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Published on: January 5, 2018
A Source Control Model for Treatment-Resistant Substance Use Disorder
Matthew Robert Dernbach1, Karen Drexler, Elizabeth McCord
1From the Departments of Emergency Medicine, and Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA.
Abstract:
We propose applying the "source control" model of infectious disease treatment to the management of treatment-resistant substance use disorder (SUD). We believe that this conceptual framework complements other models for understanding SUD, fills a gap in our current understanding of treatment-resistant SUD, and advances the destigmatization of SUD by reinforcing SUD as a disease similar to other medical conditions. The model also harmonizes the need for multimodal treatment and novel interventions for both acute supportive care and long-term treatment of SUD. In this manuscript, we discuss the justification for, as well as the strengths and limitations of, the "source control" model for the management of treatment-resistant SUD. We also discuss the model's potential to direct innovative research questions and therapeutic interventions.
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