Outpatient Management of Patients with Alcohol Problems

  1. David A. Fiellin, MD;
  2. M. Carrington Reid, PhD, MD; and
  3. Patrick G. O'Connor, MD, MPH
  1. From Yale University School of Medicine, New Haven, and Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut.

    Abstract

    This paper addresses the clinical presentation of patients with alcohol problems including screening, diagnosis, detoxification, treatment, referral, and longitudinal follow-up. The case-based discussion focuses on the clinical management of a patient whose hazardous drinking progresses to alcohol dependence and requires coordinated care. Ways in which internists can aid patients with alcohol problems by screening, giving brief advice, and providing appropriate referrals when indicated are discussed.

    Article and Author Information

    • Grant Support: By the National Institute on Drug Abuse Physician Scientist Award (NIDA K12 DA00167) (Dr. Fiellin) and a Career Development Award from the Department of Veterans Affairs Health Services Research and Development Service (Dr. Reid).

    • Requests for Single Reprints: David A. Fiellin, MD, Yale University School of Medicine, 333 Cedar Street, Box 208025, New Haven, CT 06520-8025.

    • Current Author Addresses: Drs. Fiellin and O'Connor: Yale University School of Medicine, 333 Cedar Street, Box 208025, New Haven, CT 06520-8025.

    • Dr. Reid: Veterans Affairs Connecticut Healthcare System, 950 Campbell Avenue, West Haven, CT 06516.

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    This Article

    1. Ann Intern Med November 21, 2000 vol. 133 no. 10 815-827
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