Clinical Assessment and Treatment Evaluation of Alcohol Dependent Patients

临床评估和治疗评估科(CATE)负责护理NIAAA住院和门诊计划中的每一位患者。每个参与者都要接受全面的病史和身体检查，以及广泛的实验室评估，以评估他们的总体健康状况。当临床症状出现时，会要求进行额外的测试和程序。 Cate负责为酒精依赖患者以及经常与酒精中毒相关的共病障碍患者设计的最先进的治疗计划。参与者通过广告以及社区医院、县治疗机构和军队/政府机构的转介获得。Cate社会工作者会迅速回答您的问题，并提供一个庞大的候选人数据库，以便为研究方案选择潜在的参与者。 招募是礼仪驱动的，通常针对特定的患者群体，如未接受治疗的酗酒者、焦虑的酗酒者以及有攻击性或创伤后应激障碍病史的酗酒者。一旦参与者被允许参加该计划，参与者将定期与1SE成人行为保健单元的首席护士和他们的医生会面，以促进他们的康复。平均住院时间为三周，但持续时间根据参与方案的个人而有所不同。在他们逗留期间，为参与者提供了多种治疗方法，包括小组和个人形式。采用激励和认知方法的小组每天都会进行。对于希望参与的个人，家庭治疗每周可提供几次。在住院期间，个人有机会参加AA或Rational Recovery等支持小组。住院后，鼓励患者参加NIAAA门诊计划，该计划包括药物管理以及个人和集体治疗。 培训和自然历史方案作为评估和跟踪参与NIAAA住院和门诊计划的患者的平台。它为CATE提供了收集所有参与者的临床和标准化核心描述性数据的机制。此外，CATE还为整个NIAAA研究候选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.