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8 results on '"Sellman, Doug"'

4. Alcoholism: Development of the Diagnostic Concept

Author

Sellman, Doug

Abstract

This paper traces the diagnostic concepts of alcoholism featured in the major classification systems over the past 40 years. The description of alcoholism as a diagnostic concept has undergone considerable transformation over this time, but an international consensus now exists in the DSM-IIIR [2] criteria and ICD-10 [3]. Alcoholism is equated with alcohol dependence, and both definitions draw largely on the description of the alcohol dependence syndrome by Edwards and Gross [4]. Although the presence of withdrawal symptoms and relief use (key aspects of so-called physical addiction) is part of both systems, they are not necessary to make the diagnosis in either. Future directions and clinical implications of these developments are discussed.

Published
1994
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8. Profile of young people attending alcohol and other drug treatment services in Aotearoa, New Zealand: clinical file search.

Author

Schroder R, Sellman D, Frampton C, and Deering D

Subjects
Adolescent, Alcoholism epidemiology, Alcoholism psychology, Comorbidity, Crime psychology, Crime statistics & numerical data, Cross-Sectional Studies, Ethnicity psychology, Ethnicity statistics & numerical data, Family Conflict psychology, Female, Foster Home Care psychology, Foster Home Care statistics & numerical data, Humans, Male, Marijuana Abuse epidemiology, Marijuana Abuse psychology, Marijuana Abuse rehabilitation, Mental Disorders epidemiology, Mental Disorders psychology, Mental Disorders rehabilitation, New Zealand, Risk Factors, Student Dropouts psychology, Student Dropouts statistics & numerical data, Substance-Related Disorders epidemiology, Substance-Related Disorders psychology, Tobacco Use Disorder epidemiology, Tobacco Use Disorder psychology, Tobacco Use Disorder rehabilitation, Utilization Review, Young Adult, Alcoholism rehabilitation, Illicit Drugs, Substance Abuse Treatment Centers statistics & numerical data, Substance-Related Disorders rehabilitation
Abstract

Objective: The aim of the present study was to provide a profile of young people attending alcohol and other drug (AOD) treatment services in Aotearoa, New Zealand., Method: Data were gathered from a clinical file search of 184 randomly selected young people aged 13-19 years who had attended one of eight youth AOD treatment services in New Zealand during 2003 or 2004. These services represented eight of the 11 youth-specific AOD services available to youth in New Zealand., Results: Young people who attend youth-specific AOD services in New Zealand present with a range of complex needs including substance use and mental health issues, criminality, family conflict and disengagement from school. A total of 62.0% were male, 56.4% had criminal convictions, 40.6% had spent some time in Child, Youth and Family Services care and 53.8% were reported to have a coexisting substance use and mental health disorder. Low rates of reporting of substance use and mental health diagnoses in treatment files suggest that substance use and mental health disorders among this population are likely to be higher than those reported., Conclusions: This paper provides a unique profile of young people attending youth-specific AOD treatments in New Zealand. Such information is useful in informing treatment planning and funding and ensuring that service development occurs to specifically meet the complex needs of this patient group.

Published
2008
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