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Comment & Response |

Medications for Alcohol Use Disorder—Reply

Katharine Bradley, MD, MPH1; Daniel Kivlahan, PhD2
[+] Author Affiliations
1Group Health Research Institute, Seattle, Washington
2Department of Veterans Affairs, Seattle, Washington
JAMA. 2014;312(13):1352. doi:10.1001/jama.2014.10167.
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In Reply We agree with Dr Beresford that patient-centered care with shared decision making is not a new concept in medicine. However, patient-centered care is not currently the routine approach to management of alcohol use disorders in medical settings. Instead, referral to specialty treatment is often recommended for patients diagnosed with alcohol use disorders.1

Therefore, we outlined treatments for alcohol use disorders, supported by randomized clinical trials, that have been recommended in evidence-based clinical practice guidelines developed by the UK National Institute of Clinical Effectiveness, as well as those developed by the US Department of Veterans Affairs and the Department of Defense.2,3 Currently, only about 8% of US adults with alcohol use disorders receive treatment.4 Offering patients different treatment options could increase the proportion of patients engaged in treatment.


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October 1, 2014
Thomas P. Beresford, MD
1Laboratory for Clinical and Translational Research in Psychiatry, Department of Veterans Affairs Medical Center, Denver, Colorado
JAMA. 2014;312(13):1350. doi:10.1001/jama.2014.10161.
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