Book chapter
Psychiatric Evaluation of the Liver Transplant Candidate with Alcohol-Associated Hepatitis
Transplant Psychiatry, pp.145-152
Springer International Publishing
01/01/2023
DOI: 10.1007/978-3-031-15052-4_18
Abstract
Alcohol-related liver disease (ARLD) has become the leading indication for liver transplantation in the United States, and patients with alcohol-associated hepatitis (AAH), once considered an absolute contraindication, are now receiving liver transplants with increasing frequency. The prior standard of practice for most liver transplant programs in the United States required at least 6 months of sobriety and some form of addiction treatment. However, due to high mortality rates when medical management fails for AAH patients, early liver transplant is the only remaining therapeutic option. A comprehensive psychosocial assessment is an essential component, seeking to identify candidates most likely to benefit from the transplant by adhering to the transplant team’s recommendations, and in turn, maintain long-term post-transplant abstinence.
The purpose of this chapter is to aid mental health clinicians, who may have limited exposure to patients with AAH, in conducting a psychiatric evaluation. Additionally, strategies for evaluating patient insight and motivation to engage in addiction treatment, monitoring for “slips” or alcohol relapse, and ways in which transplant teams can best help prepare patients and their support network for pre- and post-transplant success will be addressed.
Details
- Title: Subtitle
- Psychiatric Evaluation of the Liver Transplant Candidate with Alcohol-Associated Hepatitis
- Creators
- Robert M. WeinriebMichael A. Strong
- Resource Type
- Book chapter
- Publication Details
- Transplant Psychiatry, pp.145-152
- Publisher
- Springer International Publishing; Cham
- DOI
- 10.1007/978-3-031-15052-4_18
- Language
- English
- Date published
- 01/01/2023
- Academic Unit
- Psychiatry
- Record Identifier
- 9984354394102771
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