What works in alcohol use disorders?
Abstract
Treatment of alcohol use disorders typically involves a combination of pharmacotherapy and psychosocial
interventions. About one-quarter of people with alcohol dependence (‘alcoholics’) who seek treatment
remain abstinent over 1 year. Research has consistently shown that less intensive, community treatment
(particularly brief interventions) is just as effective as intense, residential treatment. Many psychosocial
treatments are probably equally effective. Techniques for medically assisted detoxification are widespread
and effective. More recent evidence provides some support for the use of drugs such as acamprosate to
prevent relapse in the medium to long term