{"title":"毒品和酒精成瘾:新的挑战","authors":"J. Luty","doi":"10.1192/APT.BP.114.012583","DOIUrl":null,"url":null,"abstract":"SUMMARY There have been many developments in addiction psychiatry over the past decade. Some of these are political, such as preference for recovery-/abstinence-based programmes. Prohibition is becoming increasingly unrealistic, especially considering the effective legalisation of recreational cannabis in Uruguay and two US states. Legal highs and diversion of prescribed drugs (such as methadone, gabapentinoids, methylphenidate and benzodiazepines) are now a major problem. Furthermore, diversion of opioid drugs that are prescribed for pain is reaching epidemic proportions, causing a significant change in the nature of patients being referred to addiction services.","PeriodicalId":89879,"journal":{"name":"Advances in psychiatric treatment : the Royal College of Psychiatrists' journal of continuing professional development","volume":"20 1","pages":"413-421"},"PeriodicalIF":0.0000,"publicationDate":"2014-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1192/APT.BP.114.012583","citationCount":"3","resultStr":"{\"title\":\"Drug and alcohol addiction: new challenges\",\"authors\":\"J. Luty\",\"doi\":\"10.1192/APT.BP.114.012583\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"SUMMARY There have been many developments in addiction psychiatry over the past decade. Some of these are political, such as preference for recovery-/abstinence-based programmes. Prohibition is becoming increasingly unrealistic, especially considering the effective legalisation of recreational cannabis in Uruguay and two US states. Legal highs and diversion of prescribed drugs (such as methadone, gabapentinoids, methylphenidate and benzodiazepines) are now a major problem. Furthermore, diversion of opioid drugs that are prescribed for pain is reaching epidemic proportions, causing a significant change in the nature of patients being referred to addiction services.\",\"PeriodicalId\":89879,\"journal\":{\"name\":\"Advances in psychiatric treatment : the Royal College of Psychiatrists' journal of continuing professional development\",\"volume\":\"20 1\",\"pages\":\"413-421\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2014-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1192/APT.BP.114.012583\",\"citationCount\":\"3\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Advances in psychiatric treatment : the Royal College of Psychiatrists' journal of continuing professional development\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1192/APT.BP.114.012583\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Advances in psychiatric treatment : the Royal College of Psychiatrists' journal of continuing professional development","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1192/APT.BP.114.012583","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
SUMMARY There have been many developments in addiction psychiatry over the past decade. Some of these are political, such as preference for recovery-/abstinence-based programmes. Prohibition is becoming increasingly unrealistic, especially considering the effective legalisation of recreational cannabis in Uruguay and two US states. Legal highs and diversion of prescribed drugs (such as methadone, gabapentinoids, methylphenidate and benzodiazepines) are now a major problem. Furthermore, diversion of opioid drugs that are prescribed for pain is reaching epidemic proportions, causing a significant change in the nature of patients being referred to addiction services.