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KMID : 0870519970010010070
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Journal of Korean Academy of Addiction Psychiatry
1997 Volume.1 No. 1 p.70 ~ p.76
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Alcohol Program in a General Hospital - Alzahoe Experience in Wonju Christian Hospital -
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Shin Jong-Ho
Min Seong-Ho
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Abstract
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Recently some treatment programs for alcohol problem have started to offer services in general hospitals in Korea. Most of
them were noted to have system mainly for acute inpatients. And the treatment outcome of them has been studied only in
terms of months up to one year. For about seven years we have experienced a treatment program focused on intensive group psychotherapy with cognitive-behavioral orientation which put great stress on follow up case management, and we found this program was very efficient in longer-term outcome over 1 year. Alcohol treatment program of Wonju Christian Hospital consisted of inpatient program, outpatient program and a particular form of group therapy mainly for recovering OPD patients named Alzahoe. Alzahoe is a Korean abbreviation of Alcoholics Self-esteem Recovering Meeting. It is a semi-closed intensive group psychotherapy, and one of its characteristics is the function of linking acute inpatient treatment with out-patient follow up and rehabilitation after discharge. With this modality, the treatment outcome was outstanding； one-year abstinence rate was 77.1%, two-year abstinence 57.7%, and three-year abstinence 30.8%, which was much higher than those of previous studies. One factor of this better outcome seemed to be resulted from individual intensive psychotherapy for personality problems and Alzahoe exposure during admission. Therefore its members were well known to each other and encouraged to have prudent intra- and extrasocial relations and contacts, that was much different from the policy of anonymity in A.A. meeting. We are sure that this treatment approach will be well applied
for alcoholic problem in general hospital psychiatry.
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KEYWORD
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Alcoholism, Group Psychotherapy, Followup, Outcome
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