van der Stel Jaap
Professor of Mental Health, University of Applied Sciences in Leiden; Senior Researcher at GGZ inGeest, Amsterdam; and Strategic Advisor at Brijder-Parnassia, The Netherlands.
Yale J Biol Med. 2015 Nov 24;88(4):415-22. eCollection 2015 Dec.
This perspective article explores the possibilities of precision in addiction care -- even better individually fitted or tailor-made care -- and examines what changes we need to make in order to realize sensible progress in epidemiological key figures. The first part gives a short review on the development of addiction care and tries to answer the question of where we stand now and what has been achieved in addiction science through the development and evaluation of interventions in the past decades. Following this analysis, attention will be paid to what lies ahead. This second part focuses on the question of how addiction care can deal with the consequences of the emerging paradigm of personalized or precision medicine, which is based on the fundamental assumption that individual differences matter. Finally, some limitations and conditions as well as tasks and goals for progress are raised. In conclusion, it is argued that integration of addiction care in (mental) health care in the future is desirable.
这篇观点文章探讨了成瘾护理精准化的可能性——甚至是更个性化定制的护理——并审视了为在流行病学关键数据方面取得切实进展我们需要做出哪些改变。第一部分简要回顾了成瘾护理的发展历程,并试图回答我们目前所处的位置以及在过去几十年中通过干预措施的开发和评估在成瘾科学领域取得了哪些成果这一问题。在此分析之后,将关注未来的发展方向。第二部分聚焦于成瘾护理如何应对基于个体差异至关重要这一基本假设而新兴的个性化或精准医学范式所带来的后果这一问题。最后,提出了一些限制条件以及进步的任务和目标。总之,文章认为未来将成瘾护理纳入(心理)医疗保健是可取的。