Should alcohol education be taught with drug education?
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Biomedical subjects
Publications and source records attributed to P Finn.
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Many drug treatment programs have difficulty recruiting, retaining, and successfully treating minority clients. Coupled with the fact that cultural diversity among clients is likely to increase, this consideration makes it critical that counselors systematically consider the client's ethnic and racial background during treatment. Experienced clinicians have recommended a number of approaches that counselors can adopt for increasing their cultural responsiveness to minority clients, thereby improving treatment effectiveness with this population of substance abusers.
Levo-Alpha Acetyl Methadol, or LAAM, is a medication therapy for individuals addicted to opiates that provides an alternative to methadone. Because it is administered only three times a week and, therefore, requires fewer clinic trips, patient acceptance can be higher than with methadone. While blocking the effects of other opiates and preventing withdrawal, LAAM does not produce a subjective high. However, because most patients are not familiar with LAAM, they may be initially more anxious and need more counseling and support when receiving the medication than they would with the more familiar methadone medication. On balance, LAAM enables clinic administrators and counselors to offer an alternative medication to methadone that some clients prefer once they become adjusted to it because of LAAM's even, stable effect. Through hypothetical but true-to-life case studies of LAAM use, it is possible to gain a clearer understanding of the advantages and drawbacks of using LAAM.
There is growing interest in a number of medications with proven clinical efficacy or potential for treating substance abuse. At the same time, many treatment programs make little, if any, use of pharmacotherapy. The reasons for this circumstance are not clear. An exploratory survey using focus groups and telephone interviews with medical personnel and administrators from 38 programs and three professional associations suggests that program staff perceive a variety of drawbacks to pharmacotherapy, which may help account for the lack of more widespread use of this treatment modality.
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