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Addiction medicine
About: Addiction medicine is a research topic. Over the lifetime, 1070 publications have been published within this topic receiving 23685 citations.
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20 citations
TL;DR: There is still a significant gap between available evidences from group-based fMRI studies and personalized decisions during daily practices in addiction medicine and it will be important to fill this gap with large-scale clinical trials and longitudinal studies using fMRI measures with a well-defined strategic plan for the future.
Abstract: During last 20 years, neuroimaging with functional magnetic resonance imaging (fMRI) in people with drug addictions has introduced a wide range of quantitative biomarkers from brain's regional or network level activities during different cognitive functions. These quantitative biomarkers could be potentially used for assessment, planning, prediction, and monitoring for "addiction medicine" during screening, acute intoxication, admission to a program, completion of an acute program, admission to a long-term program, and postgraduation follow-up. In this chapter, we have briefly reviewed main neurocognitive targets for fMRI studies associated with addictive behaviors, main study types using fMRI among drug dependents, and potential applications for fMRI in addiction medicine. Main challenges and limitations for extending fMRI studies and evidences aiming at clinical applications in addiction medicine are also discussed. There is still a significant gap between available evidences from group-based fMRI studies and personalized decisions during daily practices in addiction medicine. It will be important to fill this gap with large-scale clinical trials and longitudinal studies using fMRI measures with a well-defined strategic plan for the future.
20 citations
TL;DR: Overall inpatient utilization and recidivism decreased after model implementation and patient and staff satisfaction focus on improved accessibility of addiction services and continuity of care providers across time and levels of care.
Abstract: Reorganization of mental health care delivery services at a Department of Veterans Affairs medical center addressed problems with the coordination of addiction treatment and mental health programming for patients with significant psychiatric and addiction comorbidity. Clinical services were organized into interdisciplinary continuity-of-care teams that follow patients across different levels of care. The teams provide addiction treatment through “universally available” resources such as a partial hospital addiction rehabilitation module. Continuity of care remains within the team structure as clinicians follow patients throughout their rehabilitation course. Patient and staff satisfaction focus on improved accessibility of addiction services and continuity of care providers across time and levels of care. Overall inpatient utilization and recidivism decreased after model implementation.
20 citations
TL;DR: Assessment of the usefulness of pharmacotherapeutic agents in cocaine treatment found that the four most commonly prescribed medications were amantadine, bromocriptine, desipramine, and l-tryptophan, as expected.
Abstract: In order to assess the usefulness of pharmacotherapeutic agents in cocaine treatment, all 3,631 physician members of the American Society of Addiction Medicine (ASAM) were surveyed Five hundred and two physicians indicated use of pharmacotherapies, involving treatment experiences with approximately 79,760 patients for cocaine detoxification, and with 37,166 patients for cocaine abstinence maintenance For both detoxification and abstinence maintenance, the four most commonly prescribed medications were amantadine, bromocriptine, desipramine, and l-tryptophan As expected, these four medications were also the preferred treatment by a majority of physicians expressing any preference Some relatively new medications are also being tried for the treatment of cocaine abuse, specifically carbamazepine, fluoxetine, and Tropamine
20 citations
Book•
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10 Jan 1992
TL;DR: A completely revised and updated second edition of "The Recovery Book," the bible of addiction recovery, written for the 23 million Americans struggling with alcohol and drugs, is announced.
Abstract: Announcing a completely revised and updated second edition of "The Recovery Book," the bible of addiction recovery. Written for the 23 million Americans struggling with alcohol and drugs, it is a clear, accurate, and comprehensive resource for patients, their families, and helping professionals (Anthony B. Radcliffe, M.D., former president, American Society of Addiction Medicine). Dr. Al Mooney, who lectures internationally on recovery, writing with medical and health journalists Howard Eisenberg and Catherine Dold, covers all the latest in addiction science and recovery techniques. Extensive research in neuroplasticity, for example, sheds new light on how alcohol and drugs actually alter pathways in the brain but also how this same process, when trained in recovery, can remold the brain, making sobriety a routine way of life. A new understanding of gender and addiction leads to revised insights, techniques, and new hope for treating women in recovery. The book also covers the latest problems and treatments for prescription drugs (now more pernicious than illegal drugs); up-to-date models for intervention; and more. But what really sets the book apart is its question-and-answer format My wife wants me to go to AA, and I think that s ridiculous. How can I settle this argument? I take a few oxycodone pills each week. They re prescription, so they must be safe, right? I ve been in this treatment center for nearly a week. I feel great. I m cured. Why can t I leave now? That simple, direct approach makes the daunting journey to sobriety doable."
20 citations