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Treating multiple substance abuse clients.

J F Carroll

    Recent Developments in Alcoholism : an Official Publication of the American Medical Society on Alcoholism, the Research Society on Alcoholism, and the National Council on Alcoholism
    |January 1, 1986
    PubMed
    Summary
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    Multiple substance abuse (MSA) is increasingly common, especially in younger adults, involving alcohol with other drugs. Treatment must adapt to accurately assess and manage this complex pattern of addiction.

    Area of Science:

    • Addiction Medicine
    • Psychiatry
    • Public Health

    Background:

    • Traditional substance abuse classifications are outdated.
    • Multiple substance abuse (MSA) is prevalent, particularly in individuals under 40.
    • MSA often involves concurrent or sequential use of alcohol and other drugs.

    Purpose of the Study:

    • To highlight the growing trend of multiple substance abuse (MSA).
    • To emphasize the need for updated treatment approaches for MSA.
    • To provide a framework for understanding and treating MSA.

    Main Methods:

    • Review of contemporary substance abuse patterns.
    • Discussion of etiological factors and defense mechanisms in MSA.
    • Categorization of combined treatment approaches (conscious/unconscious, overt/covert).

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    Main Results:

    • MSA is a significant and increasing pattern of substance abuse.
    • Effective treatment requires accurate historical assessment and tailored services.
    • Three distinct models of combined treatment for MSA exist.

    Conclusions:

    • Treatment centers must recognize and address MSA.
    • Staff training and therapeutic environments need adaptation for MSA clients.
    • A comprehensive approach is crucial for managing diverse MSA presentations.