M Galanter

..There has, however, been little research reported on its members. This study was designed to clarify the nature of the participants in NA who are primarily abstinent, long-term members...

..Scores on AA beliefs, affiliation to other members, and the experience of spiritual awakening were associated with lower depression scores. These findings are discussed to clarify the nature of long-term AA membership...

..The results support the feasibility of a cocaine abuse treatment model combining professional and peer leadership...

..These findings are discussed in light of potential options for office-based opioid maintenance...

..By drawing on available empirical research, it is possible to define the diagnosis of addiction and the criteria for recovery in spiritually oriented terms...

..These suggest that, for certain patients, spiritual orientation is an important aspect of their recovery. Furthermore, the relevance of this issue may be underestimated in the way treatment is framed in a range of clinical facilities...

..It may also be useful in enhancing compliance with an addiction treatment regimen in other contexts...

..Significant intercorrelations among these variables were ascertained by logistic regression. The utility of twelve-step-based rehabilitation as part of a treatment plan for sustaining abstinence and averting relapse is discussed...

..Illustrations of its potential and limitations as a component of treatment in spiritually oriented recovery movements like Alcoholics Anonymous, meditative practices, and treatment systems for the dually diagnosed are given...

..This discussion illustrates the importance of further research on AA and spirituality and of employing them in the provision of psychiatric services...

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..Family-based and multisystem therapy, adapted for substance using adolescents, is highlighted as a promising future direction of effective treatment...

..The results and implications of these three initiatives are presented...

..Results suggest the utility of Network Therapy, even in the hands of relatively naive therapists...

..The paper concludes with a description of a program implemented to integrate the issue of spirituality into resident training and into group support for hospital-based patients...

..There were, however, differences in the balance of time dedicated to research relative to patient care. Salaries were relatively modest and drawn from federal and local sources...

..Findings are discussed in terms of their similarities and differences to findings from traditional therapeutic communities for the singly diagnosed...

..Adolescents were less likely than adults to express a preference that both approaches be featured more in TC treatment...

..Also discussed are recent research on the use of psychiatric residents and counselors for treatment, and use of the Internet in dissemination...

..Relapse among patients in substance abuse treatment has generated interest in identifying attitudinal factors that sustain recovery...

..These findings are interpreted in relation to the goals of the TC process and to implications for treatment...

..Future studies of music therapy in integrated co-occurring disorder setting should include a control group...

..The premise of applying a socially-based treatment to this population is discussed in light of these findings...

..For these peer leaders, methadone was at the core of the group experience and an aid to spiritual transformation...

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..Patients who had a history of sexually transmitted diseases (STDs) were 17 times more likely to endorse the need for lifestyle changes. The level of HIV transmission knowledge was unrelated to HIV risk behaviors or attitudes...

..A length of stay of 3-6 months and acceptance of Daytop program philosophy was inversely correlated with somatization scores. These findings are discussed with particular attention focused on the role of somatization among TC residents...

..Results showed a significant positive correlation between therapeutic alliance and outcome as measured by the percentage of cocaine-free urine toxicology screens and by eight consecutive cocaine-free urines...

..These findings highlight the importance of integrating treatment approaches which address the spiritual needs of TC residents...

..Because it allows the user to access information outside the traditional means, the barriers to its use are minimal, and it has the potential to effectively convey useful clinical information...

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..81%). Such a program, when more widely applied, could yield decreased recidivism and considerably lower medical, psychiatric, and economic cost...

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..It may be important to educate medical students about the spiritual dimensions of recovery so they can integrate this into their treatment of addiction...

..Although gang involved residents were more likely to achieve a high work role status in the program they scored lower on multiple indicators of engagement in treatment including acceptance of Daytop philosophy and TC clinical progress...

..The philosophical, historical, and societal aspects of coerced treatment are considered...

..Although there have been reports of increased rates of alcohol use and alcohol related problems in the lesbian and gay population, this is not reflected in this sample...

..In this regard, hopelessness appears to be an important feature even beyond its relationship to suicidality and merits attention and evaluation in student counseling...

..Findings are compared to those of earlier studies about medical students and those in a similar age group in the general population...

..A better understanding of these issues is needed to develop interventions aimed at reducing drug use and sexual risk taking among gay men who attend circuit parties...

..This unmet need, coupled with the evidence for positive clinical outcomes, highlights the call for implementing socially sanctioned mechanisms of coercion...

..In the future, AMERSA will continue to pursue this mission of advancing and supporting health professional faculty who educate students and trainees to address substance abuse in patients and clients...

..In addition, social support for abstinence will be evaluated to determine its predictive effect on treatment outcome. ..

..standard MMT only). The development of the MA manual and results of this evaluation will provide pilot data for preparation of an RO1 proposal. ..