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Developments in alcoholism treatment

L Schmidt1, C Weisner

  • 1Alcohol Research Group, University of California, Berkeley 94709.

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, 1993
PubMed
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The alcohol treatment system significantly expanded and diversified due to policy changes and societal shifts. This led to more private facilities, outpatient care, and integrated services for alcohol and drug issues.

Area of Science:

  • Public Health
  • Health Services Research
  • Substance Abuse Treatment

Background:

  • The past decade witnessed considerable expansion and diversification in alcohol treatment systems.
  • This evolution was driven by national healthcare financing and policy shifts.
  • Changes in related health systems and social movements also influenced the field.

Purpose of the Study:

  • To review developments in alcohol treatment systems over the past decade.
  • To analyze changes in financing, organizations, client populations, and treatment modalities.
  • To document the impact of various societal and policy forces on alcohol treatment.

Main Methods:

  • Analysis of national monitoring data.
  • Review of developments across financing policy, organizational structures, client demographics, and treatment approaches.

Related Experiment Videos

  • Examination of trends in private sector growth, outpatient emphasis, and service integration.

    • Main Results:

    • Significant expansion of private sector alcohol treatment units.
    • Increased emphasis on outpatient treatment services.
    • Merger of alcohol and drug services organizationally and conceptually.
    • Growth in service delivery to coerced populations.
    • Observed demographic changes in alcohol treatment caseloads during the 1980s.

    Conclusions:

    • Alcohol treatment systems adapted to external forces, leading to significant structural and service delivery changes.
    • The trend indicates a move towards more integrated, outpatient-focused, and privately-provided care.
    • These changes reflect broader shifts in healthcare policy, public opinion, and advocacy within the field.