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