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Towards the Integration of Treatment Systems for Substance Abusers

Report on the Second International Symposium on Substance Abuse Treatment and Special Target Groups

Bibliographic Data

ID14676141
AuthorsEric Broekaert (Ghent University), Wouter Vanderplasschen (0000-0001-6513-4243, Ghent University)
Year2003
Volume35
Issue2
Pages237-245
Publication date2003-06-01
Open AccessNo
TypeARTICLE
VenueJournal of Psychoactive Drugs (JOURNAL)
Journal identifiersISSN: 0279-1072 • E-ISSN: 2159-9777
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/02791072.2003.10400005
PMID12924746
OpenAlexW2013336017
LanguageEN
Citations received5
References cited36

The central ideas of this article are the result of intensive discussions during a symposium that was organized following structural changes in European substance abuse treatment. Therapeutic communities were concerned about their approach being replaced by other treatment modalities. Participants focused on the question of whether the emerging harm reduction paradigm could be combined with the principle of recovery and how its integration in a comprehensive treatment system could be beneficial or detrimental to therapeutic communities. This article defines integrated treatment systems for substance abusers from a conceptual, etymological, ethical and ideological point of view. In addition, it focuses on old but ongoing contradictions and discussions between drug-free, methadone-maintenance and harm reduction approaches. Several prerequisites for the integration of treatment systems are discussed, and parallels and discrepancies between the American and European situation are explored. An integrated and comprehensive system of treatment services is put forward as an alternative to the present-day gap between conventional abstinence-oriented programs and harm reduction initiatives. Participants maintain that collaboration between these apparently incompatible treatment paradigms will depend on mutual respect, the introduction of a common language and a thorough analysis of clients' treatment demands

Abstinence · Harm · Harm reduction · Modalities · Parallels · Psychiatry · Psychotherapist · Public health · Social science · Sociology · Substance abuse · Substance use · Treatment modality · Medicine · Nursing · Opioid Use Disorder Treatment · Prenatal Substance Exposure Effects · Psychology · Social Psychology · Substance Abuse Treatment and Outcomes

  • A Qualitative Study of Prescribing Doctor Experiences of Methadone Maintenance Treatment

    Open Access•Marie Claire Van Hout, Tim Bingham•International Journal of Mental…•2013

  • Cultural responsiveness in substance‐abuse treatment

    Open Access•Stijn Vandevelde, Wouter Vanderplasschen et al.•International Journal of Social…•2003

  • The Trouble with Morality

    David Frank•Journal of Psychoactive Drugs•2011

  • Effectiveness of Different Models of Case Management for Substance-Abusing Populations

    Wouter Vanderplasschen, Judith Wolf et al.•Journal of Psychoactive Drugs•2007

  • Therapeutic Communities, Family Therapy, and Humanistic Psychology

    Open Access•Veerle Soyez, Eric Broekaert•Journal of Humanistic Psychology•2005

  • Defining the drug user

    Open Access•Raffi Balian, Cheryl White•International Journal of Drug…•1998

  • Background and Overview of Mental Health and Substance Abuse Treatment Systems

    Christine E Grella•Journal of Psychoactive Drugs•1996

  • Integrating Harm Reduction Therapy and Traditional Substance Abuse Treatment

    G Alan Marlatt, Arthur W Blume et al.•Journal of Psychoactive Drugs•2001

  • Retrospective Study of Similarities and Relations Between American Drug-Free and European Therapeutic Conmmnities for Children and Adults

    Eric Broekaert, Wouter Vanderplasschen et al.•Journal of Psychoactive Drugs•2000

  • Strategies for Implementation of Harm Reduction in Treatment Settings

    Patt Denning•Journal of Psychoactive Drugs•2001

  • Therapeutic Community and the Danger of the Cult Phenomenon

    Donald J Ottenberg•Marriage & Family Review•1982

  • The Drug Legalization Debate

    David J Bordua, James A Inciardi•Contemporary Sociology A Journal…•1991

  • Heroin use during methadone maintenance treatment

    D M Hartel, Diana Hartel et al.•American Journal of Public Health•1995

Citations per year0.22
Citation span2003 - 2013 (11)
Highly citedNo

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