Updating estimates of the economic costs of alcohol abuse
© December 2002, Texas Commission on Alcohol and Drug Abuse (TCADA), Austin, Texas.TCADA grants full permission to reproduce and distribute any part of this document for non-commercial use. TCADA is a state agency headed by six commissioners appointed by the governor.The economic cost of alcohol abuse and dependence was estimated at more than 4 billion for 1998.1 Use of screening tools and brief primary care interventions for alcohol problems significantly reduces drinking levels in “problem drinkers” who are not yet alcohol dependent.2 Counseling and 12-step structured treatment programs have been the mainstays of alcohol dependence treatment, whereas pharmacologic treatments traditionally have played an adjunctive role.A = consistent, good-quality patient-oriented evidence; B = inconsistent or limited-quality patient-oriented evidence; C = consensus, disease-oriented evidence, usual practice, expert opinion, or case series.An integrative approach employ-ing a variety of neuroscientific technologies is essential for recognizing the interconnectivity of the different functional systems affected by alcoholism.
These medications, the evidence supporting them, and recommended dosages are discussed in the following. Cost to the patient will be higher, depending on prescription filling fee Estimated cost to the pharmacist based on average wholesale prices (rounded to the nearest dollar) in Red Book. It is believed that naltrexone works through its blockage of μopioid receptors, which reduces the reinforcing effects of alcohol leading to decreased feelings of intoxication and fewer cravings.TCADA provides educational materials on substance use, develops prevention, intervention, and treatment programs, and conducts studies on the problems of substance use in Texas. Abstract Alcoholism results from an interplay between genetic and environmental factors, and is linked to brain defects and associated cognitive, emotional, and behavioral impairments.The purpose of this study is to describe and quantify the difference in societal costs incorporated in economic evaluations and cost-of-illness studies on alcohol abuse.To investigate the economic costs attributable to alcohol in cost-of-illness studies we used the results of a recent systematic review (June 2009).