Benefits of ADM Treatment

14 Pages·2013·3.07 MB·English

Volume X, No. 4 American Society of Addiction Medicine August-September 1995
ASAM NEWS Editor Resigns
A
SAM NEWS' FOUNDING EDITOR, LUCY BARRY
J-\.Robe has resigned for health reasons, effective
with this issue. Ms. Robe edited and published the
newsletter for ten years. Emphysema, the result of
35 years of nicotine addiction, prompted her
action. She plans to continue her craft of desktop Benefits of ADM Treatment
publishing on a part-time, consulting basis.
rr'fiE
MAINSTREAMING OF ADDICTION MEDIClNR ADVANCED A.'-:OTHER
.l step in JWle, as theAMA's House of .Delegates mel in Chicago and
adopted an ASAM resolution affmning treatment of addiction as ''a
demonstrably viable and efficient method of reducing the harmful per-
•
~·. . ,, .... rnaUtn.t'• ,.,., .. 9, sonal and social consequences of the inappropriate use of alcohol and
nt~u.l,lw•U "U,'.' ". .".' ......;._. . .anuu'nt-f.L•Id 1 a-, u.u,_.., u,I..u~.,.U '•-,h1,• .d,&.•_r. JIT.,c.J.. ,. . d a ,. M.......... ,. •e ar-.r.a-.U-l..c .~1.ll.1 ~. "w."l.', .._.. u. ~.t u.a ..n othPeor ipnstiyncgh otaoc ttihvee ddrisupgasr."it y between federal funding of prevention,
·~·ut,J>4J-•au M1t•rM1,. S..W ..,., ,....r ..... u-• .... u .. u.u.
NUCU.A JOhWCiuIDn.u onOUf .I- .at -ct 11J l 1..1._c.\•,l U'.l'.l ." t .c"..cu ",s.".U.u,.l ..Tu. nu'l . .M.o. : f.Ut.( rJ ht,.c._qt C (oa..u,U. ..•h,.·,n ..lirll;a . .l...e .c.h.t.J. .f.•.r Ur-..r T~T~ uc ctraelaletmd efnotr asnidg nreifsiecaarncthly, ainndc rfeuansdeidn gf ionaf necnifaolr cseumppeonrt,t tohfe trreesaotlmuteionnt, aalnsod
.~..:. ?UeUn.) n~ JlOCJilOO ._n u... lu '9Ulh-41· KU~Yil h..l ., t.f .,_.t . . iaMcC' -hrlJilol ec.li•-ns n,. ._.. l teN dl ... .., bth basic and clinical research projects.
~U--.11 ... - ............. ~..~~,. ...... " .......t .. -... ... Jt-1.-t
This was the latest AMA House move over several years to give
First issue-October 1985-was only four pages.
greater visibility to ADM. The moves began with ASAM's admission
to the House in 1988 as a
... AMA move[s] ... to
national medical specialty
society, followed by recogni give greater visibility
tion of alcoholism and other
to.A-DM.
drug addictions as diseases
Man'ag~·d Car~ and the nation's No. 1 public
Ap'pMcA Ann~rr M health problem, and inclusion of addiction medicine in the AMA's list
·R'···:o ,:.<,., "~'~:~:;.;
'·' ep9rt.;-o '· ing of practice specialties.
Tobacco
Nl~h~ym.po~ium
Committee:c·h_, ar.t. ·.... . V." ·,- ···.; .. t•. ' 8 Delegates put the AMA on record as opposing any tort reform leg
onl·i~e, N~;,:.:~ J :. ~I 0 islation that would give special protection to tobacco companies
AA and doctors :·· .. · ., , . :~~-. II or products, or exclude them from liability. They urged repeal of the
Staff Photo · ·· · . . . "·:. 14 duty-free allowance that U.S. resident-travelers now have on tobacco
;, ; .-,; Departments products, when they"return to this country, and called for new legisla
News Of ASAM · .. . --:·· ~ 3 tion on, as well as stricter enforcement of, laws to curtail measures for
selling cigarettes to teen-agers.
New Memb-~rs ; · · 12
Another resolution asked for increased taxes on tobacco products,
ASAM Publications < ·~ y 6 thus making available funds for treatment of tobacco-caused illnesses,
Calendar:::·''·':·; ~- · , ~:"~"' . 16
• ._ '• . • '•V;: / - •'I; "including nicotine dependence." The last phrase was added at the
Ruth Fox Endowment Fun·d ~ IS ·.
'V'i" . .-N •• .< : .~;., ~ '.-•• r~uest of Dr. Miller during a reference committee hearing.
Physician Substance J\buse "
A report by the Council on Scientific Aft"airs on "substance abuse
.1"'\.among physicians" was amended in accordance with ASAM tes
timony to specify that future research should emphasize "external fac
tors adversely affecting physicians, including workplace stress, litiga
American Society of
tion issues, and restructuring of the health care system."
Addiction Medicine Medicare
The major AMA House focus at this meeting was on Medicare, with
is a specialty society of physicians
delegates endorsing a multiple-choice plan that would give benefi
concerned about alcoholism and
other addictions and who care for ciaries a ~ge of coyerage options, including managed care and med
persons affected by these illnesses. ical savings accoWltS, as well as the present reimbursement approach.
f continues page 5
ASAM NEWS Pagel August-September 1995
State of the Art that this year's speakers will address the
Conference spectrum of issues relating to nicotine
Oct. 19-2/. 1995 dependance from receptor physiology to
by Howard A. Helt, MD public policy.
State of the Art Planning Committee Invited speakers include outstanding
~AMERICAN SOCIETY OF ADDICTION researchers, clinicians, and public policy
~ Medicine's State of the Art advocates, including Roberta Ferrence,
Conference, "The Expanding Role of PhD; Dorothy Hatsukami, PhD; Jack
Neurobiology in Addiction Medicine," Benningfield, PhD; John R. Hughes,
will be held Oct 19-21 in Washington, MD; Richard D. Hurt, MD; Lori Karan,
DC, at the Marriott Metro Center. MD; Kenneth Perkins, PhD; John
The ASAM State of the Art Course Rosencrans, PhD; and John Slade, MD.
Planning Committee, chaired by Allan W. Morning plenary sessions will focus on .....- -------------.
Graham, MD, has organized an presentations and afternoon sessions will
advanced-level program that will appeal to be skill-building and issue-oriented work
7TH INTERNATIONAL
addiction medicine physicians, psychia- shops. The conference committee plans a •
trists, primary care physicians, postgradu- special address by Victor Crawford, a for CONFERENCE ON THE
ate fellows in addictions, basic mer tobacco--industry lobbyist, who has REDUCTION OF DRUG
researchers, and physician trainees. The become an out-spoken industry critic, and
RELATED HARM
three-day program consists of an in-depth a "show of hands" event to commemorate
update of the neurobiology of addiction, friends, colleagues, and patients who have
the latest clinical tools used to evaluate the died as a consequence of nicotine depen
3·7 MARCH 1996
patient/client, and fmally the emerging dence.
HOBART, AUSTRALIA
treatments and pharmacotherapies. There Included in the conference will be four
will be evening focus group meetings on one-day "pre-conference" workshops: 1)
important clinical issues. addressing emerging research findings, 2)
The conference goal is to validate the pharmacologic treatment of nicotine
scientific foundation of addiction and its dependence, 3) the Canadian experience of
treatment from basic neurobiology to addressing tobacco use, and gender issues
office/clinic treatment With support from in nicotine dependence, and 4) smoking
NIDA, NIAAA, the College for Problems cessation treatment Abstracts close 15 November 1995.
of Drug Dependence, and the Research Registration brochures were mailed to For further details please contact
Society on Alcoholism, an international ASAM members in August More infer
group of 21 speakers has been assembled 'mation from ASAM headquarters 301-
to achieve this goal. 656-3920, fax [phone]. Conference Secretariat
Credit hours-18 hours AMA Category +++ 7th International Conference on
1 CME for physicians; 18 hours AOA MRO Conference the Reduction of Drug Related
Category IlA for osteopaths. Nov. /7-19, /99 5 Harm, PO Box 529, South
Melbourne, Victoria 3205
Washington is beautiful in October! by Donald Jan Macdonald, MD
ASAM invites members, as well as non- Australia
members, to take part in this outstanding MRO Committee Chair Tel [phone]
conference. A SAM Will SPONSOR ITS TIIIRD 1995 Fax [phone]
Registration brochures were mailed to .1""\..Medical Review Officer and
all ASAM members in July. More infor Substance Abuse Professional Training positive opiate rests, split sample testing,
mation from ASAM headquarters 301- Course Nov. 17-19 in New Orleans. Hotel
alcohol testing/ and passive inhaling mari
656-3920, fax 301•-6•56•-3 815. is InterContinental-New Orleans. juana and cocaine, the return to work
The course is for physicians and other
process, and compliance monitoring.
health professionals. It has been designed
Nicotine Conference The Medical Review Officer
as an advanced course for MROs and
Oct. 12-15, /995 Certification Council will offer the
SAPs. The course will be a combination of
by Terry A. Rustin, MD MROCC Certification Exam immediately
scientific updates, government policy and
following the ASAM Course.
Conference Chair practical tips.
For additional information on the MRO
~ NATIONAL CONFERENCE ON Attendees should learn ~story of drug course call ASAM headquarters at 301-
~ NICOTINE Dependence will be held in testing and new and upcoming federal 656-3920, fax [phone].
Toronto this year, October 12-15, at the requirements, the basics of und,.tanding For exam information, please call the
Toronto Marriou Eaton Center. Andrea addiction and relapse and their relevance MROCC directly a•t •70•8 -228-7476.
Barthwell, MD, conference chair, reports to the work place, the latest on interpreting
ASAM NEWS Page 3 August-September 199 5
journal of Addictive Diseases Regulating Nicotine
Barry Stimmel, NID, EDITOR, REPORTED
White House
that Vol. 14, Issue 2 of ASAM's offi
~ial journal appeared in August, and the Executive Vice PresidenJ James F.
..hird and four issues will appeor during the Callahan DPA, sent the following leiter
third and fourth quarters of this calendar to President Bill Clinton on July 24:
year, as planned. IWRfiE ON BEHAU OF 1RE 3,000 PHYSI
Polley Statements
cian members of the American Society
An ASAM committee developing a of Addiction Medicine to ask that your
public policy statement should now adrninis~on begin, through the FDA,
send a completed copy to both the ASAM 'uS reg}llate tobacco products as drugs.
New Mall Labels Price List
Public Policy and the State Chapters Nirotine is the leading cause of pre
Committees for comment The document The rost to rent the ASAM mailing list ventable death in the United Slates, and,
is due at least 60 days before its fonnal changed last June. as your Commissioner of the Food and
presentation to the Public Policy El'llire list-{3,000 members, 6,000 Drug Adminisuation, David Kessler,
Committee for review, and presentation to non-members including non-physi MD, has stated, nicotine addiciton is a
the board of directors for approval. cians}--$700.
pediatric disease.
Exceptions can be made when the pro Active members-{3,000) $500
As recent pronouncements of the
posed policy concerns an urgent issue Any subset list-20¢ per label.
American Medical Association demon
To ensure that a state chapter public pol Contact Linda Fernandez at headquar '1
suate, the nation physicians over
icy statement is in concert with current ters.
ASAM policy, any chapter that plans to Chapter News whelmingly support regulation of nico
tine as a drug.
issue a public policy statement will, prior Georgia-made a $1,000 donation to
Cigarette smoking by adolescents has
to its issuance, send a copy to the execu ASAM for the Medical-Scientific
long been recognized as a gateway drug
tive vice president, the Public Policy Conference opening reception in April
to the use of alcohol and the illicit drugs.
Committee chair, and the state's regional 1996.
director. It will be placed on the ASAM Book Notes-"Recent In addition, the earlier in life one begins
Developments In Alcoholism" to smoke, the greater likelihood that one
Presidents' weekly conference call agenda
will become a lifelong smoker, and devel
The state chapter president, Public Policy Vol. 12 Alcoholism and Women. Edited by
op the diseases caused by tobacro use.
:ommittee chair and board member repre Marc Galanter, NID. Associate editors
We urge you in the strongest possible
senting that region will participate in the include members Edward Gottheil, MD,
way to ·grant the FDA the authorization to
conference call and make a decision. Alfonso Paredes, MD, and David H.
begin to' regulate the drug nicotine.
Chairs: Public Policy-Sheila B. Van Thiel, MD. Published by Plenum
Blume, MD; State Chapters-Paul Press, New York. JAMA
Earley, NID An official publication of the American ASAM President David E. Smith MD
History Committee
Society of Addiction Medicine and the and AAfA Delegate Jess Bromley MD
The History Committee, chaired by Research Society on Alcoholism. sent the following leiter on July 31 to
Percy E. Ryberg, MD, met in'
George D. Lundberg, MD, Editor of
Chicago in April to discuss developing a In Memoriam lAMA
history of ASAM. Former presidents who Psychiatrist Donald W. Sellers, MD, of ~ BEHAU OP OUR COll.EAGUE.S IN
attended the meeting were Drs. Sheila B. 0
Park Ridge, IL, of cancer, ~y 14. addiction medicine and our patients
Blume, Anne Geller, Stanley E. Gitlow,
Specialty ADM, certified by ASA..t\11986. who have suffered from the diseases
Charles Lieber, Anthony B. Radcliffe, of
His wife died three weeks earlier a long caused by the primary disease of nicotine
Max A. Schneider, and Maxwell N.
illness. dependence and tobacco use, we want to
Weisman. Others who attended were Career Changes
thank you for the July 19, 1995 landmark
David E. Smith (president), G. Douglas ASAM board member Andrea issue of JAMA, in which are published
Talbott (president-elect) Jess Bromley,
Barthwell, MD, of Chicago left the documents revealing the tobacco
MD, James F. Callahan, DPA, E. M.
Interventions in August and is now a prin industry's prior awareness of the addic
Steindler, Claire Osman, and Lucy Barry
cipal in an addiction medicine concern tive nature of nicotine and the industry's
Robe.
called ADM Group, River Forest, IL. actions to avoid liability for the diseases
The committee has obtained support
New positions for two ASAM members induced by tobacco use.
from the Caduceus Foundation and the
at Ridgeview Institute in Smyrna, GA
You and the leadership of the AMA
Christopher Smithers Foundation to pro
Jeff M. Sommers, MD is director of adult
have shown courageous rommitment to
duce a book about ASAM. The society
psychiatric partial hospitalizations services
our nation's health by publishing the doc
was founded in 1954, and the book will
and Michael D. Banov, MD is director of
uments and articles. Your action is anoth
show the society's effects on the develop
medical education •. •• er demonstration of the M1A's and
ment of addiction medicine, and on the
.\.\ JAMA 's long standing interest in and
fields of alcoholism and chemical depen
publication of scientific articles on alco
dency. •••
hol, nirotine and o•th• e•r a ddictive diseases .
ASAM NEWS Page 6 August-September I ~5
~---------A-S-A-M- -O-rd-e-r -F-or-m- ------~
Topics In Addiction Medicine
Nrume _____________________________________________________ ___
ASAM published the first issue (Vol. I, No.
1) of The Principles of Addiction ?i-..-~..,
S treet/P.O. ._ ________________________ .:-,.,-----------------------
Medicine update series: Topics in Addiction ~!~i '\,
Medicine in April. Each year, Topics will
bring you up-to-date information on ADM. City -----------------------------State __ Zip -------
Insert each pre-punched issue into your copy ~~~
______________________________________
of ASAM's textbook Principles of Addiction 1 Tel~hone. ~------------
Medicine for an addiction medicine text that
never goes out of date. Or use Topics alone. Payment 0 Check (payable to ASAM) 0 Purc.'l-tase Orde:' #
0 Credit Card (MC or VISA-circle ~ne)
Contents ofVol. I, No.1:
..6. ASAM's new clinical practice guideline-''The Role Credit Card No. . ____________________________ Exp. Date___)_
of Phenytoin in the Management of Alcohol Withdrawal
Syndrome," developed by the ASAM Committee on Signarure._ __________________________________
----'~----------
Practice Guidelines.
..6. The new criteria for substance-related disorders from _ Princlples update Topics In Addiction Medicine (Vol. I, No.1)
the DSM-IV combine with a chapter in Principles of (SIS members; $20 nonmembers) S_ ___ ___
Addiction Medicine to show how to translate diagnoses _Principles of Addiction Medicine
from the DSM-III-R to the DSM-IV. (Sll5 members ; S140 nonmembers) S_ __ __
s_ ___ ___
-(other)
..6. The "Definition of Alcoholism"- developed in 1990
by ASAM and the NCADD as the definitive statement on
the disease nature of addiction. Total Amount Enclosed $- --------
Return to: American Society of Addiction Medicine, PO Box 80139,
Baltimore, MD 21280-0139 Fax [phone]
L-- - --~ - - -- -- - - - --- - ----- - - --
Florida Society of Addiction Medicine and
American Society of Addiction Medicine
fi present .:a:·
FUN IN THE SUN WITH FSAM!
9th Annual Conference on Addictions~:·,.::·
BETTY FORD c 'ENTER
January 19-21 , 19 96
AT EISENHOWER
"Excellence in alcohol and other drug addiction tretzlment." Walt Disney World Village
* New hotel: Grosvenor Resort
80-Bed Residential Program (group rate $85/night per room)
*Women's Program Orlando, Florida
*Women's Extended Care Program
Up to 11 CMEs through AMA; others applied for
*Family Program CEUs: counselors, nurses, social workers
* Children's Program Afternoons, evenings free to sightsee
*
group activities plq.nned.
Partial Hospitalization I
*Intensive Outpatient Program Topics-practical aspects of addiction medicine ranging from
*
neurochemistry to management, psych testing, comorbidity.
Training Programs
nicotine dependence, MRO, and more.
Faculty includes Drs. Anne Geller, Douglas Talbott, Mark
For more information,
Gold, fan Macdonald, !Ning Kolin, Vinaet Mehta. Rick Beach,
call 619-773-4100 Michael Sheehan, and more
Low conference fees $190-ASAM physicians
Toll Free (US. and Canada) ~9211
FAX [phone] '· 1 $135--ilon-physicians
For more information:
Ro~rt Donofrio, FSAM, 890 Lexington Road
39000 Bob Hope Drive. Rancho Mirage. CJ. 92270 Pensacola, FL 32514
904-484·3560 Fax 904·857·1301
ASAM NEWS Page 7 August-September 1995
ASAM PPC
NIAAA Symposium
Validity Study
by David R. Gastfrlend, MD by Alan A. Wartenberg, MD
OYER FIFTY PEOPLE HEARD COMMITTEE r-rrm NlAAA HELD A SYMPOSIUM IN Richard K. Fuller, :MD, on alcohol
chair David R. Gastfriend, MD, .1 Chicago during ASAM's Medical treatment research, clearly showed the
describe the new "ASAM Criteria Validity Scientific Conference. This was as much changing tides of treatment philosophies
Study" on Apr. 28 at the Medical an historic tour through its 25 years of over the NIAAA's 25 years. Similarly, an
Scientific Conference in Chicago. Funded political and social developmentS in excellent review by Robert Saltz, PhD,
by NIDA, the study asks if matching research into alcoholism, as it was a scien indicated ch'~ges in CD professionals' as
patients according to the ASAM Criteria tific exposition. well as· society's views of abstinence and
improves their outcomes. controlled or responsible drinkiqg. Finally
Director Enoch Gordis, MD began
Prior committee chair P. Joseph Marku Linniola, MD emphasized the role
with a history of the Institute and indicat
Frawley, MD explained that his earlier that the Institute's own research- has
ed how--to at least some extent-the
efforts to "back-test" the Criteria, which played, in addition to the flne work of
funding and choice of projects over 25
used existing large clinical databases, were researchers working in their own institu
years relate to the current social and polit
unsuccessful due to unreliable or inade tions,
ical acceptance of different concepts of
quate clinical data. Dr. Gastfriend hoped The quality of expertise, energy and
alcoholism. However, he said that
that this first randomized test of the commitment the NIA{\A has attracted and
researchers throughout this period have
Criteria in "high resolution detail" would made possible-through leadership,
clearly shown that their focus, even for
indicate how to improve the Criteria to vision and funding-was apparent during
basic scientists, was on ameliorating the
yield the best cost-benefit outcomes. this presentation. People with alcohol and
terrible effects of alcoholism on human
Criteria co-author David Mee-Lee, beings. other dependencies, their families, and CD
MD, served on the external expert review Marc Schuckit, MD reviewed the professionals have benefited greatly from
panel of the "item map" constructed for research into genetics of alcoholism, the NIAAA's major efforts over the last 25
the study. Dr. Mee-Lee said that he including his own important work, indicat years. Dr. Wartenberg is from Massa
respected the tedious work of the research ing a clear genetic connection in at least clwsetts. He is an •AS•A•M board member.
group in developing over 240 standardized subsets of male alcoholics. Bridget Grant,
instrument items to construct a computer PhD, showed how the competition
CLINICAL FACULTY
ready version of the ASAM Criteria. In between different sociological approaches
Dr. Mee Lee's words, "I'm glad I didn't competed over the years, and ultimately, a BEIBC Family Practice Physician,
have to do it!" union of these different approaches yield ASAM certification preferred.
Brandeis University sociologist Helen ed a clearer understanding of alcoholic Position as staff primary Ca.re M.D.
Levine Batten, PhD, noted that "a fair test populations. George Koob, PhD, in his for a re- gional Substance Abuse
of the Criteria requires us to determine, for discussion of alcohol dependence and Rehabilitation Hospital (4/5's time)
example, how much Level II service does brain reward systems, demonstrated very and supervision of Family Practice
each Level II site really provide." clearly how basic and clinical science can residents in outpatient setting for
The fust pilot site, at Faulkner HospiUu connect and complement each other, and Regional Medical Center. Joint
in suburban Boston, underwent the ser how our understanding of neurotransmit appointment on clinical track with
vices evaluation for two weeks. Program ters and brain reward pathways hav.e been fixed term. Excellent opportunity to
Director Alan Wartenberg, MD, considerably enhanced by the study of teach addiction skills to students
described the study process as comfortable alcoholics and other drug dependents. and residents while treating a chal
for staff and "satisfaction surveys indicat Charles S. Lieber ,MD gave a tour-de lenging substance abuse/psychiatric
ed the patients eve•n •lik•e d being involved." force discussion of the effects of alcohol's population. Salary negotiable depen
induction of the liver cytochrome oxidase ding on experience and training .
Portuguese Meeting on ADM system on xenobiotics. He said this may For information contact
r-rrm be responsible for increased carcinogenic Janice Paris, M.S.P.H., M.B.A.,
PORTIJGUESE ADDICTION MEDICINE
.1 Association has issued an open invita ity in alcoholics as well as other toxic Departmen~al Administrator, Depart
effects. Dr. Lieber's own research has ment of Family Medicine, East
tion to ASAM members to attend its 1st
done much to clarify the liver cell's meta Carolina University School of
annual conference in Lisbon Dec. 5-7,
bolic pathways. Medicine, 600 Moye BO!Jievard,
1995 at the Hotel Lisbon Penta.
Clair Coles, PhD reviewed the effects Greenville, NC 27858-4354. Phone
Registration fees will be waived for
of alcohol during pregnancy-fetal alco [phone]. East Carolina is an
ASAM members. More information:
hol effects as well as the full-blown FAS Equal Opportunity/ Affirmative
Portuguese Addiction Medicine
(fetal alcohol syndrome}-with particular Action employer.
Association, Rua Sofia Carvalho, No. 2,
attention to alcohol's eff:.ects in ~fferent Applicants must comply with the
2Dto, Alges 1495 Lisbon, Portugal.
trimesters, and the outcome of ceasing Immigration Reform and Control
President: J. Margalho Carrilho, MD.
••• alcohol use . Act. We Accommodate Individuals
with Disabilities.
TREATMENT & MEDICAL
CLINICAL ISSUES PREGNANCY AND EDUCATION
,NEONATAL Marc Galanter
Andrea G. Barthwell •
ADDICTION Section chair
Section chair
Hope Ewing ..
Barbara Bennett
ADM IN CRIMINAL
CONTINUINGo'
jUSTICE SYSTEM
H. Blair Carlson PHYSICIANS' MEDiCAL
HEALTH EDUCATION
G. Douglas Talbott James A. Halikas
ADOLESCENTS
Anthony Dekker
TRAUMA CORE CURRICULUM
Board of Directors Peter Rosten berg David C. Lewis
AIDS
Carl. A. Soderstrom
Mel Pohl
American Society of Addiction FELLOWSHIP &
RESIDENCY
Medicine (1995-1997) CROSS-CULTURAL
CERTIFICATION James A. Halikas
CLINICAL CONCERNS
OFFICERS Lawrence s. Brown, Jr. e Stanley E. Gitlow •
David E. Smith, :MD~ President Section chair MEDICAL-SCIENTIFIC
G. Douglas Talbott, MD~ President-Elect PROGRAM
DUAL DIAGNOSIS
Anne Geller, :MD~ Immediate Past Norman Miller CREDENTIAUNG Marc Galan ter
President
Lloyd Gordon
James W. Smith, :MD~ Treasurer NCADD/ASAM
FAMILY AND
Marc Galanter, :MD~ Secretary Robert M. Morse
GENERATIONAL ISSUES EXAMINATION
(open) John Griffin, J~. •
DIRECTORS-AT-lARGE NOMENCLATURE
Sheila B. Blume, :MDt + Norman~er •
FORENSIC SCIENCE ADDITIONAL
H. Westley Clark, :MD, JD, MPH
(AD HOC) REVIEW
Stanley E. Gitlow, :MD REVIEW COURSE
Robert L. DuPont • (open)
James A. Halikas, :MD Allan W. Graham
Christine L. Ka.sser, :MD
MEDICAl. REVIEW
David C. Lewis, :MD
OFFICER
Anthony B. Radcliffe, :MD~ Donald Ian Macdonald
REGIONAL DIRECTORS
MEDICATIONS
Lawrence S. Brown, Jr., :MD Region I + All are physicians.
DEVELOPMENT
P. Joseph Frawley, :MOt Region II e
Donald R. Wesson
Alan A. Wartenberg, MD Region III + Committee or task force not on
R Jeffrey Goldsmith, MD Region IV
METHADONE the previous published chart.
Richard A. Beach, :MD Region V
TREATMENT
Andrea G. Barthwell, :MDt Region VI J. Thomas Payte • Appointed since previous pub
J. Thomas Payte, :MD Region VII Elizabeth Khuri e lished chart.
Walton E. Byrd, MD Region VIII
Ray P. Baker, :MD Region IX There are 59 committees/task forces.
NICOTINE DEPENDENCE
John Slade The previous most-recent commit
EX-OFFICIO DIRECTORS tee chart was published in the Novem
Jess Bromley, :MD AMA Delegate PAIN & ADDICTIVE ber-December 1993 issue of ASAM
James F. Callahan, DPA) Executive Vice Presi
DISEASE+ NEWS (Vol. 8, #6).
dent/CEO Seddon Savage e
Paul H. Earley, :MD State Chapters Chair ~ Executive Committee (board of
Barry Stimmel, :MD Editor, Journal of \~·\
PHARMACOLOGICAL directors)
Addictive Diseases
IssuES
John Morgan
August-September 1995
STANDARDS &
PRIMARY CARE
MANAGEMENT
ECONOMICS OF CARE
David Mee-Lee MEDICAL David E. Smith e
Section chair SPECIALTIES Section chair
Alan Wartenberg •
CRITERIA +
Section chair ( \.f'DDITIONAl. REVlEW
David Mee-Lee
Anthony B. Radcliffe e
'
PRACTICE GUIDELINES MEMBERSHIP ":,
ANESTHESIOLOGY CONSTITUTION AND
Christine L. Kasser
Seddon Savage SERVICES BYLAWs
Anne Geller • Anthony B. Radcliffe e
QUALITY
EMERGENCY
Section chair
IMPROVEMENT +
Michael M. Miller e MEDICINE FINANCE
Andrew
INTERNATIONAL P. Joseph Frawley
DiBartolomeo
Anthony B. Radcliffe --.
CLINICAL RESEARCH HISTORY'
(Section chair vacant) FAMILY PRACTICE MEMBERSHIP Percy E. Ryberg
Michael Fleming
Ken Roy
TREATMENT
NOMINATIONS AND
OUTCOME RESEARCH INTERNAL MEDICINE
MEMBERS-IN AWARDS
David R. Gastfriend David C. Lewis TRAINING Anne Geller e
Stuart Gitlow
& MANAGED CARE+
COMMUNICATIONS e ORGANIZATION
Michael M. Miller
STATE CHAPTERS STRUCTURE
TECHNICAL ASSISTANCE Paul Earley David E. Smith e
Elizabeth F. Howell • OBSTETRICS AND
Section chair GYNECOLOGY
PERSONNEL AND
(Open)
COMPENSATION
COMMUNICATIONS TASK e
David E. Smith
FORCE
OSTEOPATHIC
Stuart Gitlow
MEDICINE+
RESOURCES AND
Karen Lea Sees •
DEVELOPMENT
PuBLICATIONS
e
Elizabeth F. Howell e Andrea G. Barthwell
PEDIATRICS
Larry H. Patton
STEERING COMMITTEE RUTH Fox
ON PRINCIPLES OF ENDOWMENT
PREVENTIVE Max A. Schneider e
ADDICTION MEDICINE +
e MEDICINE
Elizabeth F. Howell
Paul Brattain
PUBLIC AFFAIRS
PSYCHIATRY
Joseph Westermeyer Sheila B. Blume
Section chair
SURGERY
PuBuc PoucY (
Gordon L. Hyde
Sheila B. Blume
TASK FORCE ON
HEALTH CARE
SPECIALTY STATUS
Anne Geller REFORM TASK
FoRcE
Sheila B. Blume
ASAM NEWS Page 10 August-September 1995
ASAMComputer Conference
ASAM e-mail list by Stuart Gltlow, MD
A THE ASAM BoARD OF DIRECTORS tu>
SAM has a list of 114 e-mail
proved a Communications Task Force
J-\.addresses of members
proposal that there be a day-long educa
Contact headquarters for a copy, and/or
tional computer conference one day before
to add your e-mail address to it the next Medical-Scientific Conference.
e-mai/[email protected]
Internet Forum-Substance This conference, which might be con
phone-301-656-3920
Related Disorders current with [~e Ruth Fox Course, would
fa.x-301-656-3815
be taught in two sections. Th.e first section,
by Peter Mezclems, MD
targeting a computer novice, w.q_uld be an
THE AGE OF ONLINE COMMm<lCATION IS introduction to computers in the work
truly upon us. As you read this, your place. Demonstrating both Macintosll and
colleagues are experiencing immediate PC platforms, lecturers would demonstrate
interaction with addiction professionals operating systems, initial word processing
from many countries. Explosive growth is and spreadsheet use, and online services.
propelling the worldwide links of comput By the end of the morning, attende~ will
er networks known as the Internet beyond be more comfortable and more capable
•
35 million users. If you have a computer with their computers. ·
and a modem you, too, can obtain access The afternoon section will offer more
and join in.
advanced computer users more detailed
What do you need to know? information on networking, using the
Mailing lists are largely informal gath Internet, and office management tech
erings of like-minded people who sub niques.
scribe to a mailing list containing "post Attendance will be limited in ~h sec
ings" (electronic letters) from individual tion. A lower attendance fee will 'ce avail
members. These are automatically mailed Computers & Recovery able to ASAM members. The syllabus has
(electronically) to all subscribers. If you not been finalized. The El~tronic
imagine the ability to have near instant rr'he following was sent to ASAM NEWS Communications Task Force encourages
communication with others in the field 1 by LeClair Bissell, MD, who received anyone who wants to work on this project
to contatt chair Stuart Gitlow, 1viD at
across the world, or the chance to receive il online from Michael Warner:
afagitlow@ aol.com.
feedback on clinical questions or issues of Is there any correlation between the
policy, then you have an idea of how such type of computer one uses and the type of
a list can work. recovery one chooses? In Washington
Linux users do it themselves, eschewing
Last November, I fanned a list known' formal associations of any kind. NIDA Bulletin Board
as "substance-related-disorders" under Unixpeople like the nutz'n'boltz neuro
transmitters, mutant genes, etc., and would THOSE wm-r NO NIH Co~lPtJ"I'ER CE:-riCR
the auspices of InterPsych. This organiza Accounts, but with a modem and com
prefer a technological fix (the phanpaco
tion exists to promote online discussion of munmications package, can accesss the
logical "magic bullett", perhaps) over all
issues related to mental health. The forum, NIDA Bulletin Board at no charge except
that touchy-feely stuff.
as it is called, encourages discussion on
for the phone call itself.
Apple typeS want it to be real simple
abuse of and dependence on psychoactive
and easy. Just point them in the preferred Dial 301-402-2221 or 1-800-358-2221.
substances, dual diagnosis, and behaviors
direction, and click them on their way. When prompted for user initials enter fn.2.
that can be viewed with an addictive
PC'ers follow the mainstream. They put When prompted for an account enter fnfl.
model, and explores issues that cover the
up with crashes, interminable waits, vague The next screen will be the NIDA Bulletin
breadth of the fielci
and misleading help, and more for the sake Board main menu, with a set of instruc-
If you would like to subscribe, send the of easy availability. u• ons on how tI o proceed.
message "subscribe substance-related-dis
Dumb terminals, located in depressing
orders" to "[email protected]", or e rooms, tied to antiquated software located NIH Gopher
mail me at "[email protected]".
on aging university mainframes (me)--We Telnet address is gopher.nih.gov.
For those who have no idea what all of
are too embarassed, ashamed, and intimi
that means, call or mail to: NIDA Computer Group
dated to actually go public. We usually
Peter Mezciems, MD, CCFP
hide under rocks and in closets, wishing it
Telephone [phone].
Addiction Services, Homewood Health
would all just go away. ,,,,
Centre, 150 Delhi St.,Guelph ON N1E
Just guessing. ·
6K9
" ... he only does it to annoy:jecause he
519-824-1010; fax-519-824-1827.
knows it teases." -Lewis Carroll
ASAM NEWS Page II August-September 1995
with your temporary contact. (If you
encounter limitations in your relationship
with your contact, do not hesitate to seek
out another one.)
"I have found," wrote Dr. Chappel,
Mini-Residency In AA "that a secondary gain to this learning
experience is personal benefit Since 1975
DsYCHIATRISTS "CANNOT LEARN ABOUT Cooperation with the Professional
r I have been working with C.P.C. commit
the AA program of recovery in a hos Community Committee (C.P.C.).
tees to inform medical students and resi
pital or clinic, or from detoxifying patients 2. Ask for a temporary AA contact, who
dents. I haye learned much about the
and treating their medical complications, will help you learn about the program
power pf shiling personal thoughts, feel
or just by reading articles or AA's Big preferably one who has a solid length of
ings and· experience. This has been of par
Book," says John N. Chappel, MD, who continuous sobriety, a working familiarity
ticular value in relating to myWy and
has been a nonalcoholic trustee of with the Twelve Steps, and is sponsoring
friends."
Alcoholics Anonymous since 1989. "Some other AA members.
Dr. Chappel, professor of psychiatry
direct experience is necessary-sort of a 3. Meet regularly with your contact.
and medical director of Alcohol and Drug
mini-residency in AA," he explaineci Together, go over the schedule of local
Programs, Truckee Meadows Hospital,
He suggests ways in which psychiatrists open meetings and pick those that meet
Reno, NV, wrote this piece for About AA
and other physicians can acquire this expe your needs.
A Newsletter for Professionals, (Spring
rience: 4. Plan to attend one open meeting a
1995, p. 2). He emphasi,zed that "my opin
I . Call the local AA number and ask to week for three months, or one meeting a
ions are my own; I do not speak for AA."
speak to a member. A good resource is the month for a year. Discuss your experiences •••
1995 AA International Convention-San Diego
'
AA's 60th anniversary celebration in San Diego June 29-July 2, attended by 8(),000. AA
holds an illlenuuional convention every five years; the most recent in Seattle ln 1990.
Convelllion n year 2000 will he in Minneapolis.
Central Connecticut hospital seeks MAINE Psychiatrist
addiction specialist for highly regarded, for full service addiction program. Outpatient with some inpatient. Day and
comprehensive, mental health program. partial hospitalization. Group home. Team approach. Join large behavioral
Excellent benefits, competitive salary. medicine department. Riverside college community close to coast and ski
Location easily accessible to Boston, region. Competitive 'Sfl.lary an(ji full benefits.
New York. Contact: Bristol Hospital I
Send C. V. to Uanne Harris, New England Health Search, 63 Forest Ave.
Recruitment office 1-800-892-3846 or
Orono, ME 04473. Phon" 207-866-5680. Fax [phone].
fax us your CV at 203-585-3525.
ASAM NEWS Page 12 August-September 1995
October I, 1994-May 9, 1995 Laxmaiah Manchikanti, MD -
Alabama Anesthes.
Martha Tucker Ban, MD-Psych. Diane McElheney, MD -Psych.
Miriam R. Leonardo, MD-OB!GYN Gary Stephen Weinstein, MD -No
Arizona Spec.
Francis 0. Mecoli, MD-Fam. Prac. Louisiana . Ohio
California Edward G. Lacour, MD -Gen. Swgery Chiis~ M. r:belos Reyes, MD -No
David C. Baer, MD-Emergency Med. Robert A. McCormick, MD-Psych. Spec.
Charles J. Barnes, MD-No Specialty Massachusetts Melissa F. Gross, MD -Psych.~,
Peter M. Braunstein, MD-Vascular R. Thomas Mathew, MD -Psych. Victor C. Kessler, MD ---No Spec. _
Surgery Asad Murtuza Naqvi, MD -Psych. Maria Sarma Vassilaros, 'MD -Int, Med.
Eileen Laverne Carter, MD -Int. Med. Maryland Oklahoma
Olga Daiber, MD -Int. Med. Christine A. Curley, MD -Gen. Prac. William P. Becker, DO -Fam. Prac.
Harold M. Henry, MD -OB/GYN John Gambrill, Jr., MD -No Spec. Tom A. Dixon, MD -Fam. Practice
James R. Kerb, MD -Int. Med. Michigan William Barbee Mitchell, MD -lru.
Robert R. Lawrence, MD -No Specialty Elizabeth A. Alexander, :lviD --Fa m. Med. ~
M. David Lewis, MD -Psych. Prac. William H. Yarborough,'1ID -Int. Med.
Catherine McDonald, MD -Pediatrics Andrew Lovy, D.O.-Psych. Oregon
Hyman J. Milstein, MD -Int. Med. MartinE. Siegel, MD -Psych. Robert Alan Miller, DO -Int. Med.
Charles A. Novotony, MD-Ob!Gyn Richard Henry Wakulat, MD -Int. Pennsylvania
Paul Ohliger, MD -Int. Med. Med. Stephen Ott Laucks, MD -Anesthes.
Rebecca A. Powers, MD --Child Psych. Minnesota George Francis Medich, 1ID -
Norman T. Reynolds, MD -Psych. Keith Hoyt Berge, MD -Anesthes. Orthopedic Surgery, Sports Medicine
~icholas Rosenlicht, MD -Psych. Kenneth A. Bremen, MD -Psych. Stephen Allen Nezezon, MD-Psych.
Sally J. Rubenstone, MD -Int. Med. Michael J. Gregg, MD --Fam. Prac. Rhode Island
Jeffrey S. Shelby, MD -Int. Med. Richard Eugene Ray, DO -Psych. Anthony R. Amicarelli, MD -
Andreas Subadya, MD -Int. Med. Missouri Pediatrics
Janice E. Thornburg, MD -Int. Med. SudhirkumarP. Shah, MD-Int. Med. South Dakota
Clarence Ward, MD -Anesthesiology North Carolina Karl H. Kosse, MD
Florida Mark D. Robinson, MD-Fam. Prac. Urological Surgery
Eugene J. Linberg, MD -Thoracic Wayland Chad Stephens, MD -Fam. Tennessee
Surgery Prac. Arden J. Butler, Jr., MD -No Spec.
Steven Schweinshaupt, MD -Fam. Nebraska G. Dykes Cordell, MD -Psych.
Prac. ' Yaron Zedek, MD -Psych. Richard Winn Henderson, MD -Fa m.
Cynthia Denise Wirth, MD -Int. Med. New Jersey Prac.
Georgia Jeanne Marie Ahrens, MD -No Spec. Donald Lentz Henson, Jr., MD -Psych.
Suzanne Ayers Iodice, MD -Fam. Prac. Sheila Walsh Cogan, MD -Psych. Dale Wayne Norris, MD -Fam. Prac.
George D. Miller, MD -No Spec. Serge Dumay, MD -Pulmonary Di;. Burl Turner, MD -No Spec.
Michael Prudent, MD -No Spec. Steven Robert Erie, MD -Psych. Texas
John Stra!!tman, MD -No Spec. William F. Mills, MD -Fam. Prac. Frank: Allen Vickers, MD -Fam. Prac.
Illinois David R. Polizzi, MD -Fam. Prac. Virginia
William R. Burkey, MD -Fam. Prac. New Mexico John G. Buchanan, MD -Psych.
Daisy M. Felarca, MD -Fam. Prac. Jay R. Feierman, MD -Psych. Frederick Ellison Conrad, MD -No
Charles Edward Kaegi, MD -Psych. Nevada Spec.
Dorothy Jean Lucas, MD -Ob!Gyn Karen Ann Gedney, MD -Int. Med. Elissa May Godfrey, MD -Psych.
Roderick L. Matticks, MD -Fam. Prac. New York Robert RadinI', MD -Psych.
David R. Miller, MD -Fam. Prac. Robert W. Ballard, MD --Fam. Prac. A. Arthur Steele, MD -Int. Med.
Juliet Spelman, MD -Fam. Prac. John P. Fernandez, MD -Int. Med. Washington
Indiana Lawrence B. Greenberg, MD -Psych. Mel E. Chandler, MD -Fam. Practice
Farz.ana A. Khan, MD -No Spec. Richard M. Poniarski, MD -Psych. Edward Jacob, MD -No Spec. Listed
James Douglas Kozarck, MD -Fam. Victoria Renzullo, DO -Psych. Hugh A. Larkin, Jr., MD -No Spec.
Prac. Marie J. Vincent, MD -Pediatrics Shirley Marie Mauch, DO --Fam. Prac.
Leonard A. Lado, MD -Psych .. Nathaniel C. Webster, MJ? -Fa m. Mary M. Saint Clair, MD -Fam. Prac.
-'\ I
Melanie Margiotta, MD -No Spec. Prac. ' Gregory D. Sawyer, MD, Ph.D-Psych.
K. Keith Min, MD -Psych. David B. Wiley, MD -Psych.
Kentucky Ilana Zylberman, MD -Psyclf.