Alcoholism Risk Reduction in France: A Modernised Approach Related to Alcohol Misuse Disorders

International Journal of Environmental Research and Public Health

Georges Brousse²  Patrick Bendimerad¹  Ingrid de Chazeron²  Pierre Michel Llorca²  Pascal Perney⁴  Maurice Dematteis³ 

[1]Service de Psychiatrie, Groupe Hospitalier La Rochelle- Ré-Aunis, La Rochelle 17000, France

[2] E-Mail:

[3]Service Psychiatrie et Addictologie del’Adulte CMP B, Centre Hospitalier Universitaire (CHU), Rue Montalembert, Clermont-Ferrand Cedex 01 63003, France

[4] E-Mails:

[5]University of Grenoble Alpes, HP2, F-38000 Grenoble, France

[6] E-Mail:

[7]Service de Addictologie, Hôpital Caremeau, Nîmes F-30029, France

[8] E-Mail:

关键词: alcohol;    alcoholism;    alcohol-related disorders;    risk reduction;    abstinence;    reduction;   

DOI  :  10.3390/ijerph111111664

来源: mdpi

【 摘 要 】

During many years in France, risk reduction strategies for substance abuse concerned prevention strategies in the general population or interventions near users of illicit substances. In this spirit, the reduction of consumption only concerned opiate addicts. With regard to alcohol, the prevention messages relative to controlled consumption were difficult to transmit because of the importance of this product in the culture of the country. In addition, methods of treatment of alcoholism rested on the dogma of abstinence. Several factors have recently led to an evolution in the treatment of alcohol use disorders integrating the reduction of consumption in strategies. Strategies for reducing consumption should aim for consumption below recommended thresholds (two drinks per day for women, three for the men) or, at least, in that direction. It must also be supported by pharmacotherapy and psychotherapy, which offer possibilities. Failure to manage reduction will allow the goals to be revisited and to reconsider abstinence. Finally this evolution or revolution is a new paradigm carried in particular by a pragmatic approach of the disease and new treatments. The aims of this article are to give elements of comprehension relating to the evolution of the practices in France in prevention and treatment of alcohol use disorders and in particular with regard to the reduction of consumption.

【 授权许可】

CC BY   
© 2014 by the authors; licensee MDPI, Basel, Switzerland.