Evidence-Based Practices for Substance Abuse Treatment Include:
- Gender-Specific Programming. ...
- Dialectical Behavioral Therapy (DBT) DBT, which is utilized in both the male and female residential programs, focuses on needs specific to the profile of the clients in this program.
- Trauma-Informed Therapy. ...
What is the purpose of evidence based practice?
The most common process follows these six steps:
- ASK a question. Is there something in your clinical setting that you are wondering about? ...
- ACQUIRE the current evidence. You’ll do this by conducting a literature search. ...
- APPRAISE the literature. ...
- APPLY your findings to clinical decision-making. ...
- EVALUATE your outcomes. ...
- DISSEMINATE the information. ...
What is evidence based practice in counseling?
Evidence-based practices, or EBPs, are therapies that have been studied academically or clinically, proved successful, and replicated by more than one investigation or review, according to the National Alliance on Mental Illness. This model blends medically researched findings with individual patient beliefs and the provider’s clinical knowledge.
What is evidence based addiction therapy?
So, what is evidence-based addiction treatment? In short, evidence-based practices are those that are based on previously observed efficacy. An evidence-based program becomes evidence-based when scientific review shows that previous users have had successful outcomes. However, evidence-based doesn’t say anything about actual percentage of efficacy or even long-term results.
What is evidence based treatment model?
of evidence-based organizations. The model incorporates best practices from corrections, social sciences, business, and other disciplines, and it provides a framework for sustaining effective interventions across the criminal justice system. Each of the three components of the integrated model is essential. Evidence-based
What is the most effective intervention for substance abuse?
CBT is often rated as the most effective approach to treatment with a drug and alcohol population.
What are evidence-based prevention programs?
Evidence-based prevention refers to prevention programs, strategies, and policies that have been rigorously tested under research conditions and found to be effective in changing adolescent drug use behavior and attitudes.
What are the evidence-based practices in mental health?
This guide presents five evidence-based programs and practices that address the prevention and treatment of common mental health concerns: gatekeeper trainings, mindfulness-based stress reduction, acceptance and commitment therapy, cognitive behavioral therapy, and dialectical behavior therapy.
What is the value of evidence-based treatment programs?
According to a clinical research article catalogued in the US National Library of Medicine, “EBP has been shown to improve patient care, increase patient safety, improve clinical outcomes, reduce healthcare costs, and decrease variation in patient outcomes.”
What is an evidence-based program?
Evidence-based programs (EBPs) offer proven ways to promote health and prevent disease among older adults. They are based on research and provide documented health benefits, so you can be confident they work.
What are evidence-based interventions?
Evidence-based interventions are practices or programs that have evidence to show that they are effective at producing results and improving outcomes when implemented. The kind of evidence described in ESSA has generally been produced through formal studies and research.
What is an example of evidence-based practice?
Key examples of evidence-based practice in nursing include: Giving oxygen to patients with COPD: Drawing on evidence to understand how to properly give oxygen to patients with chronic obstructive pulmonary disease (COPD).
What are the 5 steps of evidence-based practice?
5 steps of Evidence Based PracticeAsk a question. ... Find information/evidence to answer question. ... Critically appraise the information/evidence. ... Integrate appraised evidence with own clinical expertise and patient's preferences. ... Evaluate.
What are the 3 components of evidence-based practice?
3 Components of Evidence-Based PracticeOverall Patient Care. The first step within the evidence-based practice process is for patients and nurses to meet and identify health concerns. ... Leading Research. ... Clinical Experience. ... Learn More.
What are the benefits of evidence-based practice?
BenefitsEBP promotes the quality, efficacy and cost-effectiveness of psychotherapeutic interventions and reduces the likelihood of harm. ... EBP leads to the generation of new knowledge. ... By promoting knowledge translation, EBP facilitates the clinical decision-making process for practitioners.More items...
What is the difference between evidence-based practice and evidence-based treatment?
Therapists who use treatments based on science engage in what is called “evidence-based practice” (EBP). If the treatments they use have scientific evidence supporting the effectiveness of the treatments, they are called evidence-based treatments (EBTs).
What does CBT focus on?
Cognitive behavioral therapy focuses on changing the automatic negative thoughts that can contribute to and worsen emotional difficulties, depression, and anxiety. These spontaneous negative thoughts have a detrimental influence on mood.
What are the best ways to treat substance abuse?
Here is a list of evidence-based practices in substance abuse treatment: 1 Twelve-Step Facilitation Therapy: This type of therapy involves a series of individual or group sessions. The content of each session is based on the concepts of the 12-step program and helps individuals in recovery accept their disease of addiction and surrender to a willingness to engage in treatment and maintain their sobriety.3 2 Eye Movement Desensitization and Reprocessing (EMDR): EMDR is a type of psychotherapy that is designed to help clients manage trauma-related depression, anxiety, and stress. Sessions involve repetitive eye and movement exercises led by an EMDR therapist. These exercises are designed to help clients process traumatic memories and maintain a positive sense of self even when faced with the memory of a traumatic incident.4 3 Cognitive Behavioral Therapy (CBT): CBT is a type of talk therapy that helps individuals address negative thoughts and behaviors and modify them. Many therapists at drug and alcohol rehab centers use it to help clients learn how to manage stressful situations, emotions, and cope with loss, grief, or other traumatic life experiences.5 4 Interactive Journaling: Interactive journaling is a form of written self-reflection that gives clients the ability to think about their substance abuse and how it relates to their current situation. Journaling is also a great tool for guiding change, modifying behaviors, and developing plans and goals for continued progress.6 5 Motivational Interviewing: This type of therapy helps clients sort through and resolve contradictory ideas about their substance abuse, behaviors, and attitudes.7
Is ineffective treatment harmful?
There is often a lack of scientific evidence and research that validates any claims that the treatment works, which means clients are likely to waste a lot of time and money. Ineffective treatment methods can be physically and/or emotionally harmful to the client.
Is drug rehab evidence based?
When individuals are searching for a drug rehab program for the first time, they are often told to look for evidence-based programs, but it can be difficult to determine which rehab programs are evidence-based and which ones are not. To determine whether a drug and alcohol rehab program is reputable and provides evidence-based addiction treatment, ...
What is evidence based treatment?
In order for people to make the best choices for addiction treatment they need access to reliable information. In particular they will need some evidence for how the treatment performs. This is what evidence based substance abuse treatment refers to. It is this that the addiction professionals use so they are able to offer ...
Why is evidence based treatment important?
The individual may only have one shot at recovery because there is no guarantee that they will ever have the motivation to quit again. Unfortunately there are many instances where people do try to quit, but have ended up with a treatment option ...
Why is it important to choose the right addiction treatment option?
The individual may only have one shot at recovery because there is no guarantee that they will ever have the motivation to quit again. Unfortunately there are many instances where people do try to quit, but have ended up with a treatment option that just wasn’t suited to their needs.
Why is anecdotal evidence not important?
This is not to say that anecdotal evidence is not important because it is, but there are some problems with this type of information such as personal biases and human error.
What is the NREBP?
SAMHSA provides the National Registry of Evidence Based Practice (NREBP) where anyone can find reliable information about any treatment they are considering. The NREBP used independent reviewers to rate and review all the evidence available in their search engine.
What does it mean when you choose an ineffective treatment option?
* Some people may only have one shot at recovery. If they choose an ineffective treatment option then this could mean that they have lost their chance to get sober.
Is cognitive behavioral therapy evidence based?
There is currently a number of addiction treatments that would be considered evidence based including: * Cognitive behavioral therapy is a psychotherapeutic approach to addiction treatment. There have been numerous studied that have demonstrated the efficacy of this approach in treating addiction.
What is evidence based treatment?
Evidence based practices in addiction treatment are widely becoming accepted – and generally required – as the most credible practices at drug rehab centers around the country. For the addict or alcoholic evidenced based practices mean that their treatment will largely be based on therapies that have been tested and proven using a variety ...
What is EBP therapy?
To simplify it, EBP consist of therapy and other treatments – including medications – that have been tested in an actual clinical setting with real alcoholics and drug addicts. The application of these therapies and treatments is monitored, the patients are observed and the results are recorded.
Why is EBP important?
Therefore, understanding EBP is critical for both addiction treatment professionals and for those in recovery because as new treatment modalities are tested they may eventually be considered an evidence-based practice. The movement toward evidence-based practices is a relatively new one in the field of addiction treatment.
What is EBP in medical?
EBP promotes the collection, interpretation, and integration of valid, important and applicable patient-reported, clinician-observed, and research-derived evidence. The aim of EBP is that the best available evidence, moderated by patient circumstances and preferences, is applied to improve the quality of clinical judgments ...
How does a practice demonstrate effectiveness?
The practice has demonstrated effectiveness in several replicated research studies using different samples, at least one of which is comparable to the treatment population. . . The practice either targets behaviors or shows good effect on behaviors that are generally accepted outcomes.
Is addiction a personal experience?
This is in part due to the fact that for many in the field, addiction is a personal and professional experience. This can lead some clinicians to prefer using methods that worked for them – they might even consider this to be a practice based on evidence as they believe they have personally seen it work.
What is cognitive behavioral therapy?
Cognitive behavioral approaches are based on the theory that learning processes play a formative role in the development and maintenance of addictive behaviors. These treatments are among the most widely studied. Considering the extensive research that has been conducted in establishing cognitive behavioral therapy as an empirically supported treatment and that few differences are found when comparing cognitive behavioral treatments (see the Mesa Grande study described earlier), researchers have suggested that effective elements across cognitive behavioral approaches be combined ( Kadden, 2001 ). For more information on cognitive behavioral therapy as a treatment method, see Chapter 8.
Why is there increasing pressure for programs to justify their outcomes against competing approaches?
Across the country, there is increasing pressure for programs to justify their outcomes against competing approaches so that they can collect insurance reimbursement. Increasingly, treatment programs need hard scientific evidence to maintain their existence.
What is a randomized controlled trial?
As the name suggests, randomized controlled trials randomly allocate participants to treatment condition and control for extraneous factors that could confound interpretations of causality. However, recent critics have begun to question whether the findings achieved under such tightly controlled studies will translate into routine clinical practice. Instead, many researchers are suggesting effectiveness trials, which test interventions in real-world settings, with the patients and therapists likely to be using the intervention. This design choice consequently limits intervention studies to those that can be realistically administered given staff preferences, time, and resources ( Hunsley & Lee, 2007 ).
Is there any research on substance abuse?
Although a great deal of research has been conducted on substance abuse intervention, clear-cut evaluation of the quality and relevance of such research is not easy. There are many factors to consider when deciding how much weight to give a particular piece of evidence.
How many people need treatment for substance abuse?
But there are so many choices available! How do you know which one is the best? According to Substance Abuse and Mental Health Services Administration’s statistics, 23.5 million people age twelve and over need treatment for substance abuse, yet only 2.6 million actually enter treatment. Many of the methods suggested here could potentially help more people seek help.Everyone reacts differently to treatment, and so no one method of substance abuse treatment works for all. That is why a wide range of plans, programs, and treatment methods have been developed. Each program emphasizes recovery, but may approach the topic differently. Finding the one that fits your needs best is vital for a full recovery.
What is cognitive behavioral therapy?
Cognitive behavioral therapy hinges on the assumption past traumas or incidents affect how you react to life’s stressors today. Cognitive behavioral therapy (CBT) helps you recognize situations that trigger cravings for alcohol or drugs and change your reaction so you think differently and choose differently. The short duration of the therapy — combined with its effectiveness at helping people overcome multiple problems in addition to substance abuse — makes it very appealing. It is covered by most insurance programs, making it more affordable than other therapeutic approaches.
What are the 12 steps of addiction?
Born from a religious movement called the Oxford Group, the 12 steps help individuals admit they have a problem, acknowledge they need help, work on their personal stumbling blocks and defects, seek restitution and repair broken relationships, and continue in recovery through service, fellowship, and a connection with a Higher Power.The Twelve Steps form the basis for many substance abuse treatment programs. From the single original program developed in the 1930s, today there are 94 verified Twelve Step fellowships. These include traditional “anonymous” meetings held in church basements, hospital meeting rooms, and other locations worldwide. But The Twelve Steps are also used in many other recovery programs. There are religious recovery programs based on the Twelve Steps, agnostic programs, and every other type of program in between. The Twelve Steps can be summarized as follows:
How does motivational enhancement therapy work?
With motivational enhancement therapy, substance abusers work to overcome their mental roadblocks to seeking treatment or staying recovered. While not a recovery treatment per se, if motivational enhancement therapy is offered in conjunction with other therapies, it seems to help the outcomes overall.In motivational enhancement therapy (MET), clients meet with a therapist for approximately four to six sessions. At your first session, the therapist will assess your condition and especially your motivation for entering treatment. Next, you will attend a series of two to four therapy sessions to discuss the results of your initial assessment, your current substance abuse level, and reasons for entering treatment. During MET, the therapist’s job is not to help you recover, but to help you get to a place where you want to recover. Providing feedback to you is like holding up a mirror and reflecting back your substance abuse — you get to see how you really are in the eyes of a professional. You might not like what you see, but it is a good motivator to enter treatment. The goal is to motivate you so you take the next step in your treatment. Without adequate motivation, the best recovery and treatment facility in the world cannot help you. After motivational enhancement therapy is complete, you may still have sessions where your therapist helps you develop coping strategies for risky situations. You may also learn new ways of dealing with cravings and temptations to relapse. MET can be a great therapy by itself or as an adjunct to keeping your motivation high for participating in other recovery programs.
Evidence Based Substance Abuse Treatment Defined
Levels of Evidence to Guide Practice
Problems with Anecdotal Evidence
Problems with Addiction Treatments That Are Not Evidence Based
Substance Abuse and Mental Health Service Administration
- The substance abuse and mental health service administration (SAMHSA)is a government agency that is dedicated to promoting evidence based services and treatments. They provide information to professionals and to the general public. SAMHSA provides the National Registry of Evidence Based Practice (NREBP) where anyone can find reliable information ab...
Addiction as A Medical Specialty
Examples of Addiction Treatments That Are Evidence Based