Friday, February 19, 2016

Alcohol Rehab Centers

Alcohol Rehab Centers
Throughout the years, many medical researchers have suggested various treatment approaches to treat alcoholism, or alcohol abuse, in people.  Some of these alcoholism treatment strategies include the psychoanalytical 12-step model developed in the 1960s.  In the mid 90’s, Meyer and Smith (1995) had developed a new cognitive behavioral model with the expansion of supportive research which collaboratively promoted cognitive behavioral approaches rather than the out-dated psychoanalytical approaches. The 12-step model for alcoholism treatment is based mostly on a repetitive orthodox theory, which lacks clinical guidelines, researched theories, or sound theoretical discussions to back up the model.  However, the 12-step model for alcoholism is validated by empirical validation in terms of effectiveness for its use to treat alcoholism to date.Meyer and Smith’s Community Reinforcement Approach differentiates from older alcoholism treatment strategies in that it provides a step-by-step approach, and specifics in terms of “how-to” assess and treat alcoholism.  Such guidelines include: detailed descriptions of behavioral skills training, counseling, methods and marital therapy.   The Community Reinforcement Approach originates and builds upon the works of Azrin, a well-respected founder for treatment of alcoholism.The Community Reinforcement Approach focuses on long-term recovery from alcohol abuse.  For example, “sobriety sampling” in the model explains that treatment must demand immediate commitment to complete and permanent cessation of alcohol use from the person seeking treatment.  Counseling in terms of this step allows the counselor to acknowledge and accept the person at the stage that they express themselves to be, and “start where the client is”, rather than assume all persons are at the same stage when seeking help.  However, sobriety sampling at this stage in conjunction with the counseling enhances the person seeking help to reframe their long-term sobriety right at the beginning stages of the process for alcoholism treatment.  This sensitive approach from the counselor promotes a genuine client-counselor partnership to achieve the long-term goal of staying sober.One criticism of this approach is that the clinical guides do not cover all variations of illnesses and specific treatment guides for them.  To illustrate, a person with co-existing mental health illnesses and alcoholism will require greater care and adaptation of the Community Reinforcement Approach than a person free of mental illness; the practitioner will be required to deviate from the specific CRA steps and use previous knowledge to deal with the mental illness.Many clinicians and counselors may resist the Community Reinforcement Approach, and stick to the well-known 12-step method to treat alcoholism as the CRA does not convey a similar approach as the 12-step method.  However, the Community Reinforcement Approach is favorable in long-term outcomes for alcoholism treatment, and also used in Alcoholics Anonymous programs.
Throughout the years, many medical researchers have suggested various treatment approaches to treat alcoholism, or alcohol abuse, in people.  Some of these alcoholism treatment strategies include the psychoanalytical 12-step model developed in the 1960s.  In the mid 90’s, Meyer and Smith (1995) had developed a new cognitive behavioral model with the expansion of supportive research which collaboratively promoted cognitive behavioral approaches rather than the out-dated psychoanalytical approaches. The 12-step model for alcoholism treatment is based mostly on a repetitive orthodox theory, which lacks clinical guidelines, researched theories, or sound theoretical discussions to back up the model.  However, the 12-step model for alcoholism is validated by empirical validation in terms of effectiveness for its use to treat alcoholism to date.Meyer and Smith’s Community Reinforcement Approach differentiates from older alcoholism treatment strategies in that it provides a step-by-step approach, and specifics in terms of “how-to” assess and treat alcoholism.  Such guidelines include: detailed descriptions of behavioral skills training, counseling, methods and marital therapy.   The Community Reinforcement Approach originates and builds upon the works of Azrin, a well-respected founder for treatment of alcoholism.The Community Reinforcement Approach focuses on long-term recovery from alcohol abuse.  For example, “sobriety sampling” in the model explains that treatment must demand immediate commitment to complete and permanent cessation of alcohol use from the person seeking treatment.  Counseling in terms of this step allows the counselor to acknowledge and accept the person at the stage that they express themselves to be, and “start where the client is”, rather than assume all persons are at the same stage when seeking help.  However, sobriety sampling at this stage in conjunction with the counseling enhances the person seeking help to reframe their long-term sobriety right at the beginning stages of the process for alcoholism treatment.  This sensitive approach from the counselor promotes a genuine client-counselor partnership to achieve the long-term goal of staying sober.One criticism of this approach is that the clinical guides do not cover all variations of illnesses and specific treatment guides for them.  To illustrate, a person with co-existing mental health illnesses and alcoholism will require greater care and adaptation of the Community Reinforcement Approach than a person free of mental illness; the practitioner will be required to deviate from the specific CRA steps and use previous knowledge to deal with the mental illness.Many clinicians and counselors may resist the Community Reinforcement Approach, and stick to the well-known 12-step method to treat alcoholism as the CRA does not convey a similar approach as the 12-step method.  However, the Community Reinforcement Approach is favorable in long-term outcomes for alcoholism treatment, and also used in Alcoholics Anonymous programs.  
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