Drug dependence, a chronic medical illness: implications for treatment, insurance, and outcomes evaluation.

@article{Mclellan2000DrugDA,
  title={Drug dependence, a chronic medical illness: implications for treatment, insurance, and outcomes evaluation.},
  author={A. Thomas Mclellan and David Correll Lewis and CharlesP. O'Brien and HerbertD. Kleber},
  journal={JAMA},
  year={2000},
  volume={284 13},
  pages={
          1689-95
        }
}
The effects of drug dependence on social systems has helped shape the generally held view that drug dependence is primarily a social problem, not a health problem. In turn, medical approaches to prevention and treatment are lacking. We examined evidence that drug (including alcohol) dependence is a chronic medical illness. A literature review compared the diagnoses, heritability, etiology (genetic and environmental factors), pathophysiology, and response to treatments (adherence and relapse) of… CONTINUE READING
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