Help for the chemically dependent physician: a treatment program and its outcomes.
The Donwood Institute in Toronto is a public hospital dedicated to the treatment of chemical dependency. The standard program consists of three phases: detoxification and orientation to the program; active hospital treatment which includes individual, group, and family therapy, relaxation training, nutrition counselling and education; and a continuing education program after discharge. In this study, 125 chemically dependent physicians were treated at the institute. After inpatient treatment, 62% were in remission six months later. Those dependent on alcohol only had the best outcomes (72.5% remission rate), followed by those dependent on drugs only (66.7% remission rate), while the poorest outcome was for those dependent on both alcohol and drugs (48.1% remission rate). The findings of this study are encouraging when compared with other treatment programs for chemically dependent physicians.
J G
JG
Macdonald
J C
JC
Macmillan
D
D
Harris
Br Med J. 1976 Dec 25;2(6051):1537-9
1009387
N Engl J Med. 1970 Feb 12;282(7):365-70
5411130
Can Med Assoc J. 1982 Apr 15;126(8):927-30
7074490
J Stud Alcohol. 1980 Nov;41(11):1217-20
7278264
Am J Psychiatry. 1976 Oct;133(10):1142-6
970486
Alcohol Clin Exp Res. 1979 Apr;3(2):121-4
391071
Compr Psychiatry. 1974 Nov-Dec;15(6):519-30
4609685
Can Med Assoc J. 1969 Mar 1;100(9):403-12
5767833
JAMA. 1982 Apr 23;247(16):2253-7
7069878
N Engl J Med. 1972 Aug 24;287(8):372-5
5043521