A guide for providers of mental health and addictive disorder services in managed care contracting /

Shipping list no.: 99-0117-P.

Drug abuse - game without winners. A basic handbook for commanders. Second edition.

Mode of access: Internet.

Turning awareness into action : what your community can do about drug use in America.

Mode of access: Internet.

Urine testing for drugs of abuse /

Shipping list no.: 86-911-P.

National survey on drug abuse, main findings, 1982 /

"Written for the National Institute on Drug Abuse under Contract No. 271-81-1702"--T.p. verso.

Alcohol, tobacco, and other drug use by women in the Illinois child welfare system : prevalence - treatment need - impact on children.

"This report represents a joint effort between the Illinois Department of Alcoholism and Substance Abuse (DASA) and Department of Children and Family Services (DCFS). The study examined alcohol, tobaccco, and other drug abuse (ATODA) and need for treatment among adults involved with the child welfare system in Illinois. The purpose of the study was to provide data on the relationships between ATODA and child abuse and neglect"--P. iii.

DASA youth study on substance use : comparing the 1990, 1993, and 1995 studies /

"Funding for this report was provided by a contract with the Illinois Department of Alcoholism and Substance Abuse"--P. ii.

For your baby's sake, don't drink.

Originally prepared by: Fetal Alcohol Syndrome Work Group, sponsored by Division of Alcoholism, Illinois Dept. of Mental Health and Developmental Disabilities on behalf of Governor's Citizens Advisory Council on Alcoholism.

Illinois indicators of alcohol, tobacco and other drug abuse : comparisons, consequences, risk factors : executive summary.

Funding for this study was provided by a contract to the Illinois Dept. of Alcoholism and Substance Abuse from the U.S. Center for Substance Abuse Treatment as part of the State Systems Development Program (CSAT contract 270-92-0018).

Illinois household survey on alcohol, tobacco, and other drug abuse, 1994 : prevalence, need for treatment.

"The Illinois Household Survey is designed to assess the level of alcohol, tobacco, and other drug (ATOD) use by Illinois adults and the need for alcohol and drug treatment ... The questionnaire was developed by the Harvard University National Technical Assistance Center for Substance Abuse Needs Assessment (NTC) as modified for use in Illinois. Funding for the study and the work of NTC was provided by the U.S. Center for Substance Abuse Treatment (CSAT) as part of their State Systems Development Program"--P. iii.

The Juvenile Drug Abuse Fund report to the Illinois General Assembly : fiscal year ...

Description based on: FY 1988; title from caption.

Improving family functioning and child outcome in methadone maintained families: the Parents Under Pressure programme

Twelve families responded to posters displayed in a methadone clinic for inclusion in a pilot study assessing the viability and potential utility of an intensive, multi-component family-focused intervention, the Parents Under Pressure programme. The programme was designed to improve child behaviour, decrease parental stress and improve family functioning in methadone-maintained families by targeting affect regulation, mood, views of self as a parent, drug use and parenting skills. Nine of the families completed the programme delivered in their homes; eight were recontacted at 3 months. Each family reported significant improvements in three domains: parental functioning, parent - child relationship and parental substance use and risk behaviour. In addition to the changes in family functioning, the majority of families reported a decrease in concurrent alcohol use, HIV risk-taking behaviour and maintenance dose of methadone. The families reported high levels of satisfaction with the programme. It is recommended that future studies include independent measures (e.g. behavioural observations) of child outcome and parental functioning. The results were optimistic and provided the impetus to evaluate the treatment programme using a randomized controlled trial.

Attitudes and management of alcohol problems in general practice: Descriptive analysis based on findings of a world health organization international collaborative survey

Aims: To determine if general practitioners' (GPs) experience of education on alcohol, support in their working environment for intervening with alcohol problems, and their attitudes have an impact on the number of patients they manage with alcohol problems. Methods: 1300 GPs from nine countries were surveyed with a postal questionnaire as part of a World Health Organization (WHO) collaborative study. Results: GPs who received more education on alcohol (OR = 1.5; 95% CI, 1.3-1.7), who perceived that they were working in a supportive environment (OR = 1.6; 95% CI, 1.4-1.9), who expressed higher role security in working with alcohol problems (OR = 2.0; 95% CI, 1.5-2.5) and who reported greater therapeutic commitment to working with alcohol problems (OR = 1.4: 95% CI, 1.1-1.7) were more likely to manage patients with alcohol-related harm. Conclusion: Both education and support in the working environment need to be provided to enhance the involvement of GPs in the management of alcohol problems.

Genes and gene expression in the brain of the alcoholic

Chronic alcoholism leads to localized brain damage, which is prominent in superior frontal cortex but mild in motor cortex. The likelihood of developing alcohol dependence is associated with genetic markers. GABA(A) receptor expression differs between alcoholics and controls, whereas glutamate receptor differences are muted. We determined whether genotype differentiated the localized expression of glutamate and gamma-aminobutyric acid (GABA) receptors to influence the severity of alcohol-induced brain damage. Cerebrocortical tissue was obtained at autopsy from alcoholics without alcohol-related disease, alcoholics with cirrhosis, and matched controls. DRD2A, DRD2B, GABB2, EAAT2, and 5HTT genotypes did not divide alcoholic cases and controls on N-methyl-D-aspartate (NMDA) receptor parameters. In contrast, alcohol dehydrogenase (ADH)3 genotype interacted significantly with NMDA receptor efficacy and affinity in a region-specific manner. EAAT2 genotype interacted significantly with local GABAA receptor subunit mRNA expression, and GABB2 and DRD2B genotypes with p subunit isoform protein expression. Genotype may modulate amino acid transmission locally so as to mediate neuronal vulnerability. This has implications for the effectiveness of pharmacological interventions aimed at ameliorating brain damage and, possibly, dependence. (C) 2004 Elsevier Ltd. All rights reserved