On Involuntary Hospitalization for Alcoholics. Suggestions for an Inpatient Treatment Program

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Abstract
While many approaches to the treatment of alcoholism have been tried and found wanting, interest has recently revived in the involuntary inpatient treatment of the alcoholic, particularly in mental hospitals. This development is related to reports of moderately successful results from this measure even in the absence of therapeutic programs designed specifically for alcoholics. It is suggested that mental hospitals which establish comprehensive programs for the specific treatment of alcoholism may obtain better results. Several recommendations are offered. Centralization in a few hospitals is practical and economical. Waiting lists are harmful in that they permit the alcoholic to "dry out" elsewhere; alcoholics sould be hospitalized immediately following commitment. Psychotherapy in some form, especially group therapy, should be available to all alcoholic patients, as well as an organized program of lectures and films on various aspects of alcoholism. The participation of an Alcoholics Anonymous group in the program can be helpful for many patients. Medication is beneficent psychologically; multivitamin preparations given 2 or 3 times daily may confer physical benefit as well. There is no definite evidence that any drug gives lasting benefit in the treatment of alcoholism. Commitment for a specified period is desirable so that the patient may exert his efforts toward rehabilitation rather than toward intriguing for an early release. A 2-month period is recommended. Personnel are the crucial factor in any treatment program for alcoholics. Many persons who participate in such programs are hostile to the alcoholic. Their feelings, conscious or unconscious, may sabotage the program by their impact on the always anxious and sensitive alcoholic patients.

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