Stages in the Multifaceted Treatment of the Multiproblem Drug Abuser
Professionals and the public at large have continued to report and believe that drug abusers are both difficult to treat and to treat successfully (Brecher, 1972; Brill and Lieberman, 1972; Sells, 1974). Neither the medical model, which is considered by some to exacerbate the problem (Cummings, 1979), nor traditional psychotherapy, which too narrowly embraces the diversity of problems associated with drug abuse (Hughes, 1977), have been reported as being effective. The few optimistic reports of treatment success have often been obtained by the use of idiosyncratic methods (Cummings, 1979). This situation has necessitated the development of a broadly applicable, multifaceted approach to the problem as recommended by Glatt (1974) and which has recently been reported as existing in greater numbers (Steer, 1979). That is, several programs now exist where a wide range of coordinated therapeutic interventions are applied over a period of time by a network of professionals in various settings and agencies. The caseworker or therapist from the primary drug-treatment facility is responsible for the treatment program. What has been lacking in this approach, though, is a coherent description of the multifaceted therapeutic process. This paper presents such a description based on the authors’ experience at the Jerusalem Center for Drug Misuse Intervention.
KeywordsDrug Abuse Treatment Methadone Maintenance Multifaceted Treatment Life Area Positive Resolution
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