Etapas de tratamento de doentes alcoólicos

Translated title of the contribution: Phases of treatment for alcoholic patients

Research output: Contribution to journalArticle

Abstract

O alcoolismo, entidade sindromática nem sempre bem delimitada clinicamente, constitui um rave problema de Saúde Pública, consumindo uma parcela significativa dos recursos dos erviços de saúde em geral e dos serviços de saúde mental em particular.
Os autores revêem, de acordo com a sua experiência pessoal, alguns aspectos teóricos e clínicos das dependências alcoólicas. A propósito, apresentam dados relevando da prática do Centro Regional de Alcoologia do Sul (CRAS).
Com base nesta experiência e no modelo de intervenção em toxicodependentes desenvolvido pelo primeiro autor, formulam-se alguns princípios do chamado Tratamento Combinado e por Etapas aplicado a doentes alcoólicos e suas famflias, que inclui, sempre que possível, uma abordagem familiar integrada com a individual, ênfase na normatividade, na firmeza, e nos grupos
de auto-ajuda. Revêem, à luz destes conceitos, a cadeia de cuidados de tratamento a este tipo de doentes, em ambulatório e internamento, e o papel do médico, que não se deve confundir com o sistema familiar.


Alcoholism remains a controversial area, concerning both theoretical definitions and modalities of clinical intervention. In spite of this, and perhaps as a consequence, it stands as a huge public health problem, consuming a large amount of resources (and mental health services resources in particular). Some clinical issues in this area are reviewed, according to the authors' personal experience. Data related to clinical work in an alcohology centre (South Regional Alcohology Centre-CRAS) are presented. Based in a previous model of Sequential Combined Treatment of Heroin Addicted Patients with Naltrexone and Family Therapy, the authors outline some basic principles of a similar intervention designed for alcoholic patients and their families, which includes, when possible, a family integrated with an individual approach, an emphasis on normativity, on firmness and on self help groups. They revise, on the light of these concepts, the chain of medical care to these kind of patients, outpatient and inpatient, and the role of the medical doctor, which must not be confounded with the family system.

Original languagePortuguese
Pages (from-to)349-55
Number of pages7
JournalActa Médica Portuguesa
Volume14
Issue number3
Publication statusPublished - May 2001

Keywords

  • Alcoholism
  • Humans
  • English Abstract
  • Journal Article
  • Review

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