지역사회 중독관리서비스 현황 : 중독관리통합지원센터를 중심으로

초록

Objectives ： The number of patients withsubstanceuse disorders, gambling disorder, and Internet gaming disorder is estimated atabout 5 million. However, only 1-8 percent of them receive treatment. This study identified the current situation of the Community Addiction Management Centers (CAMC) in Korea, and suggested a way to improve addiction management. Methods ： The research investigated the current status of CAMC and individual tasks. It reviewed the addiction management system of the Substance Abuse and Mental Health Administration (SAMHSA) in the United States. Results ： The subjects consisted of 255 employees. In most centers, more than 95 % of registered subjects were patients with alcohol use disorder, whereas patients with drug use disorders were 16.9% in Gwangju/Jeonnam. Patients with gambling disorder were 10.9% in Jeonbuk, and 12.7% in Jeju. Large-scale centers with 8 or higher full time equivalent deal with addictions other than alcohol and have higher work efficiency. Conclusion : In order to improve the standard of addictionmanagement, a large-scale center is advantageous, and each center should set its task goal considering the size and regional characteristics of the center. It is necessary to establish a systematic liaison with local agencies and secure funds for preventing the breakaway of experienced workforce.

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