Alcoholism Risk Reduction in France: A Modernised Approach Related to Alcohol Misuse Disorders
Georges Brousse,
Patrick Bendimerad,
Ingrid De Chazeron,
Pierre Michel Llorca,
Pascal Perney and
Maurice Dematteis
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Georges Brousse: Service Psychiatrie et Addictologie del'Adulte CMP B, Centre Hospitalier Universitaire (CHU), Rue Montalembert, Clermont-Ferrand Cedex 01 63003, France
Patrick Bendimerad: Service de Psychiatrie, Groupe Hospitalier La Rochelle- Ré-Aunis, La Rochelle 17000, France
Ingrid De Chazeron: Service Psychiatrie et Addictologie del'Adulte CMP B, Centre Hospitalier Universitaire (CHU), Rue Montalembert, Clermont-Ferrand Cedex 01 63003, France
Pierre Michel Llorca: Service Psychiatrie et Addictologie del'Adulte CMP B, Centre Hospitalier Universitaire (CHU), Rue Montalembert, Clermont-Ferrand Cedex 01 63003, France
Pascal Perney: Service de Addictologie, Hôpital Caremeau, Nîmes F-30029, France
Maurice Dematteis: University of Grenoble Alpes, HP2, F-38000 Grenoble, France
IJERPH, 2014, vol. 11, issue 11, 1-12
Abstract:
During many years in France, risk reduction strategies for substance abuse concerned prevention strategies in the general population or interventions near users of illicit substances. In this spirit, the reduction of consumption only concerned opiate addicts. With regard to alcohol, the prevention messages relative to controlled consumption were difficult to transmit because of the importance of this product in the culture of the country. In addition, methods of treatment of alcoholism rested on the dogma of abstinence. Several factors have recently led to an evolution in the treatment of alcohol use disorders integrating the reduction of consumption in strategies. Strategies for reducing consumption should aim for consumption below recommended thresholds (two drinks per day for women, three for the men) or, at least, in that direction. It must also be supported by pharmacotherapy and psychotherapy, which offer possibilities. Failure to manage reduction will allow the goals to be revisited and to reconsider abstinence. Finally this evolution or revolution is a new paradigm carried in particular by a pragmatic approach of the disease and new treatments. The aims of this article are to give elements of comprehension relating to the evolution of the practices in France in prevention and treatment of alcohol use disorders and in particular with regard to the reduction of consumption.
Keywords: alcohol; alcoholism; alcohol-related disorders; risk reduction; abstinence; reduction (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2014
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Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:11:y:2014:i:11:p:11664-11675:d:42246
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