Alcohol abuse is one of the
most important risk factors for health and is a major cause of death and
morbidity. Despite this, only about one-tenth of individuals with alcohol abuse
disorders receive therapeutic intervention and specific rehabilitation.
Among
the various dichotomies that limit an effective approach to the problem of
alcohol use disorder treatment, one of the most prominent is integrated
treatment versus harm reduction. For years, these two divergent strategies have
been considered to be opposite poles of different philosophies of intervention.
One is bound to the search for methods that aim to lead the subject to complete
abstinence; the other prioritizes a progressive decline in substance use, with
maximum reduction in the damage that is correlated with curtailing that use.
Reduction of alcohol intake does not require any particular setting, but does
require close collaboration between the general practitioner, specialized
services for addiction, alcohology services and psychiatry. In patients who
reach that target, significant savings in terms of health and social costs can
be achieved. Harm reduction is a desirable target, even from an economic point
of view.
At the present state of neuroscientific knowledge, it is possible to go
one step further in the logic that led to the integration of psychosocial and
pharmacological approaches, by attempting to remove the shadows of social
judgment that, at present, are aiming for a course of treatment that is
directed towards absolute abstention.
Below: New organization in treating AUD patients
Full article at:
By:
- 1Vincent P. Dole Dual Disorders Unit, Department of Neurosciences, Santa Chiara University Hospital, University of Pisa, Pisa 56126, Italy. icro.maremmani@med.unipi.it.
- 2Association for the Application of Neuroscientific Knowledge to Social Aims, AU-CNS, Pietrasanta, Lucca 55045, Italy. icro.maremmani@med.unipi.it.
- 3De Lisio Institute of Behavioral Sciences, Pisa 56126, Italy. icro.maremmani@med.unipi.it.
- 4Mental Health and Addictive Behaviors Department, Local Health Authority, Venice 30010, Italy. m.cibin@libero.it.
- 5Social and Health Services, Health District 8 (Local Health Authority), Cagliari 09121, Italy. pallolo@tin.it.
- 6Italian Society of General Practitioners, Firenze 50142, Italy. rossi.alessandro@simg.it.
- 7Institute of Management, ©Scuola Superiore Sant'Anna, Pisa 56126, Italy. giuseppe.turchetti@sssup.it.
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