By H. Thomas Milhorn Jr. M.D., Ph.D. (auth.)
The writer has prepared uncomplicated, middle info at the prognosis, therapy and prevention of chemical dependence right into a with ease comprehensible layout. His method teaches the general practitioner what steps to take from a pragmatic perspective: how you can hinder dependancy within the first position, tips on how to diagnose the , tips to relief the kin get the addict into therapy, and the way to extend the possibilities of long term restoration. The ebook is split into 3 sections. the 1st part covers uncomplicated definitions and ideas. the second one part describes the pharmacology of some of the psychoactive components: depressants, opioids, stimulants, cannabinoids, hallucinogens, phencyclidines, and inhalants. The 3rd part discusses chemical dependence in unique teams: girls, youngsters, the aged, ethnic minorities, twin analysis sufferers, HIV- confident sufferers, and impaired physicians.
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Additional resources for Chemical Dependence: Diagnosis, Treatment, and Prevention
Thus, start with questions about substances that are culturally acceptable, such as the number of cups of coffee a patient drinks a day. This can progress to the number of cigarettes a patient smokes a day and then to the patient's daily intake of alcohol and other drugs. A change in a patient's style of response can be a clue to addiction. 8 Information about substance use that may be helpful includes when a patient last drank or used drugs; how much the person drank or used on that occasion; if the person drinks or uses drugs every day and, if not, how often he or she does so; how much the person averages drinking or using on these occasions; how long the person has been drinking or using drugs in this manner; and how old the person was when he or she took a first drink or tried another drug.
Screening for alcoholism in a community hospital. Journal of Family Practice, 15:1091-1095, 1982. 4. Milhorn, H. , L. C. Gardner, and R. D. Blondell. Effect of a chemical dependency rotation on residents' attitudes. Family Practice Research Journal, submitted. 5. Milhorn, H. , Jr. Chemical dependency: Is medical education falling short? Mississippi State Impaired Physicians Newsletter, April, 1989. 6. , Jr. Alcoholism: The missed diagnosis. Southern Medical Journal, 79:1489-1492,1986. 7. Mooney, A.
Treatment Inpatient Treatment Inpatient treatment takes place in a general medical-surgical hospital's chemical dependency unit or in a freestanding facility. It is often referred to as primary treatment. A good inpatient program uses a multifactorial approach to treatment. Elements of such a program include medical assessment, detoxification, treatment of medical problems,. psychosocial assessment, treatment plan development, rehabilitation, aftercare planning, and family treatment. Other possible components of an inpatient program include occupational therapy, vocational rehabilitation, and social services.