol Withdrawal

Nonpharmacological Detoxification

Withdrawal Scale

Treatment Settings

Special Patient Populations

Treatment of Seizures

Treatment of Delirium Tremens

Engagement in Follow-up Treatment

Detoxification of Alcoholics Addicted to Other Substances

Alcoholic Hallucinosis and Paranoia

Treatment of Post withdrawal Symptoms

Insomnia in Alcoholics

Effects of Alcohol on Sleep

Sleep during Acute Alcohol Withdrawal.

Improvement with Abstinence.

Notes:

Bibliographic Level Mode of Issuance: Monograph

Includes bibliographies and index.

ISBN:

9786610212873

9781280212871

128021287X

9780309555616

0309555612

9780585144818

0585144818

OCLC:

427404704