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Chapter 7 - Alcohol Use Disorders: Clinical Features and Treatment

Published online by Cambridge University Press:  02 November 2021

By
Duncan Raistrick  and
Gillian Tober
Edited by
Ed Day
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Summary

This chapter considers the assessment and diagnosis of alcohol use disorders, including the use of screening and a comprehensive assessment process, incorporating an evaluation of substance use and dependence alongside psychological and social wellbeing. A spectrum of treatment approaches are then described, beginning with strategies for managing the intoxicated patient and reducing the harms of alcohol consumption. The importance of preparation and planning for successful medically assisted withdrawal or detoxification is emphasised. Psychosocial interventions form the core of treatment of alcohol use disorders, delivered alongside pharmacotherapies for relapse prevention. Comorbid mental health disorders are considered, before reviewing the importance of patient-reported outcome measures in establishing the outcome of effective treatment for alcohol use disorders.

Keywords

alcoholdependenceassessmentpatient reported outcome measure (PROM)harm reductionmedically assisted withdrawalpsychosocial interventioncomorbidityrelapse preventionoutcomes of treatment
Type
Chapter
Information
Seminars in Addiction Psychiatry , pp. 128 - 146
Publisher: Cambridge University Press
Print publication year: 2021

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