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Int. J. Environ. Res. Public Health 2014, 11(11), 11664-11675; doi:10.3390/ijerph111111664

Alcoholism Risk Reduction in France: A Modernised Approach Related to Alcohol Misuse Disorders

1
Service Psychiatrie et Addictologie del'Adulte CMP B, Centre Hospitalier Universitaire (CHU), Rue Montalembert, Clermont-Ferrand Cedex 01 63003, France
2
Unité de Formation et de Recherche (UFR) Médecine, Université Clermont 1, EA 7280, Place Henri Dunant, Clermont-Ferrand F-63001, France
3
Service de Psychiatrie, Groupe Hospitalier La Rochelle- Ré-Aunis, La Rochelle 17000, France
4
Service de Addictologie, Hôpital Caremeau, Nîmes F-30029, France
5
Université de Montpellier 1, 5 bd, Henri IV 34000, France
6
University of Grenoble Alpes, HP2, F-38000 Grenoble, France
7
INSERM, HP2, U1042, F-38000 Grenoble, France
8
Department of Addiction Medicine, CHU de Grenoble, HP2, F-38000 Grenoble, France
*
Author to whom correspondence should be addressed.
Received: 11 July 2014 / Revised: 27 October 2014 / Accepted: 28 October 2014 / Published: 13 November 2014
(This article belongs to the Special Issue Alcohol Abuse: Newer Approaches to an Old Problem)
View Full-Text   |   Download PDF [646 KB, uploaded 13 November 2014]

Abstract

During many years in France, risk reduction strategies for substance abuse concerned prevention strategies in the general population or interventions near users of illicit substances. In this spirit, the reduction of consumption only concerned opiate addicts. With regard to alcohol, the prevention messages relative to controlled consumption were difficult to transmit because of the importance of this product in the culture of the country. In addition, methods of treatment of alcoholism rested on the dogma of abstinence. Several factors have recently led to an evolution in the treatment of alcohol use disorders integrating the reduction of consumption in strategies. Strategies for reducing consumption should aim for consumption below recommended thresholds (two drinks per day for women, three for the men) or, at least, in that direction. It must also be supported by pharmacotherapy and psychotherapy, which offer possibilities. Failure to manage reduction will allow the goals to be revisited and to reconsider abstinence. Finally this evolution or revolution is a new paradigm carried in particular by a pragmatic approach of the disease and new treatments. The aims of this article are to give elements of comprehension relating to the evolution of the practices in France in prevention and treatment of alcohol use disorders and in particular with regard to the reduction of consumption. View Full-Text
Keywords: alcohol; alcoholism; alcohol-related disorders; risk reduction; abstinence; reduction alcohol; alcoholism; alcohol-related disorders; risk reduction; abstinence; reduction
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Brousse, G.; Bendimerad, P.; de Chazeron, I.; Llorca, P.M.; Perney, P.; Dematteis, M. Alcoholism Risk Reduction in France: A Modernised Approach Related to Alcohol Misuse Disorders. Int. J. Environ. Res. Public Health 2014, 11, 11664-11675.

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