Detoxification social

Social detoxification, which involves the nonpharmacological treatment of alcohol withdrawal, has been shown to be effective (see Naranjo et al. 1983). It consists of frequent reassurance, reality orientation, monitoring of vital signs, personal attention, and general nursing care (Naranjo and Sellers 1986). Social detoxification is most appropriate for patients in mild-to-mod-erate withdrawal. The medical problems commonly associated with alcoholism (Sullivan and O Connor 2004) may substantially complicate therapy, so that care must be taken to refer patients whose condition requires medical management. 

REM sleep short-term memory social detoxification standard drink teratology... 

Social detoxification Treatment of alcohol withdrawal without the use of medicine (Chapter 9). 

Seecof R, Tennant FS Subjective perceptions to the intravenous rush of heroin and cocaine in opioid addicts. Am J Drug Alcohol Abuse 12 79—87, 1987 Sees KL, Delucci KL, Masson C, et al Methadone maintenance vs. 180-day psycho-socially enriched detoxification for treatment of opioid dependence a randomized controlled trial. JAMA 283 1303-1310, 2000 Sells SB Treatment effectiveness, in Handbook on Drug Abuse. Edited by Dupont RE, Goldstein A, O Donnell J. Washington, DC, U.S. Government Printing Office, 1979, pp 105-118... 

Alcohol dependence requires intervention aimed at medical, psychological, and social complications. The goal is to reduce or eliminate the desire to drink, to produce a reduction or cessation in alcohol consumption, and to minimize its harmful consequences. Treatment involves detoxification and rehabilitation ( 396). 

Most intoxicated individuals do not need hospitalization, display none of the previous medical problems, and experience minimal withdrawal symptoms. Observing and treating them in the emergency room or a nonmedical detoxification center (i.e., social intoxication) for 6 to 12 hours may be all that is required. 

Ensuring that the patient is referred for management of the detoxification process this may be a social detox or a medical detox program, depending on the severity of the dependence and the probability of life-threatening withdrawal. Ensuring that the patient is referred for a comprehensive medical history and physical examination in order to obtain treatment for the medical and psychiatric complications of the alcoholism or other SUD. 

Short-term detoxihcation is detoxification with methadone for a period of time less than 30 days. Long-term detoxification is detoxification with methadone for a period of time more than 30 days but less than 180 days. Patients who are unsuccessful for two attempts must consider alternative treatment. Detoxification does not address the social, psychological, or behavioral problems associated with addiction. Short-term detoxification patients are not eligible for take-home medication however, long-term detoxification patients are eligible. 

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