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The Stanford Alcohol and Drug Treatment Program [SADTP] offers a wide array of services and referrals to address a full spectrum of diagnoses - from uncomplicated alcohol dependencies to complex co-morbidities. This month Fact File talks with Robert Matano, director of the SADTP; Lori Moorhead, staff psychologist and coordinator of the intensive outpatient program; and Craig Charles, clinic manager.

            Lori Moorhead, Craig Charles and Robert Matano

1. In a 1998 U.S. News and World Report survey of medical school subspecialty programs, the SADTP was rated among the 10 best.

2. SADTP offers an inpatient detoxification service, an intensive outpatient program, and long-term individual, group and family therapy.

3. The primary component of the treatment program is the eight-week, structured outpatient program (SOP), which patients begin after an initial evaluation. SOP includes four nights (5 to 8 p.m.) of psychotherapy and psychoeducational groups, including one (Thursday) night session with families. Groups maintain a 1 to 10 staff/patient ratio. Patients also receive weekly individual therapy. The eight-week program continuously repeats so that patients can start at any point without duplicating the didactic lectures, which precede each evening's process group meeting. SOP also includes six months of "aftercare" group visits, which are also available to alumni of other programs for a fee.

4. Detoxification is offered in the med/psych unit (G-2) at Stanford Hospital. Chris Hayward, associate professor of psychiatry, is medical director of the unit.

5. In 1998, the clinic recorded 3,500 patient visits, registering approximately 300 new outpatient and 200 new inpatients.

6. About 40 percent of patients are self-referred; an equal number come through employee assistance programs and physician referrals. Other patients come from a variety of sources, such as referrals from other treatment programs.

7. About 40 percent of the patients are predominantly alcohol-dependent, about 30 percent use drugs and alcohol, and about 30 percent primarily or entirely use drugs.

8. Projective and objective tests, such as Rorschach, MMPI-2, MCMI-3 and neurological screening, are typically performed two to three weeks into the program to ensure that interdisciplinary resources, such as neurological services, can be brought in if needed.

9. Matano received a PhD in education from University of California-Berkeley in 1979, and completed post-doctoral training in clinical psychology at the Palo Alto School of Professional Psychology in 1984. A year later he became director of the SADTP, while continuing to serve as a consultant to numerous alcohol rehabilitation programs in the United States and overseas. In 1994, Matano was appointed to the faculty as assistant professor of psychiatry and behavioral sciences. Matano initiated a group of faculty educators in substance-abuse from all of the California and Nevada medical schools to improve the curriculum in the area of substance-abuse education. He is the author of numerous publications and currently serves as principal investigator/project director of a study on workplace managed care substance abuse programs, sponsored by the Department of Health and Human Services.

Moorhead received her PHD in clinical psychology in 1995 from the California School of Professional Psychology, San Diego, after a 10-year career in counseling and teaching. She came to Stanford in November 1998. She also serves as a psychologist and director of training at the College of Notre Dame, Belmont, and at the Giarretto Institute in San Jose.

Charles received his master's degree in counseling from California State University, Fullerton in 1985. He came to Stanford to serve as clinic manager in 1998 from a position as director of the partial hospitalization program at Eden Hospital in Castro Valley. A licensed marriage, family and child counselor, Charles maintains a private psychotherapy practice in Fremont.

10. Staff therapists, in addition to Matano and Moorhead, include postdoctoral fellow Kristine Futa and predoctoral intern Beverly Wells.

11. To receive more information about alcohol or substance-abuse treatment or to refer a patient, call the clinic at 723-6682. Matano may be reached by physicians at (650) 725-5716 and Moorhead at 725-8443.

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