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American Society for Action on Pain |
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UI - 000002 AU - Woody GE AU - McLellan AT AU - O'Brien CP TI - Treatment of behavioral and psychiatric problems associated with opiate dependence AB - IN: Philadelphia VA Medical Ctr, PA LA: English AB: Discusses behavioral and psychiatric problems associated with opiate dependence and its treatment, noting that diverse medical, behavioral, and psychiatric problems interact to produce constellations of complex disorders in opiate addicts. Previous research has identified depression as the most common disorder, followed by alcoholism, antisocial personality, anxiety, schizophrenia, mania, and hypomania. Other situational reactions involve intense anger, psychiatric disorders complicated by medical conditions (e.g., hepatitis), and illnesses or injuries producing chronic pain (e.g., pancreatitis, sickle cell anemia, nerve root irritation). Loitering is also a behavioral problem due to drug dealing that occurs when patients loiter. Management and orientation of these problems from a practical perspective are discussed, and it is asserted that it is essential for drug treatment programs to place a high priority on problem control, which is best accomplished through consistent enforcement of rules. Further recommendations are presented with regard to staffing, policies, physical facilities, diagnosis and treatment, and research and clinical efforts. (4 ref) (PsycLIT Database Copyright 1984 American Psychological Assn, all rights reserved) KP: treatment of behavioral & psychiatric problems associated with opiate dependence AN: 71-32471 SO - National Institute on Drug Abuse Research Monograph Series 1984;:1984 Mono 46 23-1984 Mono |