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Titolo:
Innovations in treatment for drug abuse: Solutions to a public health problem
Autore:
Sindelar, JL; Fiellin, DA;
Indirizzi:
Yale Univ, Sch Publ Hlth, New Haven, CT 06520 USA Yale Univ New Haven CT USA 06520 , Sch Publ Hlth, New Haven, CT 06520 USA Yale Univ, Sch Med, New Haven, CT 06520 USA Yale Univ New Haven CT USA 06520 e Univ, Sch Med, New Haven, CT 06520 USA
Titolo Testata:
ANNUAL REVIEW OF PUBLIC HEALTH
, volume: 22, anno: 2001,
pagine: 249 - 272
SICI:
0163-7525(2001)22:<249:IITFDA>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
METHADONE-MAINTENANCE PATIENTS; COST-EFFECTIVENESS ANALYSIS; FOLLOW-UP OUTCOMES; OPIOID DEPENDENCE; ADDICTION TREATMENT; COCAINE ABSTINENCE; CONTINGENT REINFORCEMENT; BEHAVIORAL TREATMENT; ALCOHOL DEPENDENCE; RANDOMIZED TRIAL;
Keywords:
treatment of illicit drug use;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
113
Recensione:
Indirizzi per estratti:
Indirizzo: Sindelar, JL Yale Univ, Sch Publ Hlth, New Haven, CT 06520 USA Yale Univ New Haven CT USA 06520 th, New Haven, CT 06520 USA
Citazione:
J.L. Sindelar e D.A. Fiellin, "Innovations in treatment for drug abuse: Solutions to a public health problem", ANN R PUB H, 22, 2001, pp. 249-272

Abstract

Illicit drug use is an important public health problem with broad social costs. The low effectiveness of prevention efforts leaves treatment of drug dependence as one of the most powerful means of fighting illicit drug use. Treatment reduces drug use and crime and increases individuals' functioning. However, programs that treat drug dependence have high dropout rates and low completion rates. In addition, some individuals continue to use drugs while in treatment, and relapse is common. Furthermore, only a fraction of those who need treatment receive it. Recently, there have been important innovations that reduce barriers and increase effectiveness of treatment. These innovations include new pharmacological agents, novel counseling strategies, promising ways to motivate, and treatment in new settings. This paper describes standard treatments and recent innovations designed to increase (a) effectiveness of treatment, (b) motivation to seek care, (c) access, (d) retention, and (e) cost-effectiveness. We provide criteria on how these innovations should be evaluated in order to determine which should be adopted,funded, and transferred to existing and future treatment programs.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/21 alle ore 16:20:01