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Use of Court‐ordered Supervised Disulfiram Therapy at DVA Medical Centers in the United States
Author(s) -
Martin Brandon,
Mangum Laura,
Beresford Thomas P.
Publication year - 2005
Publication title -
the american journal on addictions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.997
H-Index - 76
eISSN - 1521-0391
pISSN - 1055-0496
DOI - 10.1080/10550490590949541
Subject(s) - disulfiram , medical prescription , veterans affairs , medicine , family medicine , psychiatry , pharmacology
Having reported high adherence to court‐mandated disulfiram treatment, we hypothesized that other Department of Veterans Affairs (DVA) medical centers would report frequent use of this modality. Telephone interviews with DVA substance abuse clinics in 48 of the 50 states matched the national DVA frequencies. Phone survey responders reported disulfiram prescription as never/rarely 63%, sometimes 32%, and often 5%, while court‐ordered disulfiram was used never/rarely 95%, sometimes 3%, and often 2%. Nationally, disulfiram prescriptions covered only 0.07% of all veterans seen. These data suggest a need for a re‐evaluation of disulfiram as an underused treatment for alcohol dependence.