Detoxification recidivism among urban American Indian alcoholics

D. R. Kivlahan, R. D. Walker, D. M. Donovan, H. D. Mischke

Research output: Contribution to journalArticlepeer-review

29 Scopus citations


Fifty urban American Indians were interviewed during admission to a free-standing medical detoxification unit. From the year before the interview through 2 years of follow-up, this sample averaged 44.6 detoxification admissions and 64.1 days in other inpatient treatment and had no significant change in the number of annual detoxification admissions. At follow-up all but three subjects reported recent alcohol dependence symptoms or episodic alcohol abuse. These patients continued to experience serious alcohol-related problems despite repeated treatment in both medical detoxification and inpatient rehabilitation settings. These findings emphasize the need for more innovative and effective alternatives to the existing revolving door process.

Original languageEnglish (US)
Pages (from-to)1467-1470
Number of pages4
JournalAmerican Journal of Psychiatry
Issue number12
StatePublished - 1985
Externally publishedYes

ASJC Scopus subject areas

  • Psychiatry and Mental health


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