title: [Guideline-oriented treatment of alcohol-related disorders].
abstract: Alcohol use disorders (e.g. abuse and dependence) account for a plethora of consequences for affected individuals and for a substantial proportion of the overall burden of disease for the community. To date, existing treatment options are either poorly known by doctors or they are not fully applied and only approximately 15% of potential patients are treated with a mean latent period of 10 years between early symptoms and the first intervention. So-called S3 treatment guidelines were recently developed to close this gap. Representatives of more than 50 learned societies, families and patients were involved. A systematic literature search from 2005 to 2012 was performed and more than 120 recommendations were made. Financing came exclusively from those societies and the academic and treatment institutes involved.This article summarizes the recommendations pertinent for psychiatrists and include early detection and intervention, acute withdrawal and long-term psychotherapy and pharmacotherapy. Classical and new treatment goals are discussed. If the new guidelines were properly applied an increase in patients receiving treatment to 30-40% could be expected, which would improve the quality of lives of affected persons and their families and in Germany would save several thousand lives per year.
authors.affiliation: Klinik für Abhängiges Verhalten und Suchtmedizin, Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim, J 5, 68159, Mannheim, Deutschland. Karl.Mann@zi-mannheim.de.
authors.forename: K
authors.initials: K
authors.lastname: Mann
authors.affiliation: Klinik für Abhängiges Verhalten und Suchtmedizin, Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim, J 5, 68159, Mannheim, Deutschland.
authors.forename: E
authors.initials: E
authors.lastname: Hoch
authors.affiliation: Sektion Suchtforschung und Suchttherapie, Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Tübingen, Tübingen, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Batra
authors.affiliation: Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Ev. Krankenhaus Castrop-Rauxel, Castrop-Rauxel, Deutschland.
authors.forename: U
authors.initials: U
authors.lastname: Bonnet
authors.affiliation: Rehabilitationsklinik für Abhängigkeitserkrankte, Fachklinik Eußerthal, Eußerthal, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Günthner
authors.affiliation: Suchtabteilungen, LWL-Klinik Dortmund, Dortmund, Deutschland.
authors.forename: G
authors.initials: G
authors.lastname: Reymann
authors.affiliation: Privatklinik Meiringen, Meiringen, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Soyka
authors.affiliation: Klinik und Poliklinik für Psychiatrie und Psychotherapie der Universität Regensburg, Bezirksklinikum Regensburg, Regensburg, Deutschland.
authors.forename: N
authors.initials: N
authors.lastname: Wodarz
authors.affiliation: Klinik für Psychiatrie, Psychotherapie und Suchtmedizin, Kliniken Essen-Mitte, Ev. Huyssens-Stiftung, Essen, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Schäfer
mesh_terms: D019973:Alcohol-Related Disorders / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D000066491:Clinical Decision-Making / Q000379:methods; D019317:Evidence-Based Medicine; D005858:Germany; D019983:Guideline Adherence; D006801:Humans; D009462:Neurology / Q000592:standards*; D017410:Practice Guidelines as Topic; D011570:Psychiatry / Q000592:standards*; D011613:Psychotherapy / Q000592:standards*; D016896:Treatment Outcome
keywords: Alcohol-related disorders; Evidence based medicine; Treatment guidelines; Treatment prevalence; Withdrawal treatment