Clinical Assessment and Treatment Evaluation of Alcohol Dependent Patients

临床评估和治疗评价科（CATE）负责照顾每一位进入NIAAA住院和门诊计划的患者。每个参与者都接受全面的病史和身体检查，以及广泛的实验室评估，以评估他们的一般健康状况。当有临床指征时，需要进行额外的检查和程序。 CATE负责为酒精依赖以及经常与酒精中毒相关的共病疾病的个人设计的最先进的治疗方案。参与者来自广告以及社区医院、县治疗设施和军事/政府机构的转诊。CATE的社会工作者会迅速回答询问，并提供一个庞大的候选人数据库，从中选择研究方案的潜在参与者。 招募是由方案驱动的，通常针对特定的患者人群，如非寻求治疗的酗酒者，焦虑的酗酒者，以及有攻击史或创伤后应激障碍的酗酒者。一旦参与者被录取到该计划，参与者会见他们的主要护士从1 SE成人行为保健单位护理人员和他们的医生定期，以促进他们的恢复。平均住院时间为三周，但持续时间因个人参与方案而异。在他们逗留期间，为参与者提供多种治疗方法，包括团体和个人形式。采用动机和认知方法的小组每天都在进行。家庭治疗每周为希望参加的个人提供几次。个人在住院期间有机会参加互助小组，如AA或理性康复小组。住院后，鼓励患者参加NIAAA门诊计划，其中包括药物管理以及个人和团体治疗。 培训和自然史方案作为评估和随访参与NIAAA住院和门诊计划的患者的平台。它为CATE收集所有参与者的临床和标准化核心描述性数据提供了机制。此外，CATE还为整个NIAAA研究候选人队列维护了一个全面的数据库。参与者招募工作正在进行中。

The Section on Clinical Assessment and Treatment Evaluation (CATE) is responsible for the care of each patient who is admitted to the NIAAA inpatient and outpatient program. Each participant receives a thorough history and physical examination as well as an extensive laboratory evaluation to assess their general state of health. Additional tests and procedures are ordered when clinically indicated. CATE is responsible for the state of the art treatment program designed for individuals with alcohol dependence as well as co-morbid disorders frequently associated with alcoholism. Participants are obtained from advertisements as well as from referrals from community hospitals, county treatment facilities, and Military/Government establishments. Inquiries are answered promptly by CATE social workers and provide a large data base of candidates from which to select prospective participants for research protocols. Recruitment is protocol-driven and is frequently aimed at specific patient populations such as non-treatment seeking heavy drinkers, anxious alcoholics, and alcoholics with a history of aggression or post traumatic stress disorder. Once a participant is admitted to the program, the participant meets with their primary nurse from the 1SE Adult Behavioral Healthcare Unit nursing staff and their physician on a regular basis to facilitate their recovery. The average inpatient stay is three weeks but the duration is variable depending on an individuals participation in the protocols. During their stay, multiple treatment approaches are offered to the participants including group and individual formats. Groups employing motivational and cognitive approaches are conducted on a daily basis. Family therapy is available several times per week for individuals who wish to participate. Individuals are given the opportunity to attend support groups such as AA or rational recovery during their inpatient hospitalization. Following hospitalization, patients are encouraged to participate in the NIAAA outpatient program which incorporates medication management as well as individual and group therapies. Training and Natural History protocol serves as the platform to evaluate and follow patients participating in the NIAAA inpatient and outpatient programs. It provides the mechanism for CATE to collect clinical and standardized core descriptive data on all participants. In addition, CATE maintains a comprehensive database for the entire NIAAA research candidate cohort. Participant recruitment is ongoing.