Role of Specialist Services in the community response to alcohol related problems Papel que desempeñan los servicios especializados en la respuesta a los problemas relacionados con el alcohol

Authors

  • Bruce Ritson Correspondencia: Bruce Ritson. Department of Psychiatry. Edinburgh University. Royal Edinburgh Hospital. Scotland.

DOI:

https://doi.org/10.20882/adicciones.567

Keywords:

alcoholism, treatment, primary care, specialist treatment, United Kingdom alcoholismo, tratamiento, asistencia primaria, servicios especializados, Reino Unido

Abstract

Specialist Services for alcohol related problems have undergone enormous changes during the past 50 years. The evolution of treatment services in the UK is briefly outlined. The effectiveness of outpatient and domiciliary treatments is now well established. The implications for the pattern of services include the need to train and support primary care workers while ensuring that a network of specialist provision, particularly for individuals who have complex needs, is not lost. Finally, these changes need to occur against a background of a broader community response to alcohol related problems.
Durante los últimos cincuenta años los servicios especializados en problemas relacionados con el alcohol han experimentado una profunda transformación. En este texto se reseña brevemente cuál ha sido la evolución de los centros de tratamiento en el Reino Unido. Actualmente, la eficacia de los tratamientos a pacientes externos y la atención domiciliaria goza de excelente reputación. Este modelo de servicios implica una serie de derivaciones que incluyen la necesidad de formar y apoyar a los trabajadores de los servicios de atención primaria asegurándose, al mismo tiempo, de que no se pierda la red de tratamientos especializados, que son los que se dirigen a individuos con necesidades complejas. Finalmente, los cambios tienen que llevarse a cabo asumiendo que la respuesta social a los problemas relacionados con el alcohol debe ser mucho más amplia.

References

Chick J., Ritson B., Connaughton J. (1988). Advice versus extended treatment for alcoholism: a controlled study. British Journal of Addiction 83, 159-70.

Deehan A., Templeton I., Taylor C., Drummond C., and Strang J (1998). How do GPs manage alcohol misusing patients. Drug and alcohol review. 17: 259-66.

Edwards G and Guthrie S (1966). A comparison of inpatient treatment and out-patient treatment of alcohol dependence. Lancet 1, 467-8.

Effective Health Care Research Team (1993). Brief interventions and alcohol use. Effective Health Care Bulletin 7: 1-13.

Hannibal J., Van Iwaarden M., Gefou Madianou D., Moskalewicz J., Ritson B. and Rud M (1995). Alcohol and the Community WHO (Euro) Copenhague.

Institute of Medicine (1990). Broadening the base of treatment for alcohol problems. National Academy Press. Washington.

Kessel N., Walton H.J. (1965). Alcoholism. Hammondsworth: Penguin.

Ritson B (1996). Community and municipal action on alcohol. WHO (Euro) Copenhague.

Roizen R., Cahalan D., Shanks I (1978). Spontaneous remission among untreated problem drinkers. En Longitudinal Research on Drug Use (ed. D Kandel). Wiley. Nueva York.

Stockwell T and Clement S. (1988). Community alcohol teams: a review of studies evaluating their effectiveness with special reference to the experience of other community teams. DHSS, Londres.

Stockwell T, Bolt E., Hooper J., (1986). Detoxification from alcohol at home managed by general practitioners. British Medical Journal 292, 733-735.

Thom B (1999). Dealing with drink. Free Association Books. Chaddington.

World Health Organisation (1951). Report on the first session of the alcoholism sub-committee. Expert Committee on mental health. Tech. Rep. Series 42: WHO Ginebra.

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Published

2001-09-01

Issue

Vol. 13 No. 3 (2001)

Section

Originals