ГоловнаArchive of numbers2023Volume 31, issue 3 (116)Algorithm for choosing the optimal complex therapy for persons with alcohol dependence
Title of the article Algorithm for choosing the optimal complex therapy for persons with alcohol dependence
Authors Minko Oleksandr
Markozova Lubov
Artemchuk Anatolii
Lisna Natalia
Baranenko Oleksiy
Нoltsova Svіtlana
In the section PROBLEMATIC ARTICLES
Year 2023 Issue Volume 31, issue 3 (116) Pages 91-98
Type of article Scientific article Index UDK 616.89-008.441.13-08 Index BBK -
Abstract DOI: https://doi.org/10.36927/2079-0325-V31-is3-2023-15

 The goal is to develop an algorithm for providing assistance to persons addicted to alcohol and corresponding clinical protocols. The state of providing medical care to patients with mental and behavioral disorders due to alcohol consumption in Ukraine in the absence of clinical guidelines and protocols was studied, the most common clinical guidelines and clinical protocols in the developed countries of the world were analyzed; Prototypes for the creation of appropriate national clinical guidelines and clinical protocols have been identified among them. An algorithm for choosing the optimal complex therapy for persons addicted to alcohol was developed and its adaptation for the needs of Ukraine was carried out, taking into account the evidence base.
Key words alcohol dependence, algorithm, pharmacotherapy, psychotherapy, evidence-based medicine
Access to full text version of the article pdf download
Bibliography 1. Global status report on alcohol and health 2018. Geneva: World Health Organization; 2018. License: CC BYNC- SA 3.0IGO. https://apps.who.int/iris/bitstream/hand le/10665/274603/9789241565639-eng.pdf.
2. Nakaz MOZ Ukrainy vid 21 veresnia 2009 roku № 681 "Pro zatverdzhennia klinichnykh protokoliv nadannia medychnoi dopomohy zi spetsialnosti "narkolohiia", yakyi bulo skasovano Nakazom MOZ Ukrainy № 590 vid 28.02.2020 "Pro vyznannia takymy, shcho vtratyly chynnist, deiakykh nakaziv Ministerstva okhorony zdorovia Ukrainy". https://zakononline.com.ua/documents/ show/493403___735223. (In Ukrainian).
 3. Autti-Rämö І. Nastanova 00925. Spektr fetalnykh alkoholnykh rozladiv. Nastanovy na zasadakh dokazovoi medytsyny. Stvoreni DUODECIM Medical Publications, Ltd. https://guidelines. moz.gov.ua/documents/3684.
4. Aalto М. Nastanova 01030. Poiednanyi diahnoz (psykhichne zakhvoriuvannia ta zlovzhyvannia psykhoaktyvnymy rechovynamy). Nastanovy na zasadakh dokazovoi medytsyny. Stvoreni DUODECIM Medical Publications, Ltd. https://guidelines.moz. gov.ua/documents/3892.
5. Sari Atula (Editors). Nastanova 00800. Nevrolohichni rozlady i alkohol. Nastanovy na zasadakh dokazovoi medytsyny. Stvoreni DUODECIM Medical Publications, Ltd. https://guidelines.moz. gov.ua/documents/3581. (In Ukrainian).
6. Simojoki К. Nastanova 00889. Rozpiznavannia alkoholnoi ta narkozalezhnosti. Nastanovy na zasadakh dokazovoi medytsyny. Stvoreni DUODECIM Medical Publications, Ltd. https://guidelines. moz.gov.ua/documents/3657. (In Ukrainian).
7. Simojoki К. Nastanova 00890. Nadannia dopomohy zalezhnym vid alkoholiu ta narkotykiv. Nastanovy na zasadakh dokazovoi medytsyny. Stvoreni DUODECIM Medical Publications, Ltd. https://guidelines.moz.gov.ua/documents/3658. (In Ukrainian).
8. Kaarne Т. Nastanova 00891. Korotke vtruchannia shchodo ryzykiv vzhyvannia alkoholiu // Nastanovy na zasadakh dokazovoi medytsyny. Stvoreni DUODECIM Medical Publications, Ltd. https://guidelines.moz.gov.ua/documents/3659. (In Ukrainian).
9. Simojoki К. Nastanova 00893. Likuvannia alkoholnoi abstynentsii. Nastanovy na zasadakh dokazovoi medytsyny. Stvoreni DUODECIM Medical Publications, Ltd. https://guidelines.moz. gov.ua/documents/3661. (In Ukrainian).
10. Simojoki К. Nastanova 00892. Likarski zasoby, shcho vykorystovuiutsia pry alkoholnii zalezhnosti. Nastanovy na zasadakh dokazovoi medytsyny. Stvoreni DUODECIM Medical Publications, Ltd. https://guidelines.moz.gov.ua/documents/3660. (In Ukrainian).
11. Alcohol-use disorders: diagnosis, assessment and management of harmful drinking (high-risk drinking) and alcohol dependence : Clinical guideline [CG115]. Published: 23 February 2011. https://www.nice.org.uk/guidance/cg115.
12. Mezhdunarodnyye standarty lecheniya rasstroystv, svyazannykh s upotrebleniyem narkoticheskikh sredstv: peresmotrennoye izdaniye s uchetom polevykh ispytaniy [International standards for the treatment of drug use disorders: revised edition incorporating results of field-testing]. Vsemirnaya organizatsiya zdravookhraneniya i Upravleniye OON po narkotikam i prestupnosti. 2020. License: CC BY-NC-SA 3.0 IGO. https://www.unodc.org/ documents/drug-prevention-and-treatment/RU_UNODC-WHO_ International_Standards_Treatment_Drug_Use_Disorders_2020. pdf. (In Russian).
13. The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST): manual for use in primary care / prepared by R. Humeniuk… [et al]. World Health Organization, 2010. https://apps. who.int/iris/bitstream/handle/10665/44320/9789241599382_ eng.pdf;jsessionid=490E792C332B409411522B9355783F7C? sequence=1.
14. Marsden, John, Ogborne, Alan, Farrell, Michael, Rush, Brian, World Health Organization. Management of Substance Dependence Team. et al. (2000). International guidelines for the evaluation of treatment services and systems for psychoactive substance use disorders. https://apps.who.int/iris/handle/ 10665/66633.
15. Alcohol interventions in secondary and further education NICE guideline. Published: 12 August 2019. https://www.nice. org.uk/guidance/ng135.
16. Rekomendatsii po lecheniyu alkogolizma : Obzornyy perevod klinicheskikh rekomendatsiy po lecheniyu rasstroystv, svyazannykh so zloupotrbleniyem alkogolem, Vsemirnoy Federatsii Obshchestv Biologicheskoy Psikhiatrii, podgotovlennyy sovmestnymi usiliyami nauchnogo internet-portala "Psikhiatriya & Neyronauki" i Kliniki psikhiatrii i narkologii Doktor SAN. 2018. https://psyandneuro.ru/stati/guidline-alcoholism. (In Russian).
17. Klinichni rekomendatsii z nadannia medychnoi dopomohy patsiientam z nevrolohichnymy, psykhichnymy ta povedinkovymy rozladamy / profesor Voloshyn P. V., profesor Linskiy I. V., profesor Maruty N. O., profesor Voloshyna N. P., profesor Mishchenko V. M., profesor Dubenko A. Ye. (Eds.). Kharkiv : Strokov D. V., 2021. 376 s. (In Ukrainian).