Controlled Drinking as a Treatment Goal in Germany

Koerkel, Joachim

doi:10.1177/002204260203200221

Cited by 14 publications

(9 citation statements)

References 32 publications

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“…Perceptions of self-control have been linked to making changes in behavior that decrease health risks, such as smoking cessation (Godin, Valois, LePage, & Desharnais, 1992), condom use (Bennett & Bozionelos, 2000;Bryan, Schindeldecker, & Aiken, 2001), controlled drinking (Koerkel, 2002), and exercise attendance (Dawson, Brawley, & Maddux, 2000). Yet, the notion that youth engage in controlling tobacco has been excluded from the design of youth prevention and cessation programs.…”

mentioning

confidence: 99%

Crossing the Line: Adolescents’ Experiences of Controlling Their Tobacco Use

et al. 2004

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Although adolescents are often curious about cigarettes and anxious to "try" smoking, they are unsure about what engaging in the act of smoking will mean. Most adolescents who experiment with smoking do not set out to become addicted to tobacco. Using a grounded theory approach, the authors examined the process youth undergo to regain control over their smoking. Accounts of early smoking experiences suggest that youth undergo a process to control tobacco use that includes (a) determining if smoking is a problem, (b) "crossing the line" of acceptable tobacco use, and (c) implementing strategies to regain control of smoking. The findings of this study lay the basis for the development of harm reduction approaches that facilitate youth's propensity to control their tobacco use.

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mentioning

confidence: 99%

Crossing the Line: Adolescents’ Experiences of Controlling Their Tobacco Use

et al. 2004

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“…For example, women are seen to have higher success rates than men in harm reduction and moderation (Aalto et al, 2000; Ambrogne, 2002; Sanchez-Craig et al, 1991). Studies show many in treatment for “addictions” do not have a long-term goal of abstinence (Koerkle, 2002). Furthermore, 86.4% of individuals in treatment for alcohol use admit to having little intention of maintaining abstinence and as many as 50% of young adults in treatment favor controlled drinking over abstinence (Koerkle, 2002).…”

Section: The Influence Of Dominant Addiction Discoursementioning

confidence: 99%

“…Studies show many in treatment for “addictions” do not have a long-term goal of abstinence (Koerkle, 2002). Furthermore, 86.4% of individuals in treatment for alcohol use admit to having little intention of maintaining abstinence and as many as 50% of young adults in treatment favor controlled drinking over abstinence (Koerkle, 2002). Other studies have shown nearly 80% of clients in guided self-management treatment for alcohol misuse chose reduced use as a treatment and set realistic limits (Sobell & Sobell, 1995).…”

Section: The Influence Of Dominant Addiction Discoursementioning

confidence: 99%

Harm Reduction for Women in Treatment for Alcohol Use Problems: Exploring the Impact of Dominant Addiction Discourse

Brown

Stewart

2020

Qual Health Res

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The objectives of this study were to profile the landscape of women’s alcohol use programs in Canada. We explored service users’ and providers’ beliefs about alcohol use problems and how this affected treatment choices for alcohol use problems. Data were collected through standardized measures alongside in-depth semi-structured narrative interviews in six women’s alcohol treatment sites in Canada. Findings demonstrated that service users and service providers often supported an abstinence choice and were ambivalent about the viability of controlled or managed use in both abstinence- and harm reduction–based programs. Findings showed that women service users in this study had significant rates of trauma and depression which were associated with their alcohol use; the majority still adopted dominant alcohol addiction discourse which emphasizes the need for abstinence. We offer a number of recommendations to improve the viability of harm reduction for alcohol use in women’s treatment programs.

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“…These programmes distribute hard liquor to these patients in a controlled way, sometimes along with case management. In another example, despite the scepticism among the AA community, the discussion on "controlled use" has initiated a new approach in places such as in Germany (32). Based on this approach, the goal is to control and limit alcohol dependent patients use to a non-harmful level preferably in a structured and supported environment.…”

Section: Abstinence and Moderate Usementioning

confidence: 99%

Treatment and rehabilitation concepts for patients with addiction and concurrent disorders

Krausz¹,

Vogel²,

Nikoo³

2015

Die Psychiatrie

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Summary Background: Addiction and concurrent disorders give rise to a major burden of disease in both North America and Europe. However, these two continents have some fundamental differences in regards to the health care system and its funding as well as the types of vulnerable subpopulations to serve. For example, while emergency rooms are often the only available care for patients in the US and Canada due to financial barriers or structural deficits, stepped care approaches and separate rehabilitation systems are more commonplace in Europe. These differences can be observed not only on a transatlantic but also on an intra-European level. These differing attitudes and policies impact on treatment paradigms such as harm reduction, abstinence-based or opioid maintenance treatments etc. Structural components and clinical pathways lead to dissimilarities in access to care services such as detoxification, rehabilitation and community services. The role of primary care as an important treatment interface is much more recognized in Europe. While innovations are ongoing and scientific progress has been made in the treatment of concurrent disorders in recent years, implementing these findings into “real-world practice” has been insufficient so far.

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Controlled Drinking as a Treatment Goal in Germany

Cited by 14 publications

References 32 publications

Crossing the Line: Adolescents’ Experiences of Controlling Their Tobacco Use

Crossing the Line: Adolescents’ Experiences of Controlling Their Tobacco Use

Harm Reduction for Women in Treatment for Alcohol Use Problems: Exploring the Impact of Dominant Addiction Discourse

Treatment and rehabilitation concepts for patients with addiction and concurrent disorders

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