Seppala Marvin D
Hazelden, USA.
Minn Med. 2013 Mar;96(3):45-7.
For years, treatment professionals have debated the virtues of medication maintenance versus psychosocial therapies for treating opioid addiction. In its response to the opioid crisis, Hazelden is attempting to bridge the difference by using a treatment protocol that involves both the conservative use of safe medications and psychosocial therapies while maintaining the ultimate goal of abstinence. This article discusses the recent and precipitous rise in opioid use, abuse, dependence and overdoses in the United States; the physician's role in creating and solving the problem; and Hazelden's unique approach to caring for people with opioid addiction.
多年来,治疗专家们一直在争论药物维持治疗与心理社会疗法在治疗阿片类药物成瘾方面的优缺点。在应对阿片类药物危机时,黑兹尔登戒毒中心正试图通过采用一种治疗方案来弥合分歧,该方案包括谨慎使用安全药物和心理社会疗法,同时保持禁欲这一最终目标。本文讨论了美国阿片类药物使用、滥用、依赖和过量使用的近期急剧增加;医生在造成和解决该问题中所起的作用;以及黑兹尔登戒毒中心照顾阿片类药物成瘾者的独特方法。