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Abstract:
The authors are the original adaptors of the Minnesota experience to the United Kingdom. The history of this method of treatment for addictive illnesses in the U.S.A. and in England is given. Their philosophy of addiction is discussed, as is its practical application to the programme of treatment. The composition of the treatment team, the patient population served, and the manner in which the team addresses addictive disease within the context of the whole family system is discussed. The concept of denial as related not only to patients abuse of their current drug but also the nature of polydrug abuse, is described. Criteria for selection of outpatient versus inpatient treatment are given. There is an outline of the daily treatment regime of the inpatient programme, detoxification procedures, a description of psychological testing, and how physical fitness is integrated into the programme. Also described is the inpatient treatment of non-addicted family members and how treatment of eating disorders is integrated into the programme, designed primarily for substance abusers. The role of the self-help movement is discussed and its relationship with treatment and aftercare is explained.