OLITA: an alternative in the treatment of therapy-resistant chronic alcoholics. First evaluation of a new approach.
The Outpatient Long-term Intensive Therapy for Alcoholics (OLITA) is a four-step program of care for severely affected chronic alcoholics which, after inpatient detoxification, extends over a total of 2 years. High-frequency short-term individual therapeutic contacts, initially daily, are followed by a slow tapering of individual contact frequency and resolve in a group session once weekly towards the end of the second abstinent year. Further elements of OLITA are: (a) induction of alcohol intolerance by the application of aldehyde dehydrogenase inhibitors; (b) introduction of control factors, i.e. controlled intake of deterrent medication and regular urine analysis for alcohol; and (c) allocation of responsibility to the patient with respect to the overall success of the therapeutic concept including his own physical rehabilitation. Thus far, 30 male alcoholic patients from two recruitment periods have been treated for 6-26 months with a success rate of 60% abstinent patients. In conclusion, OLITA, based on the gradual tapering of high-frequency therapeutic contacts, thus far unique among outpatient programs for alcoholics, represents a promising advance in the treatment of therapy-resistant chronic alcoholics.
Ehrenreich
H
H
Department of Psychiatry, Georg-August-University, Göttingen, Germany. ehrenreich@exmedl.dnet.gwdg.de
Mangholz
A
A
Schmitt
M
M
Lieder
P
P
Völkel
W
W
Rüther
E
E
Poser
W
W
D000328:Adult; D000427:Alcohol Deterrents / Q000008:administration & dosage; D000437:Alcoholism / Q000534:rehabilitation*; D000444:Aldehyde Dehydrogenase / Q000037:antagonists & inhibitors; D000553:Ambulatory Care; D003131:Combined Modality Therapy; D006801:Humans; D007389:Internal-External Control; D008134:Long-Term Care; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D010358:Patient Participation; D015813:Substance Abuse Detection; D016896:Treatment Outcome
D000427:Alcohol Deterrents; D000444:Aldehyde Dehydrogenase