Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2018 Jul;102(4):683-696.
doi: 10.1016/j.mcna.2018.02.006.

Nontraditional Alcohol and Opioid Agonist Treatment Interventions

Christopher Fairgrieve  1 , Nadia Fairbairn  2 , Jeffrey H Samet  3 , Seonaid Nolan  4
Affiliations
Review

Nontraditional Alcohol and Opioid Agonist Treatment Interventions

Christopher Fairgrieve et al. Med Clin North Am. 2018 Jul.

Abstract

Despite the availability of effective medications and psychosocial interventions for the management of a substance use disorder, some individuals repeatedly fail the most aggressive treatment regimens. For such individuals, alternative treatment options exist seeking to mitigate the negative consequences of the use of harmful substances. Participation in a managed alcohol program, or the use of sustained-release oral morphine or injectable opioid agonist treatment or the creation of safe injecting facilities, are examples of such nonstandard approaches. This article reviews the available evidence of these treatment modalities.

Keywords: Injectable opioids; Managed alcohol; Severe alcohol use disorder; Severe opioid use disorder; Sustained release oral morphine.

PubMed Disclaimer

Conflict of interest statement

Disclosure Statement

All authors have no conflicts of interest to declare.

References

    1. Muckle W, Muckle J, Welch V, et al. Managed alcohol as a harm reduction intervention for alcohol addiction in populations at high risk for substance abuse. Cochrane Database Syst Rev 2012;(12):CD006747. - PMC - PubMed
    1. Robertson MJ, Zlotnick C, W esterfelt A. Drug use disorders and treatment contact among homeless adults in Alameda County, California. Am J Public Health 1997;87(2):221–8. - PMC - PubMed
    1. Fichter M, Quadflieg N. Alcoholism in homeless men in the mid-nineties: results from the Bavarian Public Health Study on homelessness. Eur Arch Psychiatry Clin Neurosci 1999;249(1):34–44. - PubMed
    1. Chin CN, Sullivan K, Wilson SF. A ‘snap shot’ of the health of homeless people in inner Sydney: St Vincent’s Hospital. Aust Health Rev 2011;35(1):52–6. - PubMed
    1. Babidge NC, Buhrich N, Butler T. Mortality among homeless people with schizophrenia in Sydney, Australia: a 10-year follow-up. Acta Psychiatr Scand 2001; 103(2):105–10. - PubMed

MeSH terms