Intensive substance abuse treatment cannot give better results: studies

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Stephen Reinberg
Health Day Reporter

Tuesday, September 17 (HealthDay News)-Drug Treatment and alcohol Addiction An intensive approach called chronic care management may be less effective than a single medical appointment Addiction Introduced, according to a new study.

The results of a year-long study can disappoint those who believe that treating addiction like a chronic illness is a better way to do it with a systematic approach and follow-up.

“We were completely surprised by the results,” said Dr. Richard Saitz, a senior researcher who is a professor of medicine and epidemiology at Boston University. “We put everything into this, and I was surprised that doing it didn’t make a difference compared to doing nothing.”

In a study of nearly 600 adult substance abusers, people with chronic care management received intensive care at the primary care clinic and relapsed-Prevention Counseling and addiction and psychiatric treatment. Others in the study made one medical visit that received a list of addiction treatment resources.

After 12 months, 44% of chronic care management groups stopped drinking or using alcohol DrugThe researchers said, as was the case with 42 percent of those who did not receive intensive care.

Despite these similar findings, Mr. Sites said he still believes that chronic care management may help with some addictions. But “we don’t want people to think it’s effective when applied everywhere to everyone,” he said.

More work is needed to determine the best way to use chronic care management and identify those who will benefit most from this approach, he said.

“We are drugs and alcohol Addiction can be different and it is not a single monolithic disorder. I think integrated chronic care management will be effective for people with addiction in the future. “

The report was published in the September 18th issue of. Journal of American Medical Association..

Proponents of chronic care management point out that many substance abusers suffer from serious health consequences but receive inadequate care. We believe that patients will achieve better results by coordinating on medical, emotional and addiction issues.

One expert believes that motivation is the key to a program to treat addiction. Dr. James Garbat, a professor of psychiatry at the University of North Carolina at Chapel Hill, said that motivated people are most likely to start and continue the program or participate in clinical trials.

“It’s an important point because they already say they want to make some changes,” Garbutt said. “It’s a big step in substance abuse treatment.”

He said this probably explains why both groups of people seemed to benefit.

Chronic care management has been shown to be effective for chronic medical and mental health conditions, including: depression When tobacco Dependence, Sites said.This made him believe it might work in medicine and Alcoholism..

To test the theory, researchers recruited nearly 600 people suffering from drug or alcoholism and randomly assigned them to chronic care management or primary care and referrals.

People in the chronic care management group received a variety of coordinated on-site services with their primary medical care. These included motivational therapy, recurrence-Prevention Referrals to counseling, addiction and psychiatric treatment, social work support, and substance or alcohol abuse programs.Addiction Drug Prescribed as needed.

Patients received reminders and caregivers worked together.

Other groups of people received phone numbers to access medical visits, a list of addiction treatment resources, and motivational therapy sessions.

There was no difference in the results between the groups, Alcoholism Alcohol problems were less common in the chronic care management group, the researchers said.

However, they said there was no difference in addiction severity, health-related quality of life, or drug problems between groups.

Copyright © 2013 Health Day. all rights reserved.

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Source: Dr. Richard Saitz, MPH, Professor of Medical Epidemiology, Boston University School of Medicine. Doctor of Medicine, James Garbat, Professor of Psychiatry, University of North Carolina at Chapel Hill. September 18, 2013, Journal of American Medical Association

Intensive substance abuse treatment cannot give better results: studies

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