"Broadening the Base of Treatment for Alcohol Problems"

In this congressionally mandated study, an expert committee of the Institute of Medicine takes a close look at where treatment for people with alcohol problems seems to be headed, and provides its best advice on how to get there.

Careful consideration is given to how the creative growth of treatment can best be encouraged while keeping costs within reasonable limits. Particular attention is devoted to the importance of developing therapeutic approaches that are sensitive to the special needs of the many diverse groups represented among those who have developed problems related to their use of "man's oldest friend and oldest enemy." This book is the most comprehensive examination of alcohol treatment to date.


Contents
Introduction and Summary
1 Our Vision
2 What Is Being Treated?
3 What Is Treatment?
4 Who Provides Treatment?
5 Does Treatment Work?
6 Is Treatment Necessary?
7 Is Treatment Available?
8 Who Pays for Treatment?
9 The Community Role: Identification, Brief Intervention, and Referral
10 Assessment
11 Matching
Appendix: Excerpts From The Cleveland Admission, Discharge and Transfer Criteria
12 Determining Outcome
13 Implementing the Vision: Toward Treatment Systems
14 The Treatment of Special Populations: Overview and Definitions
15 Populations Defined by Structural Characteristics
16 Populations Defined by Functional Characteristics
17 The Treatment of Special Populations: Conclusions and Recommendations
18 The Evolution of Financing Policy
19 Cost-Effectiveness
20 Paying for the Treatment System
21 Leadership
APPENDIXES