Is there a place for complementary and alternative methods in the treatment of addiction? ULRICH TACKE UNIVERSITY OF KUOPIO FINLAND

Size: px
Start display at page:

Download "Is there a place for complementary and alternative methods in the treatment of addiction? ULRICH TACKE UNIVERSITY OF KUOPIO FINLAND"

Transcription

1 Is there a place for complementary and alternative methods in the treatment of addiction? ULRICH TACKE UNIVERSITY OF KUOPIO FINLAND

2 Alternernative and complementary methods a Finnish/German perspective 2 Germany: Heilpraktikergesetz (1939) Finland: Puoskarilaki (in preparation) Role of alternative treatment methods in society: minor in Finland in comparison to Germany, where Schulmedizin vs. alternative Heilmethoden E.g. in Germany medical doctors prescribe homeopathic or natural preparations regularly (Der Spiegel 21/2008) 2008: chair of complementary medicine at the Charité Berlin

3 3

4 4

5 Attitudes concerning alternative treatment methods in a sample (N=1005) of the Finnish population Are the following methods capable of improving disease(s)? Acupuncture yes 64, no 11, can t tell 25 TCM Homeopathy Hypnosis Aromatherapy

6 Miscellaneous treatments: sporadically mentioned in the literature, no good-quality clinical studies aromatherapy spiritually-focused group therapy high placebo-effect hypnosis used in tobacco-addiction already in 1847 problems with research: difficult to standardize difficult to find control-treatment (placebo) Review by Villano et al. (Med. Clin. N Am. 88 (2004) : the evidence of any effect is anecdotal 6 Tacke inhibition of 9/2008

7 Homeopathy in addiction treatment scientific basis highly questionable 7 high-potency dilutions do not contain a single molecule of active substance very much of the effect of homeopathy is related to other factors, e.g. the context the medication is only a small part (Claudia Witt) very few studies on homeopathy in addiction treatment published in alternative medical journals (scientific standards? peer-reviewed?) no meta-analysis, no reviews

8 Main types : Acupuncture Traditional Chinese (whole body) acupuncture causing feeling of de qui influencing fundamental body-energy Auricular acupuncture (PMF Nogier) 8 underlying hypothesis: different internal organs represented in different places of the outer ear application: mono- or bilateral, with or without electrical or manual stimulation exported to China

9 Acupuncture in addiction treatment Mostly auricular (ear) acupuncture Europe, US, China clear negative statement in the Finnish National Treatment Guidelines ( Käypä Hoito ) controversal among opinionleaders debate ongoing Search of the literature: experimental animal studies clinical studies meta-analyses 9

10 Examples of experimental studies in rats and humans on acupuncture on withdrawal symptoms Studies in rats: Stimulation of specific points (e.g. HT7 vs. ST36) 10 Prevention of decrease of extracellular dopamine in the accumbens (ethanol-w.). Rong Jie Zhoa et al, 2006 Attenuation of CRF mrna increase and anxiety (nicotine-w.). Younbyoung Chae et al, 2008 Human studies: Functional MRI (fmri) Activation of hypothalamus after acupuncture in relation to dequi-score (heroin addicts). Sheng Liu et al. 2007

11 Individual differences in the deqi scores are critical variable for the detection of the hypothalamus activation during acupuncture stimulation. (A) AFNI whole-brain, voxel-wise t-map image of group differences depicting greater activation of the right hypothalamus in heroin addicts (vs. healthy controls) during acupuncture stimulation. (B) Regression plots showing correlation (r=0.67, P<0.05) of deqi scores with the activated voxel rate in the hypothalamus (red circle, the heroin addicts: green circle, the healthy subjects). Viite: Tacke Liu 9/2008 S et al. Neuroscience Letters (2007) 421:

12 What to make out of the data from experimental neurobiological research on acupuncture? 12 mostly from Korean and Chinese research centres some published in Western peer-reviewed journals with notable impact factors (e.g. Brain Research, Neuroscience Letters) reported neurobiological changes make sense, being in line with accepted neurobiological theories of addiction and withdrawal remaining questions: physiological basis of acupuncture? acupuncture in animals vs. auricular acupuncture in humans?

13 13 And what about the clinical data?

14 Clinical studies on acupuncture From Asian and western reasearch centres Studied in treatment of withdrawal from Nicotine Alcohol Opiate Cocaine 14

15 Summary and meta-analysis of studies of acupuncture versus sham acupuncture for effectiveness in smoking cessation L.M. Villano, A.R. White: Med Clin N Am 88 (2004)

16 Summary from 14 studies on acupuncture in smoking cessation (Cochrane Review 2002) 12 studies: no difference 2 studies with positive results: Lacroix and Besancon (1977) French facial points, insertion at moment of inspiration, anticlockwise twist. Controls at sham points OR 6.02 (95% CI 2.92, 12.41) He et al (2001) Ear acupressure with semipermanent seeds (buttons) OR 7.70 (95% CI 1.55, 38.35) 16

17 Meta-analyses and reviews of acupuncture for cocaine and opiate addiction 17 D Alberto A. Auricular acupuncture in the treatment of cocaine/crack abuse: a review of the efficacy, the use of the NADA*- protocol, and the selection of sham points.(journal of Alternative and Complementary medicine (2004) Dec;10(6): Smith GS, Foxcroft DR. Auricular acupuncture for cocaine dependence The Cochrane Collaboration 2008 Jordan JB. Acupuncture treatment for opiate addiction: A systematic review. Journal of Substance Abuse Treatment 30 (2006) Jordan JB. Acupuncture treatment for opiate addiction: A systematic review. Journal of Substance Abuse Treatment 30 (2006) (*=National Acupuncture Detoxification Association)

18 Conclusions from recent reviews and metaanalyses 18 D Alberto (2004) 6 RCTs This review could not confirm that acupuncture was an effective treatment for cocaine abuse. Smith & Foxcroft (2008). 11 RCTs. There is no evidence that auricular acupuncture is effective as a treatment for cocaine dependence. Jordan (2006) Literature review After 33 years of active research by both Asian and western scientists, the evidence is just not there to support acupuncture as a central treatment for opiate or any other drug addiction.

19 19

20 What do we make out of all this? 20 we have to live with the fact, that people believe in treatments, which do not have a scientifically verified therapeutic effect most (if not all) of the perceived effects relate to the therapist, setting, patients hopes and convictions to get better. Potentiation of placebo-effects listening to, and understanding, the drugdependent patient should be the major goal of the clinician and an integral part of normal medical practice ( Schulmedizin )!

21 Suggestion for a resolution and final conclusion Combining the quest for evidence-based treatment with pragmatism Is there a place for these treatments in addiction? No, as far as publicly funded services are concerned 21 Maybe yes for privately run services, where (ideally) the client (patient) decides himself about the suitability of the treatment, and pays for it himself/herself

22 And last, but not least: In Finland, we need a law, which enables healthcare authorities to control the activities of the alternative and complementary treatment sector: in preparation Similar to the Swedish kvaksalver -law and the German Heilpraktiker-Gesetz? 22

TITLE: Acupuncture for Management of Addictions Withdrawal: Clinical Effectiveness

TITLE: Acupuncture for Management of Addictions Withdrawal: Clinical Effectiveness TITLE: Acupuncture for Management of Addictions Withdrawal: Clinical Effectiveness DATE: 09 October 2008 RESEARCH QUESTION: What is the clinical effectiveness of auricular acupuncture in the management

More information

Course outline. Acupuncture in Mental Health. History of Acupuncture and Psychiatry in HK

Course outline. Acupuncture in Mental Health. History of Acupuncture and Psychiatry in HK Course outline Acupuncture in Mental Health Simon HUI Senior Physiotherapist Kwai Chung Hospital Updated evidences for using acupuncture in Mental health A literature review Local experience for using

More information

Impact of Systematic Review on Health Services: The US Experience

Impact of Systematic Review on Health Services: The US Experience Impact of Systematic Review on Health Services: The US Experience Walter Ling MD Integrated Substance Abuse Programs (ISAP) UCLA The effectiveness of interventions for addictions: The Drug and Alcohol

More information

Scientific Facts on. Psychoactive Drugs. Tobacco, Alcohol, and Illicit Substances

Scientific Facts on. Psychoactive Drugs. Tobacco, Alcohol, and Illicit Substances page 1/5 Scientific Facts on Psychoactive Drugs Tobacco, Alcohol, and Illicit Substances Source document: WHO (2004) Summary & Details: GreenFacts Context - Psychoactive drugs such as tobacco, alcohol,

More information

Tauto-Mod. Homeopathy for Addictions

Tauto-Mod. Homeopathy for Addictions Homeopathy for Addictions Tauto-Mod Methods and outcomes of the Tauto-Mod prescribing system and an analysis of the addictions homeopathic medication pilot project in 2012. Based on a newly developed prescribing

More information

Integrative Therapies and Preconception Health. Debbie Ringdahl DNP, RN, CNM

Integrative Therapies and Preconception Health. Debbie Ringdahl DNP, RN, CNM Integrative Therapies and Preconception Health Debbie Ringdahl DNP, RN, CNM Definitions Preconception Health primary care? CAM complementary (together with) and alternative medicine (in place of) Integrative

More information

FRN Research Report January 2012: Treatment Outcomes for Opiate Addiction at La Paloma

FRN Research Report January 2012: Treatment Outcomes for Opiate Addiction at La Paloma FRN Research Report January 2012: Treatment Outcomes for Opiate Addiction at La Paloma Background A growing opiate abuse epidemic has highlighted the need for effective treatment options. This study documents

More information

2. FRAGESTELLUNGEN DER VORGESTELLTEN ARBEITEN 26. 3.1 Wirksamkeit der Akupunktur bei ausgewählten Schmerzerkrankungen

2. FRAGESTELLUNGEN DER VORGESTELLTEN ARBEITEN 26. 3.1 Wirksamkeit der Akupunktur bei ausgewählten Schmerzerkrankungen 2. FRAGESTELLUNGEN DER VORGESTELLTEN ARBEITEN 26 3 RELEVANTE ORIGINALARBEITEN 3.1 Wirksamkeit der Akupunktur bei ausgewählten Schmerzerkrankungen Brinkhaus B, Becker-Witt C, Jena S, Linde K, Streng A,

More information

Slide 1: Introduction Introduce the purpose of your presentation. Indicate that you will explain how the brain basically works and how and where

Slide 1: Introduction Introduce the purpose of your presentation. Indicate that you will explain how the brain basically works and how and where Slide 1: Introduction Introduce the purpose of your presentation. Indicate that you will explain how the brain basically works and how and where drugs such as heroin and cocaine work in the brain. Tell

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call 1-800-662-HELP(4357)

More information

Matrix Reload Rehab Helps you to be with us. Information package

Matrix Reload Rehab Helps you to be with us. Information package Matrix Reload Rehab Helps you to be with us Information package Matrix Reload Rehab Helps you to be yourself Welcome to Matrix Reload Rehab! The recognition of a problem and understanding of the fact that

More information

The Canadian Academic English Language (CAEL) Assessment

The Canadian Academic English Language (CAEL) Assessment TOPIC: HOMEOPATHY The Canadian Academic English Language (CAEL) Assessment In the CAEL Assessment, you will be asked to do the things you would be expected to do in a university course. You will listen

More information

Brief Interventions for Substance Misuse: Motivation and change. Dr Brion Sweeney National Drugs Conference of Ireland 4 th November 2010

Brief Interventions for Substance Misuse: Motivation and change. Dr Brion Sweeney National Drugs Conference of Ireland 4 th November 2010 Brief Interventions for Substance Misuse: Motivation and change Dr Brion Sweeney National Drugs Conference of Ireland 4 th November 2010 What s covered Reward and punishment Enhancing motivation the evidence

More information

The Addicted Brain. And what you can do

The Addicted Brain. And what you can do The Addicted Brain And what you can do How does addiction happen? Addiction can happen as soon as someone uses a substance The brain releases a neurotransmitter called Dopamine into the system that makes

More information

OVERVIEW OF BRIEF INTERVENTION FOR RISKY SUBSTANCE USE IN PRIMARY CARE. Prepared by CASAColumbia

OVERVIEW OF BRIEF INTERVENTION FOR RISKY SUBSTANCE USE IN PRIMARY CARE. Prepared by CASAColumbia OVERVIEW OF BRIEF INTERVENTION FOR RISKY SUBSTANCE USE IN PRIMARY CARE Prepared by CASAColumbia February 2014 Outline Introduction Three Key Steps Engage Motivate Plan Sample Videos 2 INTRODUCTION 3 Addiction

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction [NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call

More information

The lack of evidence for ibogaine as a

The lack of evidence for ibogaine as a The lack of evidence for ibogaine as a treatment for heroin dependence 19 th International Harm Reduction Conference Barcelona, Spain 11-15 May, 2008 Dr. Alex Wodak, Sydney, y Australia awodak@stvincents.com.au

More information

fmri studies of addiction and relapse Rebecca Elliott Bill Deakin Anna Murphy Neuroscience and Psychiatry Unit

fmri studies of addiction and relapse Rebecca Elliott Bill Deakin Anna Murphy Neuroscience and Psychiatry Unit fmri studies of addiction and relapse Rebecca Elliott Bill Deakin Anna Murphy Neuroscience and Psychiatry Unit Background Previous PhD projects on brain basis of craving: Lesley Peters and Dan Lubman Expertise

More information

1. According to recent US national estimates, which of the following substances is associated

1. According to recent US national estimates, which of the following substances is associated 1 Chapter 36. Substance-Related, Self-Assessment Questions 1. According to recent US national estimates, which of the following substances is associated with the highest incidence of new drug initiates

More information

Treatment of Opioid Dependence with Buprenorphine/Naloxone (Suboxone )

Treatment of Opioid Dependence with Buprenorphine/Naloxone (Suboxone ) Treatment of Opioid Dependence with Buprenorphine/Naloxone (Suboxone ) Elinore F. McCance-Katz, M.D., Ph.D. Professor and Chair, Addiction Psychiatry Virginia Commonwealth University Neurobiology of Opiate

More information

Alcohol and Drug. A Cochrane Handbook. losief Abraha MD. Cristina Cusi MD. Regional Health Perugia

Alcohol and Drug. A Cochrane Handbook. losief Abraha MD. Cristina Cusi MD. Regional Health Perugia Alcohol and Drug A Cochrane Handbook losief Abraha MD Regional Health Perugia of Cristina Cusi MD Outpatient Services - Neurology Clinical Institutes of Specialisation Milan Italy A John Sons, Ltd., THE

More information

SEVEN COMMON HEALTH SYMPTOMS

SEVEN COMMON HEALTH SYMPTOMS NADA ACUPUNCTURE PROSPECTIVE TRIAL IN PATIENTS WITH SUBSTANCE USE DISORDERS AND SEVEN COMMON HEALTH SYMPTOMS Kenneth O. Carter*, M.D., M.P.H., Dipl.Ac., Michelle Olshan- Perlmutter*, PMHCNS- BC, FNP- BC,

More information

Understanding Addiction: The Intersection of Biology and Psychology

Understanding Addiction: The Intersection of Biology and Psychology Understanding Addiction: The Intersection of Biology and Psychology Robert Heimer, Ph.D. Yale University School of Public Health Center for Interdisciplinary Research on AIDS New Haven, CT, USA November

More information

Effects of Acupuncture on Chronic Lower Back Pain. Audience: Upper Division IPHY Majors

Effects of Acupuncture on Chronic Lower Back Pain. Audience: Upper Division IPHY Majors 1 Effects of Acupuncture on Chronic Lower Back Pain Audience: Upper Division IPHY Majors Introduction: Lower back pain is the leading cause of limited physical activity and the second most frequent reason

More information

DrugFacts: Treatment Approaches for Drug Addiction

DrugFacts: Treatment Approaches for Drug Addiction DrugFacts: Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please

More information

DEVELOPING MANUFACTURING SUPPLYING. Naltrexone Implants. Manufactured by NalPharm Ltd WWW.NALPHARM.COM

DEVELOPING MANUFACTURING SUPPLYING. Naltrexone Implants. Manufactured by NalPharm Ltd WWW.NALPHARM.COM DEVELOPING MANUFACTURING SUPPLYING Naltrexone Implants Background to Nalpharm NalPharm is a specialist pharmaceutical company supplying proprietary branded medications and generic drugs in the area of

More information

The Effect of Addiction on Health and Expenditures for Caffeine, Nicotine, and Alcohol

The Effect of Addiction on Health and Expenditures for Caffeine, Nicotine, and Alcohol The Effect of Addiction on Health and Expenditures for Caffeine, Nicotine, and Alcohol A S T U D Y B Y R I S A N N I S H O R I A N D A D A M S T O K E S Addictions and its effects on health What is Addiction?

More information

It is a common beginning with many addicts and alcoholics. For many addicts that begin using in the early years, using tobacco fits in with the

It is a common beginning with many addicts and alcoholics. For many addicts that begin using in the early years, using tobacco fits in with the 1 2 It is a common beginning with many addicts and alcoholics. For many addicts that begin using in the early years, using tobacco fits in with the rebellious behavior pattern or process that is often

More information

Treatment of Opioid Use Disorders in Jails and Prisons Why, When, and How

Treatment of Opioid Use Disorders in Jails and Prisons Why, When, and How Treatment of Opioid Use Disorders in Jails and Prisons Why, When, and How Kevin Fiscella, MD, MPH Professor, Family Medicine, Public Health Sciences, Community Health University of Rochester School of

More information

Massage Therapy Helps Back Pain By Susan Jackson Grubb, NCMT, CNMT

Massage Therapy Helps Back Pain By Susan Jackson Grubb, NCMT, CNMT 1 By Susan Jackson Grubb, NCMT, CNMT Absenteeism, lost wages and reduced productivity due to low back pain are costly to people, companies, and corporations. It is estimated that eighty percent of Americans

More information

The NJSAMS Report. Heroin Admissions to Substance Abuse Treatment in New Jersey. In Brief. New Jersey Substance Abuse Monitoring System.

The NJSAMS Report. Heroin Admissions to Substance Abuse Treatment in New Jersey. In Brief. New Jersey Substance Abuse Monitoring System. New Jersey Substance Abuse Monitoring System The NJSAMS Report May 2011 Admissions to Substance Abuse Treatment in New Jersey eroin is a semi-synthetic opioid drug derived from morphine. It has a high

More information

Pharmacology and Physiology (C105) Understanding Pharmacology and Physiology. The History of Drugs. The Neurobiology of Addiction.

Pharmacology and Physiology (C105) Understanding Pharmacology and Physiology. The History of Drugs. The Neurobiology of Addiction. Understanding Pharmacology and Physiology Knowledge of Pharmacology and Physiology is Crucial SAMHSA s Counselor Competencies What is Addiction? NIDA: Why Do People Use Drugs? From Abuse to Addiction Desired

More information

WHAT HAPPENS TO OUR BRAIN?

WHAT HAPPENS TO OUR BRAIN? WORK DYNAMIC The final result of this session is the formulation of the questions that, within the activity of the Let s talk about drugs programme of the la Caixa Welfare Project, you will ask Dr. Rafael

More information

Dr. Joseph Frascella

Dr. Joseph Frascella Dr. Joseph Frascella WHY YOU CAN T JUST SAY NO : Combatting Drug Addiction is Harder Than You Might Think The frontal areas of the young brain develop last. Those do the more executive function the inhibitory

More information

Alcohol Overuse and Abuse

Alcohol Overuse and Abuse Alcohol Overuse and Abuse ACLI Medical Section CME Meeting February 23, 2015 Daniel Z. Lieberman, MD Professor and Vice Chair Department of Psychiatry George Washington University Alcohol OVERVIEW Definitions

More information

Battlefield Acupuncture. Richard C. Niemtzow, MD, PHD, MPH

Battlefield Acupuncture. Richard C. Niemtzow, MD, PHD, MPH Battlefield Acupuncture Richard C. Niemtzow, MD, PHD, MPH INTRODUCTION: Battlefield acupuncture was developed by the author in 2001 in the course of researching a more efficient auriculotherapy system

More information

Guidance for Advertisers of Homeopathic Services

Guidance for Advertisers of Homeopathic Services Guidance for Advertisers of Homeopathic Services This advice is intended to help marketers of homeopathic services comply with the CAP Code, particularly online, and to understand the ASA s current position

More information

SCOTTISH PRISON SERVICE DRUG MISUSE AND DEPENDENCE OPERATIONAL GUIDANCE

SCOTTISH PRISON SERVICE DRUG MISUSE AND DEPENDENCE OPERATIONAL GUIDANCE SCOTTISH PRISON SERVICE DRUG MISUSE AND DEPENDENCE OPERATIONAL GUIDANCE 1 P a g e The following Operational Guidance Manual has been prepared with input from both community and prison addictions specialists

More information

MSc International Programme in Addiction Studies. Prospectus 2015-2016

MSc International Programme in Addiction Studies. Prospectus 2015-2016 MSc International Programme in Addiction Studies Prospectus 2015-2016 The Institute of Psychiatry, Psychology and Neuroscience www.kcl.ac.uk/ioppn The Institute of Psychiatry, Psychology and Neuroscience

More information

8 th Annual Addiction Day Conference & Networking Fair Scientific Program

8 th Annual Addiction Day Conference & Networking Fair Scientific Program 8 th Annual Addiction Day Conference & Networking Fair Scientific Program Thank you for your interest in 8 th Annual Addiction Day & XXVI CSAM Scientific Conference. Please find an overview and learning

More information

Substance Abuse Prevention

Substance Abuse Prevention Prescription Drug Abuse Prevention & -Early Intervention (SBIRT) Barry R. Donovan, Ph.D. NYS OASAS Bureau of Prevention Services Research Application Unit Substance Abuse Prevention What do Heroin, Rx

More information

Prescription Drug Abuse Prevention & -Early Intervention (SBIRT)

Prescription Drug Abuse Prevention & -Early Intervention (SBIRT) Prescription Drug Abuse Prevention & -Early Intervention (SBIRT) Barry R. Donovan, Ph.D. NYS OASAS Bureau of Prevention Services Research Application Unit Substance Abuse Prevention What do Heroin, Rx

More information

Talking about prescription drug abuse with your child Mini-course #4 (parents)

Talking about prescription drug abuse with your child Mini-course #4 (parents) Talking about prescription drug abuse with your child Mini-course #4 (parents) Introduction As a parent, you play an important role in preventing prescription drug diversion and prescription drug abuse

More information

Homeopathy. Homeopathy is one of the more controversial forms of CAM. Much of. Treatment Method

Homeopathy. Homeopathy is one of the more controversial forms of CAM. Much of. Treatment Method Homeopathy Homeopathy is one of the more controversial forms of CAM. Much of the controversy is due to the fact that the basic principles of homeopathy are in conflict with many of the fundamental concepts

More information

The CCB Science 2 Service Distance Learning Program

The CCB Science 2 Service Distance Learning Program S2S 2055 DETOXIFICATION Module 1 Post-Test 1. A common use of a biochemical marker is. a. to support or refute other information that leads to proper diagnosis b. for forensic purposes c. in detecting

More information

Medical Cannabis and Addictions. October 2015 Charlie Reznikoff

Medical Cannabis and Addictions. October 2015 Charlie Reznikoff Medical Cannabis and Addictions October 2015 Charlie Reznikoff Medical Cannabis Topics Is marijuana addictive? Is medical cannabis addictive? Will medical cannabis lead to increased adolescent use of recreational

More information

The Cranium Connection

The Cranium Connection Your Brain! The brain is the command center of your body. It controls just about everything you do, even when you are sleeping. Weighing about 3 pounds, the brain is made up of many parts that all work

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call the

More information

Sample Patient Agreement Forms

Sample Patient Agreement Forms Sample Patient Agreement Forms Introduction This resource includes two sample patient agreement forms that can be used with patients who are beginning long-term treatment with opioid analgesics or other

More information

Naltrexone and Alcoholism Treatment Test

Naltrexone and Alcoholism Treatment Test Naltrexone and Alcoholism Treatment Test Following your reading of the course material found in TIP No. 28. Please read the following statements and indicate the correct answer on the answer sheet. A score

More information

Addressing Nicotine Dependence in Treatment

Addressing Nicotine Dependence in Treatment Addressing Nicotine Dependence in Treatment The Elephant in the Living Room Loretta Worthington, MA, MSP Director Worthington Consulting Tobacco Use Has Traditionally Been Trivialized Nicotine addiction

More information

Identification, treatment and support for individuals with Alcohol & Drug Addiction in the Community

Identification, treatment and support for individuals with Alcohol & Drug Addiction in the Community Identification, treatment and support for individuals with Alcohol & Drug Addiction in the Community Dr David Jackson Clinic Medical Officer The Hobart Clinic Association Drugs In tonight s context, drugs

More information

The Results of a Pilot of Vivitrol: A Medication Assisted Treatment for Alcohol and Opioid Addiction

The Results of a Pilot of Vivitrol: A Medication Assisted Treatment for Alcohol and Opioid Addiction The Results of a Pilot of Vivitrol: A Medication Assisted Treatment for Alcohol and Opioid Addiction James H. Barger, MD SAPC Medical Director and Science Officer Desiree A. Crevecoeur-MacPhail, Ph.D.

More information

Substance Abuse and Acupuncture The evidence for effectiveness

Substance Abuse and Acupuncture The evidence for effectiveness BRIEFING PAPER No 7 Substance Abuse and Acupuncture The evidence for effectiveness Edited and produced by the Acupuncture Research Resource Centre Published by the British Acupuncture Council May 2000

More information

Title: Opening Plenary Session Challenges and Opportunities to Impact the Opioid Dependence Crisis

Title: Opening Plenary Session Challenges and Opportunities to Impact the Opioid Dependence Crisis The American Association for the Treatment of Opioid Dependence, provider #1044, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org,

More information

Observational studies on homeopathy

Observational studies on homeopathy Observational studies on homeopathy To healthcare providers, patients and clinicians, what matters most is not necessarily how well a treatment performs under the artificially controlled conditions on

More information

LESSON 5.7 WORKBOOK Is addiction a chronic disease?

LESSON 5.7 WORKBOOK Is addiction a chronic disease? DEFINITIONS OF TERMS Addiction is a disease idea that states drug addiction is no different from other chronic diseases, like diabetes and heart disease, and thus needs to be treated as a distinct medical

More information

Survey on Misuse and Abuse of Prescription Stimulants Among College Students and Other Young Adults by Partnership for Drug-Free Kids

Survey on Misuse and Abuse of Prescription Stimulants Among College Students and Other Young Adults by Partnership for Drug-Free Kids Survey on Misuse and Abuse of Prescription Stimulants Among College Students and Other Young Adults by Partnership for Drug-Free Kids Embargoed Until: November 13, 2014 10:00 a.m. EST Survey on Misuse

More information

How To Treat Chronic Pain With Nonpharmacological Medicine

How To Treat Chronic Pain With Nonpharmacological Medicine . Report to The Vermont Legislature Treatment of Chronic Pain In Accordance with Act 75, Sections 14(d)(2) and 14a An Act Relating to Strengthening Vermont s Response to Opioid Addiction and Methamphetamine

More information

Improving smoking cessation in drug and alcohol treatment

Improving smoking cessation in drug and alcohol treatment Improving smoking cessation in drug and alcohol treatment Interim briefing on Turning Point s PHE-supported smoking cessation pilots Tobacco smoking is prevalent among drug and alcohol users, and contributes

More information

Healthy Lifestyle, Tobacco Free and Recovery Lesson for Group or Individual Sessions

Healthy Lifestyle, Tobacco Free and Recovery Lesson for Group or Individual Sessions Healthy Lifestyle, Tobacco Free and Recovery Lesson for Group or Individual Sessions This lesson is part of an overall curriculum based program developed by the New York State Office of Alcoholism and

More information

B2. Project Description

B2. Project Description B2. Project Description (not to exceed a total of 5 pages) - detailed description of research project including objectives, background, literature review, proposed experiments, complete description of

More information

Dry Needling Corporate Medical Policy

Dry Needling Corporate Medical Policy Dry Needling Corporate Medical Policy File name: Dry Needling File code: UM.REHAB.09 Origination: 04/2015 Last Review: New policy Next Review: 04/2016 Effective Date: 9/1/2015 Description Myofascial pain

More information

CEU Webinars with Karen Allen CCH and Alex Zaphiris MD. Adjuncts In Constitutional Care Opiate Addiction: Recognition and Recovery

CEU Webinars with Karen Allen CCH and Alex Zaphiris MD. Adjuncts In Constitutional Care Opiate Addiction: Recognition and Recovery CEU Webinars with Karen Allen CCH and Alex Zaphiris MD Adjuncts In Constitutional Care Opiate Addiction: Recognition and Recovery Roadmap for Our Training Session Today Opiate Prescriptions An Epidemic

More information

The Use of Complementary and Alternative Therapies in the Treatment of Fragile X Syndrome

The Use of Complementary and Alternative Therapies in the Treatment of Fragile X Syndrome Consensus of the Fragile X Clinical & Research Consortium on Clinical Practices The Use of Complementary and Alternative Therapies in the Treatment of Fragile X Syndrome First Issued: June 2011 Last Updated:

More information

Table Summary of the California Acupuncture Board Scope of Practice Summary by Kevin McNamee, D.C., L.Ac. with The Supply Center funding

Table Summary of the California Acupuncture Board Scope of Practice Summary by Kevin McNamee, D.C., L.Ac. with The Supply Center funding Table Summary of the California Acupuncture Board Scope of Practice Summary by Kevin McNamee, D.C., L.Ac. with The Supply Center funding A professions scope of practice is a dynamic entity which will continually

More information

Q4: Are acamprosate, disulfiram and naltrexone safe and effective in preventing relapse in alcohol dependence in nonspecialized health care settings?

Q4: Are acamprosate, disulfiram and naltrexone safe and effective in preventing relapse in alcohol dependence in nonspecialized health care settings? updated 2012 Preventing relapse in alcohol dependent patients Q4: Are acamprosate, disulfiram and naltrexone safe and effective in preventing relapse in alcohol dependence in nonspecialized health care

More information

Opioid Agonist Therapy: The Duration Dilemma Edwin A. Salsitz, MD, FASAM Mount Sinai Beth Israel, New York, NY March 10, 2015

Opioid Agonist Therapy: The Duration Dilemma Edwin A. Salsitz, MD, FASAM Mount Sinai Beth Israel, New York, NY March 10, 2015 Q: I have read 40 mg of methadone stops withdrawal, so why don t we start at 30mg and maybe later in the day add 10mg? A: Federal Regulations stipulate that 30mg is the maximum first dose in an Opioid

More information

Assessment and Diagnosis of DSM-5 Substance-Related Disorders

Assessment and Diagnosis of DSM-5 Substance-Related Disorders Assessment and Diagnosis of DSM-5 Substance-Related Disorders Jason H. King, PhD (listed on p. 914 of DSM-5 as a Collaborative Investigator) j.king@lecutah.com or 801-404-8733 www.lecutah.com D I S C L

More information

Update and Review of Medication Assisted Treatments

Update and Review of Medication Assisted Treatments Update and Review of Medication Assisted Treatments for Opiate and Alcohol Use Disorders Richard N. Whitney, MD Medical Director Addiction Services Shepherd Hill Newark, Ohio Medication Assisted Treatment

More information

Physician Acupuncture Training An Integrative Approach for Pain, Stress and Mood Disorders

Physician Acupuncture Training An Integrative Approach for Pain, Stress and Mood Disorders Physician Acupuncture Training An Integrative Approach for Pain, Stress and Mood Disorders Acupuncture Protocols for Pain, Stress, Anxiety and Depression Course Goal: After taking this class, physicians

More information

A Multi-Centre Efficacy Trial of Naltrexone Maintenance Therapy in Hong Kong

A Multi-Centre Efficacy Trial of Naltrexone Maintenance Therapy in Hong Kong A Multi-Centre Efficacy Trial of Naltrexone Maintenance Therapy in Hong Kong Executive Summary 1. Study Background 1.1 In May 1999, upon the recommendations of the Action Committee Against Narcotics (ACAN)

More information

Advanced Treatment for Opioid & Alcohol Dependence. John Larson, M.D. Corporate Medical Director Gateway Foundation

Advanced Treatment for Opioid & Alcohol Dependence. John Larson, M.D. Corporate Medical Director Gateway Foundation Advanced Treatment for Opioid & Alcohol Dependence John Larson, M.D. Corporate Medical Director Gateway Foundation Background 41 years practicing psychiatry Last 15 in addiction medicine I ve watched a

More information

American Dental Association Providers Clinical Support System on Opioid Therapies Webinar

American Dental Association Providers Clinical Support System on Opioid Therapies Webinar American Dental Association Providers Clinical Support System on Opioid Therapies Webinar Friday, May 23, 2014 2:00 PM (CDT) Funding for this initiative was made possible (in part) by Providers' Clinical

More information

THIRD MODULE DETERMINERS AND CONDITIONERS OF NON PRESCRIPTIVE DRUGS AND CONSUME.

THIRD MODULE DETERMINERS AND CONDITIONERS OF NON PRESCRIPTIVE DRUGS AND CONSUME. THIRD MODULE DETERMINERS AND CONDITIONERS OF NON PRESCRIPTIVE DRUGS AND CONSUME. INTRODUCTION This module presents different factors which influence in the life of people who consume drugs, there upon

More information

HOMEOPATHY AS AN ALTERNATIVE TO ANTIBIOTICS

HOMEOPATHY AS AN ALTERNATIVE TO ANTIBIOTICS HOMEOPATHY AS AN ALTERNATIVE TO ANTIBIOTICS Professor Dr. Michael FRASS Medical University of Vienna, Department Medicine I Doctor s Asscociation for Classical Homeopathy www.aekh.at President, Umbrella

More information

Long-Term Effects of Drug Addiction

Long-Term Effects of Drug Addiction Long-Term Effects of Drug Addiction Part 1: Addiction is a chronic disease Drug addiction is considered a chronic brain disease because drugs cause long-lasting changes in brain structure and function.

More information

HOWARD s PTSD TECHNIQUE

HOWARD s PTSD TECHNIQUE HOWARD s PTSD TECHNIQUE By John Howard, L.Ac. Post-Traumatic Stress Disorder (PTSD) can be one of the toughest conditions to treat successfully. The United States Military is now using Acupuncture including

More information

Have we got the balance right? Return on investment

Have we got the balance right? Return on investment Have we got the balance right? Return on investment from brain, behavioural and social sciences in the field of addiction Robert West University College London @robertjwest 1 Declaration of interests I

More information

Development of Chemical Dependency in Adolescents & Young Adults. How to recognize the symptoms, the impact on families, and early recovery

Development of Chemical Dependency in Adolescents & Young Adults. How to recognize the symptoms, the impact on families, and early recovery Development of Chemical Dependency in Adolescents & Young Adults How to recognize the symptoms, the impact on families, and early recovery Tim Portinga, PsyD, LP, Mental Health Clinic Supervisor Tim Portinga

More information

ANIMATED NEUROSCIENCE

ANIMATED NEUROSCIENCE ANIMATED NEUROSCIENCE and the Action of Nicotine, Cocaine, and Marijuana in the Brain Te a c h e r s G u i d e Films for the Humanities & Sciences Background Information This program, made entirely of

More information

Kylie Morphett. Smokers understandings of nicotine addiction: A qualitative study.

Kylie Morphett. Smokers understandings of nicotine addiction: A qualitative study. Kylie Morphett Smokers understandings of nicotine addiction: A qualitative study. Why smoking? High prevalence Smoking is the largest preventable cause of disease in Australia Tobacco causes many serious

More information

New York State Office of Alcoholism & Substance Abuse Services Addiction Services for Prevention, Treatment, Recovery

New York State Office of Alcoholism & Substance Abuse Services Addiction Services for Prevention, Treatment, Recovery New York State Office of Alcoholism & Substance Abuse Services Addiction Services for Prevention, Treatment, Recovery USING THE 48 HOUR OBSERVATION BED USING THE 48 HOUR OBSERVATION BED Detoxification

More information

Survey of Structure and Operations (TCU SSO)

Survey of Structure and Operations (TCU SSO) Survey of Structure and Operations (TCU SSO) To be Completed by Program Director Please answer the following questions by filling in the circle that describes your substance abuse program. Telephone number

More information

Homeopathy: An Introduction

Homeopathy: An Introduction Homeopathy: An Introduction Homeopathy, also known as homeopathic medicine, is a whole medical system that was developed in Germany more than 200 years ago and has been practiced in the United States since

More information

Alcohol and Drug Counseling

Alcohol and Drug Counseling 108 Alcohol and Drug Counseling Alcohol and Drug Counseling Degrees, Certificates and Awards Associate in Arts: Alcohol and Drug Counseling Certificate of Achievement: Alcohol and Drug Counseling Certificate

More information

Addictions: Why Don t They Just Quit?

Addictions: Why Don t They Just Quit? Counseling Center of New Smyrna Beach 265 N. Causeway New Smyrna Beach FL 32169 Ph: 386-423-9161 Fax: 386-423-3094 Addictions: Why Don t They Just Quit? By Shane Porter One of the most frustrating issues

More information

IN THE GENERAL ASSEMBLY STATE OF. Ensuring Access to Medication Assisted Treatment Act

IN THE GENERAL ASSEMBLY STATE OF. Ensuring Access to Medication Assisted Treatment Act IN THE GENERAL ASSEMBLY STATE OF Ensuring Access to Medication Assisted Treatment Act 1 Be it enacted by the People of the State of Assembly:, represented in the General 1 1 1 1 Section 1. Title. This

More information

Opioid overdose can occur when a patient misunderstands the directions

Opioid overdose can occur when a patient misunderstands the directions Facts About Opioid Overdose How Does an Overdose Occur? Opioid overdose can occur when a patient misunderstands the directions for use, accidentally takes an extra dose, or deliberately misuses a prescription

More information

JACQUES Denis, MD Catholic University of Louvain, Mont-Godinne

JACQUES Denis, MD Catholic University of Louvain, Mont-Godinne JACQUES Denis, MD Catholic University of Louvain, Mont-Godinne Tobacco in psychiatry? WITHDRAWAL SMOKERS VS NON SMOKERS 2 Tobacco in psychiatry? Smoking is common in patients in psychiatry Treatment appears

More information

Evidence Based Practice in the Treatment of Addiction Treatment of Addiction. Steve Hanson

Evidence Based Practice in the Treatment of Addiction Treatment of Addiction. Steve Hanson Evidence Based Practice in the Treatment of Addiction Treatment of Addiction Steve Hanson History of Addiction Treatment Incarceration Medical Techniques Asylums What We Learned These didn t work Needed

More information

Intake Consultation and Assessment Before Detox. What Happens During Drug Detox?

Intake Consultation and Assessment Before Detox. What Happens During Drug Detox? What Happens During Drug Detox? Many addicts and alcoholics believe they can quit using substances on their own. But after a few painful and confidence-crushing failed attempts, the need for an inpatient

More information

Role of Acupuncture in the Treatment of Drug Addiction

Role of Acupuncture in the Treatment of Drug Addiction Chapter 9 Role of Acupuncture in the Treatment of Drug Addiction Anfeng Xiang, Boyuan Zhang and Sheng Liu Additional information is available at the end of the chapter http://dx.doi.org/10.5772/60655 Abstract

More information

NADA as an aid in treating patients with borderline personality disorder as well as tobacco cessation

NADA as an aid in treating patients with borderline personality disorder as well as tobacco cessation NADA as an aid in treating patients with borderline personality disorder as well as tobacco cessation Libby Stuyt, MD Evidence Basis for NADA: the Research 27 th Annual NADA Conference Albuquerque, New

More information

MAKING INFORMED DECISIONS

MAKING INFORMED DECISIONS FATIGUE TREATMENTS MAKING INFORMED DECISIONS MS SERVICES SYMPTOM SERIES Fatigue treatments In order to reduce fatigue, many people use a variety of treatments including both medicine. While some people

More information

The Adverse Health Effects of Cannabis

The Adverse Health Effects of Cannabis The Adverse Health Effects of Cannabis Wayne Hall National Addiction Centre Kings College London and Centre for Youth Substance Abuse Research University of Queensland Assessing the Effects of Cannabis

More information

Delivery of Tobacco Dependence Treatment for Tobacco Users with Mental Illness and Substance Use Disorders (MISUD)

Delivery of Tobacco Dependence Treatment for Tobacco Users with Mental Illness and Substance Use Disorders (MISUD) Delivery of Tobacco Dependence Treatment for Tobacco Users with Mental Illness and Substance Use Disorders (MISUD) Learning Objectives Upon completion of this module, you should be able to: Describe how

More information

Neurobiology of Addiction. Bench to Bedside: From the Science to the Practice of Addiction Medicine. Outline

Neurobiology of Addiction. Bench to Bedside: From the Science to the Practice of Addiction Medicine. Outline Bench to Bedside: From the Science to the Practice of Addiction Medicine Petros Levounis, MD, MA Chair, Department of Psychiatry Rutgers New Jersey Medical School ADDICTION MEDICINE ACADEMY Clearwater

More information

Produced and Published by The Cabin Chiang Mai, Alcohol and Drug Rehab Centre. Copyright 2013. and How is it Treated?

Produced and Published by The Cabin Chiang Mai, Alcohol and Drug Rehab Centre. Copyright 2013. and How is it Treated? and How is it Treated? 1 About this book This E-book has been produced as a guide to help explain some of the fundamental things you need to understand about addiction and its treatment, starting with

More information

Free Additional Resources

Free Additional Resources Free Additional Resources Substance Abuse and Mental Health Services Administration Treatment Improvement Protocols The Substance Abuse and Mental Health Services Administration (SAMHSA) offers free Treatment

More information