Therapeutische Strategien und Hilfen bei chronischen Alkoholikern
| Autor: | H Mühlbauer, M Soyka, C G Schütz, S Hasemann |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
medicine.medical_specialty
Harm reduction Rehabilitation business.industry media_common.quotation_subject medicine.medical_treatment Addiction Public Health Environmental and Occupational Health Abstinence Naltrexone Pharmacotherapy Acamprosate Medicine Dual diagnosis business Psychiatry media_common medicine.drug |
| Zdroj: | Das Gesundheitswesen. 63:347-353 |
| ISSN: | 1439-4421 0941-3790 |
| DOI: | 10.1055/s-2001-15739 |
| Popis: | Chronical alcoholics are a challenge in therapy, especially if they have an adverse course of illness and treatment as well as multiple resulting somatical and neurological diseases. In German treatment of alcoholics the term 'chronisch mehrfach geschadigte Alkoholkranke' (chronically multiple affected alcoholics) has been established, describing patients with severe somatical and psychological disorders as well as social, professional, financial or legal problems. Permanent or even temporary abstinence is hard to achieve for these patients. They are usually found in psychiatric hospitals rather than in addiction wards, but also in social services or even prisons. Rehabilitation is possible in mental state hospitals that accept patients with dual diagnosis, sometimes even in special wards. Psychiatric co-morbidity in alcoholics is often underestimated. This is most important for psychotic illness, as well as other psychic diseases. A special problem is posed by delinquent patients that often have to be treated while in a penal institution. Some of the follow-up studies done on that have shown relatively good results in patients in penal institutions, but further studies are needed. As of yet, recent treatment options in pharmacotherapy to prevent alcoholic relapse are not sufficiently used. Anti-dipsotropics or so-called anti-craving-agents like acamprosate and naltrexone are primarily given to increase the rate of abstinence but could successfully be used in a harm reduction strategy (less drinking, shorter relapses). |
| Databáze: | OpenAIRE |
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