Kivlahan D R, Walker R D, Donovan D M, Mischke H D
Am J Psychiatry. 1985 Dec;142(12):1467-70. doi: 10.1176/ajp.142.12.1467.
Fifty urban American Indians were interviewed during admission to a free-standing medical detoxification unit. From the year before the interview through 2 years of follow-up, this sample averaged 44.6 detoxification admissions and 64.1 days in other inpatient treatment and had no significant change in the number of annual detoxification admissions. At follow-up all but three subjects reported recent alcohol dependence symptoms or episodic alcohol abuse. these patients continued to experience serious alcohol-related problems despite repeated treatment in both medical detoxification and inpatient rehabilitation settings. These findings emphasize the need for more innovative and effective alternatives to the existing revolving door process.
五十名美国城市印第安人在进入一家独立的药物脱毒治疗机构时接受了访谈。从访谈前一年到随访的两年时间里，该样本平均有44.6次脱毒治疗入院，以及64.1天的其他住院治疗，且年度脱毒治疗入院次数没有显著变化。在随访时，除了三名受试者外，其他所有人都报告了近期的酒精依赖症状或间歇性酒精滥用情况。尽管在药物脱毒治疗和住院康复环境中都接受了反复治疗，但这些患者仍继续经历严重的酒精相关问题。这些发现强调了需要有比现有的循环往复过程更具创新性和有效性的替代方案。
