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| '''Acupuncture detoxification''' is the use ] on the ] as part of standard ] and ] programs<ref name=Otto2003>{{cite journal |author=Otto KC |title=Acupuncture and substance abuse: a synopsis, with indications for further research |journal=Am J Addict |volume=12 |issue=1 |pages=43–51 |year=2003 |url=http://www.hawaii.edu/hivandaids/Acupuncture_and_Substance_Abuse__A_Synopsis,_with_Indications_for_Further_Research.pdf | format = pdf|pmid=12623739 |doi=10.1080/10550490390143349}}</ref> as well as adjunct treatment for a variety of mental disorders.<ref>http://acudetox.com/about/</ref>. The technique is also referred to as acu detox, the five-point protocol or 5NP, or the NADA protocol. | |||
| </blockquote>"At five designated ear points in each auricle (outer ear), clinicians trained through NADA (National Acupuncture Detoxification Association) apply fine gauge, sterilized, one-time use stainless steel needles just under the skin, where they remain for up to an hour while the patient (in most circumstances) relaxes quietly in a comfortable chair."<ref>http://acudetox.com/about/</ref> | |||
| == About NADA == | |||
| The National Acupuncture Detoxification Association (NADA) is a non-profit organization established in 1985 after over 10 years of careful development and extensive clinical experience in using acupuncture detoxification called for a "national-level organization to expand training capacity and awareness of the value of acupuncture as a tool of recovery."<ref>http://acudetox.com/about/</ref> The organiztion's website explains: "The NADA mission exists to utilize the principles of both Chinese medicine and Western chemical dependency therapies to bring significant benefit to persons in the process of recovery from all forms of drug addiction as well as alcoholism and a variety of mental disorders."<ref>http://acudetox.com/about/</ref> The NADA mission is carried out in five arenas. | |||
| 1. Public education about acupuncture as a recovery tool.<br /> | |||
| 2. Training health care workers in use of acupuncture detoxification.<br /> | |||
| 3. Consultation to local organizations in setting up or adapting treatment sites.<br /> | |||
| 4. Distributing NADA-approved reference material.<br /> | |||
| 5. Publishing Guidepoints, the only publication exclusively dedicated to the subject of acupuncture and addictions and mental health treatment.<ref>http://acudetox.com/about/</ref> | |||
| == How acupuncture detoxification works == | |||
| The mechanism for how acupuncture detoxification works has been described as the NADA and affiliates describe it as the "Spirit of NADA." "Nada," in Spanish, means "nothing." It signifies an abstinence-oriented, pharmaceutical-free no-nonsense approach. It is claimed that acupuncture detoxification is an inexpensive, cross culturally acceptable, non-verbal, barrier-free therapeutic intervention. This is accomplished by "eliminating unnecessary bureaucratic, socio-economic and environmental barriers to starting a program of recovery" as well as "creating a zone of peace within which patients can begin to experience their own inner strengths."<ref>http://acudetox.com/about/</ref> NADA also points out that acupuncture detoxification, as a non-verbal intervention, reminds both the client and the clinician that the purpose of treatment is to "mobilize the internal resources" of the client and to help the client help themselves.<ref>http://acudetox.com/about/</ref> | |||
| == Evidence Base for acupuncture detoxification == | |||
| The 1997 National Institute of Health Consensus Statement on acupuncture also affirms that that acupuncture is beneficial as part of integrative addictions treatment<ref>National Institutes of health. Acupuncture. NIH Consensus Statement 1997 Nov 3-5. Bethesda, MD: National Institutes of Health, 1999.</ref> The National Acupuncture Detoxification Association's (NADA) member publication, Guidepoints, has provided reports on relevant clinical outcomes that have been collected since the early 1970's,<ref>see http://acudetox.com/about/</ref> when the technique was pioneered at the ] in ] by ] Michael Smith during a period of high heroin use.<ref name=Otto2003/> | |||
| Evidence supporting the use of auricular acupuncture (including a ] review) to treat addictions is largely based on anecdotal and clinical reports. Some reviews of randomized controlled studies have concluded that there is insufficient evidence and/or a lack of properly-designed trials that demonstrate its effectiveness.<ref name="pmid16716845">{{cite journal |author=Jordan JB |title=Acupuncture treatment for opiate addiction: a systematic review |journal=J Subst Abuse Treat |volume=30 |issue=4 |pages=309–14 |year=2006 |month=June |pmid=16716845 |doi=10.1016/j.jsat.2006.02.005 |url=http://linkinghub.elsevier.com/retrieve/pii/S0740-5472(06)00043-2}}</ref><ref name="pmid16437523">{{cite journal |author=Gates S, Smith LA, Foxcroft DR |title=Auricular acupuncture for cocaine dependence |journal=] |volume= |issue=1 |pages=CD005192 |year=2006 |pmid=16437523 |doi=10.1002/14651858.CD005192.pub2}}</ref> One ] ] trial found no benefit to the treatment and raised concerns over its widespread use.<ref>{{cite journal |author=Bearn J, Swami A, Stewart D, Atnas C, Giotto L, Gossop M |title=Auricular acupuncture as an adjunct to opiate detoxification treatment: effects on withdrawal symptoms |journal=J Subst Abuse Treat |volume=36 |issue=3 |pages=345–9 |year=2009 |month=April |pmid=19004596 |doi=10.1016/j.jsat.2008.08.002 |url=}}</ref> | |||
| In spite of these concerns, the U.S. Department of Health and Human Services' Treatment Improvement Protocol (TIP 45) for Detoxification and Substance Abuse Treatment highlights the effectiveness of acupuncture detoxification for reducing cravings and withdrawal while improving program retention rates in addictions treatment programs. <ref>http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.85279</ref> | |||
| ==Footnotes== | |||
| {{reflist}} | |||
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| ] | |||
| {{alt-med-stub}} | |||
Revision as of 16:19, 19 September 2009
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