Abstract
To evaluate the efficacy of treatment of patients at risk of deprivation of parental rights due to alcohol dependence under the 'Point of Soberness' program including psychotherapy and intramuscular injections of extended-release naltrexone (vivitrol). Results of therapy of 45 patients, 39 women and 6 men, are presented. Out of 45 patients, 42 (93.3%) received a full course of injections of prolonged naltrexone (6 or more) as part of a comprehensive outpatient rehabilitation program. Thirty-six (80.0%) patients maintained a remission. In 9 patients (20.0%), single breakdowns and breakdowns, resulting in a relapse of the disease were recorded. Forty-two patients (93.3%) retained their parental rights. The return of children was made in one case. The 'Point of Soberness' program makes it possible to achieve long remission of alcohol dependence, and to keep parental rights for these patients.
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