Normative definition of staff requirement for a guideline-adherent inpatient qualified detoxification treatment in alcohol dependence.

[Normative definition of staff requirement for a guideline-adherent inpatient qualified detoxification treatment in alcohol dependence]. Nervenarzt. 2016 Feb 3; Authors: Kiefer F, Koopmann A, Godemann F, Wolff J, Batra A, Mann K Abstract The central element of the "qualified withdrawal treatment" of alcohol dependence is - in addition to physical withdrawal treatment - psychotherapy. The treatment of the underlying addictive disorder that is displayed by intoxication, harmful behaviour and withdrawal symptoms is only possible with a combination of somatic and psychotherapeutic treatment elements. The successfully established multimodal therapy of the "qualified alcohol withdrawal treatment", postulated in the current S3-Treatment Guidelines, requires a multi-disciplinary treatment team with psychotherapeutic competence. The aim of the present work is to calculate the normative staff requirement of a guideline-based 21-day qualified withdrawal treatment and to compare the result with the staffing regulations of the German Institute for Hospital Reimbursement. The present data support the hypothesis that even in the case of a hundred per cent implementation of these data, adequate therapy of alcohol-related disorders, according to the guidelines, is not feasible. This has to be considered when further developing the finance compensation system based on the described superseded elements of the German Institute fo...
Source: Der Nervenarzt - Category: Neurology Authors: Tags: Nervenarzt Source Type: research

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CONCLUSIONS: Due to non-compliance, frequent interruption of treatment, higher suicidal risk in the dual diagnosis group, there is a need of longer inpatient treatment in order to improve mental status, regular pharmacological treatment, provide social support, motivation, and prepare patients for psychotherapy of addiction. It is essential to take actions to create therapeutic standards of treatment and adjust financial funding for this group of patients in Poland. PMID: 32017814 [PubMed - in process]
Source: Psychiatria Polska - Category: Psychiatry Tags: Psychiatr Pol Source Type: research
One of the new trends on social media is “dopamine fasting,” the idea that depriving yourself is somehow good for you.  Is it? Does this trend have any benefit? Could it even be harmful? What’s the science behind it? On today’s episode, Gabe welcomes back Psych Central founder and editor-in-chief, Dr. John Grohol.  Join us as Dr. John gives us the 411 on dopamine fasting. SUBSCRIBE &REVIEW Guest information for ‘Dr. John Grohol Dopamine’ Podcast Episode John M. Grohol, Psy.D. is a pioneer in online mental health and psychology. Recognizing the educational and social pot...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Brain and Behavior General Interview Podcast Psychiatry The Psych Central Show Source Type: blogs
The phrase “sacred masculine” can evoke images of patriarchal religiosity.  But it has a different meaning for today’s guest. For Miguel Dean, the sacred masculine is an ideal, embodied by a man who accepts all of his emotions, understands the connectedness of humanity, and is devoted to helping others. Join us as Miguel explains how the sacred masculine is increasingly being recognized as a new model of masculinity to replace the old ideas of what it meant to be a man. This new man embraces all of his humanity and recognizes that part of this is the courage to feel, express and honor the full spect...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Ethics & Morality General Inspiration & Hope Interview LifeHelper Men's Issues Podcast Relationships Self-Help Spirituality The Psych Central Show Source Type: blogs
Are you always in control and always perfectly put together? Are you professionally successful, a great friend, and always showing a happy face to the world?  But what about on the inside? Is there something in the background or in the past that you don’t talk about?  Do you feel disconnected, like no one knows the “real” you? Deep down do you just know something is wrong? Well, you might have “perfectly hidden depression.” Today Gabe speaks with Dr. Margaret Rutherford who has done extensive work on the relationship between perfectionism and depression.  Dr. Rutherford tells u...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Brain and Behavior Depression General Happiness Interview LifeHelper Mental Health and Wellness Perfectionism Personality Podcast Psychiatry Psychology Research Self-Esteem Self-Help The Psych Central Show Trauma Source Type: blogs
Opioid addiction is the number one health care issue in the United States with spinal ailments the leading medical condition associated with opioid addiction. Patients with chronic pain syndrome and opioid addiction going for spine surgery are at high risk for several poor outcomes, including life-long use of opioids. Current evidence-based methods to optimize patients prior to spine surgery have been: (1) transition from opioids to nonopioid medications, (2) cardiovascular exercise program, (3) smoking cessation, (4) alcohol cessation, and (5) psychotherapy to treat mood and maladaptive pain behavior.
Source: The Spine Journal - Category: Orthopaedics Authors: Source Type: research
Researchers say drug is safe and appears more effective than conventional treatmentsThe first study looking into the use of MDMA to treat alcohol addiction has shown the treatment is safe and early results show encouraging outcomes from the approach, scientists have said.Doctors in Bristol are testing whether a few doses of the drug, in conjunction with psychotherapy, could help patients overcome alcoholism more effectively than conventional treatments. Those who have completed the study have so far reported almost no relapse and no physical or psychological problems.Continue reading...
Source: Guardian Unlimited Science - Category: Science Authors: Tags: Alcoholism Drugs Mental health Science Society Medical research Source Type: news
Researchers say drug is safe and appears more effective than conventional treatmentsThe first study looking into the use of MDMA to treat alcohol addiction has shown the treatment is safe and early results show encouraging outcomes from the approach, scientists have said.Doctors in Bristol are testing whether a few doses of the drug, in conjunction with psychotherapy, could help patients overcome alcoholism more effectively than conventional treatments. Those who have completed the study have so far reported almost no relapse and no physical or psychological problems.Continue reading...
Source: Guardian Unlimited Science - Category: Science Authors: Tags: Alcoholism Drugs Mental health Science Society Medical research Source Type: news
Whether you believe you’re addicted to cannabis, or severely dependent on it, if you’re trying to reduce consumption and have been unable to do so with behavioral therapy alone, there may be some hopeful news. Researchers at the University of Sydney have found promising results from their study of a cannabinoid agonist medication that targets brain receptors in reducing cannabis relapse rates. The study, which was published in the JAMA Internal Medicine noted that cannabis is the most widely-used psychoactive substance worldwide, with some 10% of Australians saying they’ve consumed it in the last year. Ab...
Source: Psych Central - Category: Psychiatry Authors: Tags: Addictions Interview Medications Substance Abuse cannabis Marijuana Nabiximols THC Source Type: news
Lying is, for better or worse, a behavior humans take part in at some point in their lives. On average, Americans tell one to two lies a day, multiple studies have suggested. But it’s where some people are fibbing that might come as a surprise. It turns out, one person often on the receiving end of a lie is someone people are supposed to open up to the most — their therapist. “I’ve totally lied in therapy. Sometimes, I’m even too ashamed or embarrassed to admit to the crazy outrageous things I’ve done,” says Laura, 28, who requested to only use her first name for fear of losing her...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized behavioral psychology brain science Human Nature lying mental health Therapy Source Type: news
Scientists from Imperial College London worked with a mental health unit in Bath to help four people who suffered with alcohol addiction, and found psychotherapy and MDMA helped them kick the habit.
Source: the Mail online | Health - Category: Consumer Health News Source Type: news
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