Special Issue "Treating Alcoholism between Harm Reduction and Immediate Abstinence"
A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601).
Deadline for manuscript submissions: closed (31 January 2016).
Prof. Dr. Icro Maremmani
Vincent P. Dole Dual Disorder Unit, Department of Neurosciences, Santa Chiara University Hospital, University of Pisa, Via Roma, 67 56126 Pisa, Italy
Website | E-Mail
Interests: substance use disorders and their treatment; opioid dependence; alcoholism and to agonist treatments; dual diagnosis patients; temperamental traits of normal subjects; psychiatric patients; substance abuser patients; heroin addiction; dual disorders; psychopharmacology
Alcohol is one of the most important risk factors for health and is a major cause of death and morbidity; notwithstanding, only about one-tenth of individuals with alcohol abuse disorders receive therapeutic intervention and specific rehabilitation.
Among the various dichotomies that limit an effective approach to the problem of alcohol use disorder treatment, one of the most prominent is “integrated treatment versus reduction of damage”.
What can represent a partial result for the operator (e.g., reduction of alcohol consumption rather than abstinence) is the only objective, which is, for the patient, at this moment, possible.
For years, these two strategies have been considered as opposite poles of different philosophies of intervention, one bound to the search for methods that lead the subject to complete abstinence, while the other prioritises a decrease in the use, with maximum reduction in the damage correlated with its use.
Reducing alcohol consumption has an immediate positive impact on the health of the at-risk-drinker.
Reduction of alcohol intake does not require any particular setting, but does require the collaboration between the general practitioner, specialized services for addiction, alcohology services, and psychiatry.
In patients who reach this target, significant savings in terms of health and social costs can be achieved. Reduction of harm is a desirable target, even from an economic point of view.
At the present state of neuroscientific knowledge, it is possible to go one step further in the logic that led to the integration of psychosocial and pharmacological approaches, to remove the shadows of social judgment and to aim for a course of treatment towards absolute abstention. In fact, when abstention is not considered the ideal therapeutic target for a given patient because he/she is unwilling to accept it, which therefore represents a de facto barrier to treatment, new therapeutic modalities should be identified and integrated approaches that motivate patients towards a path of individualized treatment should be considered.
This Special Issue is open to any subject area of public health, economics and policy related to the alcohol treatment focusing on the importance of a “harm reduction” strategy. The listed keywords suggest just a few of the many possibilities.
Prof. Dr. Icro Maremmani
Manuscript Submission Information
Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All papers will be peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.
Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access semimonthly journal published by MDPI.
Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.
- Alcohol dependence
- Anti-craving medications
- Compliance to treatment
- Comprehensive treatment
- Economic costs
- Harm reduction Strategy
- Opioid receptors
- Public health
- Reduction in alcohol consumption