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Richard J. Frances, MD

JAMA. 1991;265(23):3171-3172.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The addiction field is rapidly expanding. Postresidency addiction fellowships for physicians have grown to approximately 65 programs nationally, and the budgets of the National Institute of Drug Abuse and the National Institute of Alcoholism and Alcohol Abuse have been markedly increased.

The American Board of Psychiatry and Neurology in concert with the American Psychiatric Association has expressed an intent to develop added qualifications in addiction psychiatry. Better training will lead to an increase in the number of physicians interested in addictive disorders and may help solve the significant manpower shortages that hamper the implementation and availability of treatment programs. This year's review will focus on advances in substance abuse epidemiology, risk factors and markers, and psychopharmacologic treatment approaches.

Epidemiologic studies highlight the magnitude of addiction problems and suggest possible causes of changes in rates within and across cultures. A well-designed international epidemiologic study of alcoholism by Helzer et al,¹ . . . [Full Text PDF of this Article]

Author Affiliations
University of Medicine and Dentistry of New Jersey—New Jersey Medical School, Newark

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