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Integrating Treatment for Co-Occurring Mental Health Conditions

Given the high co-occurrence between alcohol use disorder (AUD) and mental health conditions (MHCs), and the increased morbidity associated with the presence of co-occurring disorders, it is important that co-occurring disorders be identified and both disorders addressed in integrated treatment. Tremendous heterogeneity exists among individuals with co-occurring conditions, and factors related to...

Alcohol Use Disorder and Co-Occurring Mental Health Conditions

Co-occurring alcohol use disorder (AUD) and other mental health conditions present unique challenges for both substance use and mental health professionals. The extent of the AUD and the type of co-occurring mental health condition can make it difficult for clinicians to distinguish each condition and identify potential treatment strategies. This issue examines the current literature on the...

Alcohol Use Disorder and Co-Occurring Mental Health Conditions - From the Editors

This issue of Alcohol Research: Current Reviews (ARCR) delves into studies on co-occurring alcohol use disorder (AUD) and mental health conditions, exploring how this co-occurrence affects symptom severity, prognosis, and outcomes. Increased risk because of co-occurrence, challenges because of disorder heterogeneity, and efficacy of treatment interventions are reviewed.

Among people with AUD...

Chronic Diseases and Conditions Related to Alcohol Use

Alcohol has been a part of human culture for all of recorded history, with almost all societies in which alcohol is consumed experiencing net health and social problems (McGovern 2009; Tramacere et al. 2012b, c). With the industrialization of alcohol production and the globalization of its marketing and promotion, alcohol consumption and its related harms have increased worldwide (see Alcohol...

Alcohol and Mortality: Global Alcohol-Attributable Deaths From Cancer, Liver Cirrhosis, and Injury in 2010

Alcohol and Mortality

Alcohol is causally linked to more than 200 different diseases, conditions, and injuries (as specified in the International Classification of Diseases, Revision 10 [ICD-10] three-digit codes [see Rehm 2011; Rehm et al. 2009; Shield et al., 2013c [pp. 155–173 of this issue]). All of these disease, condition, and injury categories cause mortality and disability, and, thus...

Recovery-Oriented Systems of Care: A Perspective on the Past, Present, and Future

Introduction

This perspective focuses on the relatively recent topic of recovery-oriented systems of care; although influential in practice, this concept has yet to be evaluated empirically and thus cannot yet be the object of a review. In lieu of such evidence, this article offers one perspective on the origins of this concept and its present status prior to considering possible directions in...

Community Indicators: Assessing the Impact of Alcohol Use on Communities

In the United States and other countries around the world, researchers have long been interested in community-level measurement of population health in the form of community indicators. Community indicators are measures that communicate information about a given dimension of a community’s well-being (Besleme and Mullin 1997). In the United States, the current popularity of community indicators can...

Sex and Gender Effects in Recovery from Alcohol Use Disorder

The current article provides a brief summary of biopsychosocial gender differences in alcohol use disorder (AUD), then reviews existing literature on gender differences in treatment access, retention, outcomes, and longer-term recovery. Among psychotherapies for AUD, there is support for the efficacy of providing female-specific treatment, and for female-only treatment settings but only when...

Focus On: Ethnicity and the Social and Health Harms From Drinking

Research has shown differential social and health effects from alcohol use across U.S. ethnic groups, including Whites, Blacks, Hispanics, Asians, and Native Americans. The relationship of ethnicity to alcohol-related social and health harms partially is attributed to the different rates and patterns of drinking across ethnicities. Some ethnic groups have higher rates of alcohol consumption...

Measuring the Burden - Alcohol’s Evolving Impact

This issue of Alcohol Research: Current Reviews examines the public health impact of alcohol consumption beyond the role of alcohol use disorders alone (Room et al. 2005)—that is, it looks at the burden of disease. Determining impact hinges on accurate and consistent “measurements.” As demonstrated in the articles in this issue, impact typically is estimated based on three elements (Rehm et al...