Sullivan Danny
J Law Med. 2015 Sep;23(1):41-9.
Methamphetamine, particularly "ice", currently preoccupies the media and there are a range of government initiatives which seem to follow media interest. We summarise the progress of government attention, briefly review health concerns associated with methamphetamine use, and summarise the evidence for treatments, including psychosocial interventions and medications. Amid concerns that governments will seek to fund any promising initiative in order to be perceived as responding to an epidemic, we caution that existing treatments should not be abandoned in favour of untested but potentially attractive treatments. Harm reduction and outpatient psychological treatments remain the mainstay of drug treatment programs and may be more cost-effective and broader-reaching than inpatient, medication-based detoxifications.
甲基苯丙胺,尤其是“冰毒”,目前备受媒体关注,并且有一系列政府举措似乎是紧随媒体的关注点。我们总结了政府关注的进展情况,简要回顾了与使用甲基苯丙胺相关的健康问题,并总结了包括心理社会干预和药物治疗在内的治疗证据。鉴于有人担心政府会为任何有前景的举措提供资金,以便被视为在应对一场流行疾病,我们提醒,不应放弃现有的治疗方法而青睐未经检验但可能有吸引力的治疗方法。减少伤害和门诊心理治疗仍然是药物治疗项目的主要内容,而且可能比住院的药物脱毒治疗更具成本效益且影响范围更广。