Update in Addiction Medicine

Field: Medicine (Health Sciences)

Updates6 March 2001Update in Addiction MedicineRobert K. Schneider, MD, James L. Levenson, MD, and Sidney H. Schnoll, MDRobert K. Schneider, MDFrom Virginia Commonwealth University at the Campus of the Medical College of Virginia, Richmond, Virginia.Search for more papers by this author, James L. Levenson, MDFrom Virginia Commonwealth University at the Campus of the Medical College of Virginia, Richmond, Virginia.Search for more papers by this author, and Sidney H. Schnoll, MDFrom Virginia Commonwealth University at the Campus of the Medical College of Virginia, Richmond, Virginia.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-134-5-200103060-00011 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail In 1978, Regier and colleagues (1) coined the term “de facto mental health and substance abuse system” after finding that most patients with mental illness and substance abuse are treated in the general medical sector, not in psychiatric settings. Despite the availability of this system, many patients with mental disorders and substance abuse do not receive a diagnosis, and many do not receive treatment or are treated for a “medical problem” instead of their underlying mental or substance abuse disorder. We polled journal editors from leading substance abuse, psychiatric, and general medical journals, as well as leaders in addiction medicine, ...References1. Regier DA, Goldberg ID, Taube CA. The de facto US mental health services system: a public health perspective. Arch Gen Psychiatry. 1978;35:685-93. [PMID: 0000306803] CrossrefMedlineGoogle Scholar2. Garbutt JC, West SL, Carey TS, Lohr KN, Crews FT. Pharmacological treatment of alcohol dependence: a review of the evidence. JAMA. 1999;281:1318-25. [PMID: 0010208148] CrossrefMedlineGoogle Scholar3. Pettinati HM, Volpicelli JR, Pierce JD, O'Brien CP. Improving naltrexone response: an intervention for medical practitioners to enhance medication compliance in alcohol dependent patients. J Addict Dis. 2000;19:71-83. [PMID: 0010772604] CrossrefMedlineGoogle Scholar4. Breslau N, Klein DF. Smoking and panic attacks: an epidemiologic investigation. Arch Gen Psychiatry. 1999;56:1141-7. [PMID: 0010591292] CrossrefMedlineGoogle Scholar5. Hurt RD, Sachs DP, Glover ED, Offord KP, Johnston JA, Dale LC, et al. . A comparison of sustained-release bupropion and placebo for smoking cessation. N Engl J Med. 1997;337:1195-202. [PMID: 0009337378] CrossrefMedlineGoogle Scholar6. Hall SM, Reus VI, Munoz RF, Sees KL, Humfleet G, Hartz DT, et al. . Nortriptyline and cognitive-behavioral therapy in the treatment of cigarette smoking. Arch Gen Psychiatry. 1998;55:683-90. [PMID: 0009707377] CrossrefMedlineGoogle Scholar7. A clinical practice guideline for treating tobacco use and dependence: A US Public Health Service report. The Tobacco Use and Dependence Clinical Practice Guideline Panel, Staff, and Consortium Representatives. JAMA. 2000;283:3244-54. [PMID: 0010866874] CrossrefMedlineGoogle Scholar8. Nielsen K, Fiore MC. Cost-benefit analysis of sustained-release bupropion, nicotine patch, or both for smoking cessation. Prev Med. 2000;30:209-16. [PMID: 0010684744] CrossrefMedlineGoogle Scholar9. Ray B, Henderson L, Thoreson R, Toce M. National Admissions to Substance Abuse Treatment Services: The Treatment Episode Data Set (TEDS), 1992–1995. Washington, DC: Substance Abuse and Mental Health Services Administration, Office of Applied Studies; 1997. DHHS publication no. SMA 97-31289. Google Scholar10. Klitzman RL, Pope HG, Hudson JI. MDMA (“Ecstasy”) abuse and high-risk sexual behaviors among 169 gay and bisexual men. Am J Psychiatry. 2000;157:1162-4. [PMID: 0010873928] CrossrefMedlineGoogle Scholar11. Simmons MM, Cupp MJ. Use and abuse of flunitrazepam. Ann Pharmacother. 1998;32:117-9. [PMID: 0009475831] CrossrefMedlineGoogle Scholar12. Rickert VI, Wiemann CM, Berenson AB. Prevalence, patterns, and correlates of voluntary flunitrazepam use. Pediatrics. 1999;103:E6. [PMID: 0009917486] CrossrefMedlineGoogle Scholar13. Anglin D, Spears KL, Hutson HR. Flunitrazepam and its involvement in date or acquaintance rape. Acad Emerg Med. 1997;4:323-6. [PMID: 0009107334] CrossrefMedlineGoogle Scholar14. Weiner AL, Vieira L, McKay CA, Bayer MJ. Ketamine abusers presenting to the emergency department: a case series. J Emerg Med. 2000;18:447-51. [PMID: 0010802423] CrossrefMedlineGoogle Scholar15. Curran HV, Morgan C. Cognitive, dissociative and psychotogenic effects of ketamine in recreational users on the night of drug use and 3 days later. Addiction. 2000;95:575-90. [PMID: 0010829333] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Robert K. Schneider, MD; James L. Levenson, MD; Sidney H. Schnoll, MDAffiliations: From Virginia Commonwealth University at the Campus of the Medical College of Virginia, Richmond, Virginia.Corresponding Author: Robert K. Schneider, MD, Virginia Commonwealth University at the Campus of the Medical College of Virginia, PO Box 980268, Richmond, VA 23298-0268.Current Author Addresses: Drs. Schneider and Levenson: Virginia Commonwealth University at the Campus of the Medical College of Virginia, PO Box 980268, Richmond, VA 23298-0268.Dr. Schnoll: Virginia Commonwealth University at the Campus of the Medical College of Virginia, PO Box 980109, Richmond, VA 23298-0109. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byDrug AbuseConsumo adictivo de sustancias psicoactivasSubstance Abuse by Anaesthetists in Australia and New ZealandUpdate in PsychiatryRobert K. Schneider, MD and James L. Levenson, MDUpdate in PsychiatryRobert K. Schneider, MD and James L. Levenson, MDY ahora la cocaína 6 March 2001Volume 134, Issue 5 Page: 387-395 Keywords Alcoholism Alcohols Cocaine Detoxification Drug therapy Drugs Genetics Marijuana Opioids Twins ePublished: 6 March 2001 Issue Published: 6 March 2001 Copyright & PermissionsCopyright © 2001 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...