Treatment FAQ

what is evidence-based treatment for addiction

by Mr. Paris Stiedemann DDS Published 2 years ago Updated 2 years ago
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Evidence-based practice is quite simply the decision to follow specific actions based on their previously observed effects. Experts in addiction treatment look for research-based modalities that result from scientifically sound processes.

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What are the best therapies for treating addiction?

Evidence-based therapy is multilayered in nature, attacking the disease of addiction on several fronts. Each specific approach or strategy is used to address both the specific aspects of the individual’s substance abuse disorder and the consequences and repercussions that affect the individual, their friends and family, and society as a whole.

What is the most effective addiction treatment?

Jan 17, 2018 · Evidence-Based Approaches to Drug Addiction Treatment Each approach to drug treatment is designed to address certain aspects of drug addiction and its consequences for the individual, family, and society.

What are the principles of effective addiction treatment?

Nov 19, 2021 · What is evidence-based treatment for addiction? Evidence-based addiction treatment is tested, evaluated, and monitored to ensure that it truly does support individuals who wish to reduce or stop their drinking entirely. Individuals who enter addiction treatment often experience several types of evidence-based therapy either consecutively or concurrently in …

Which is the best treatment for drug addiction?

Oct 19, 2021 · Evidence-based addiction treatments are designed to meet the specific mental health needs of clients suffering from different addictions, post-use symptoms, and ideologies. The most effective, popular, and helpful evidence-based addiction treatments include CBT, DBT, Contingency Management (Motivational Incentives), and 12-step facilitation therapies.

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What are evidence-based interventions for substance abuse?

Consensus exists that several psychosocial treatments or interventions for substance use disorders are “evidence-based.” These include cognitive-behavioral therapy (CBT) (including relapse prevention (RP)), contingency management (CM), motivational enhancement/motivational interviewing (MI) and brief interventions (BIs ...

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.”Jun 22, 2020

What is evidence-based mental health treatment?

The American Psychological Association states that evidence-based treatment, or EBT, in the field of psychology is the practice of integrating the most up to date research available with clinical experience and the patient's individual needs and attributes.Sep 16, 2021

What is the most effective in treating addiction?

According to American Addiction Centers, Cognitive Behavioral Therapy (CBT) is a valuable treatment tool because it can be used for many different types of addiction including, but not limited to, food addiction, alcohol addiction, and prescription drug addiction.Dec 12, 2020

What is an evidence-based treatment?

Evidence-based treatment (EBT) refers to treatment that is backed by scientific evidence. That is, studies have been conducted and extensive research has been documented on a particular treatment, and it has proven to be successful.Apr 1, 2016

Why is evidence-based treatment important?

Psychologists and other mental health care professionals who use EBTs are dedicated to offering the best level of care available by constantly evaluating and comparing the effects of various treatments for a variety of children's and adolescents' mental health problems.Aug 5, 2017

What are examples of evidence-based treatments?

Evidence-based TherapiesApplied Behavior Analysis.Behavior therapy.Cognitive behavioral therapy.Cognitive therapy.Family therapy.Dialectical behavior therapy.Interpersonal psychotherapy.Organizational Skills Training.Aug 5, 2017

What is an example of evidence-based therapy?

Dialectical Behavior Therapy (DBT) is also an evidence-based treatment, as it has been shown to be effective for relieving the symptoms and improving outcomes for patients with both borderline personality disorder (BPD) and substance abuse (Linehan et al., 1999) as well as for patients with trichotillomania (Keuthen et ...

What are some examples of evidence-based interventions?

Evidence-Based Practice InterventionsBehavior Therapy. Attention Deficit Hyperactivity Disorder (ADHD) ... Cognitive Behavioral Therapy. Anxiety. ... Eye Movement Desensitization and Reprocessing (EMDR) Anxiety, Depression, and Trauma/PTSD. ... Exposure Therapy. ... Family Therapy. ... Group Interventions. ... Holistic Approaches. ... Parent Training.More items...

What is a treatment plan for substance abuse?

A substance abuse treatment plan is an individualized, written document that details a client's goals and objectives, the steps need to achieve those, and a timeline for treatment. These plans are mutually agreed upon with the client and the clinician.

What type of therapy is used for substance abuse?

Behavioral therapy is perhaps the most commonly utilized types of treatment for addiction that is frequently used during substance rehabilitation. A general behavioral therapeutic approach has been adapted into a variety of effective techniques.Feb 21, 2022

What is the first step in treating a drug abuse problem?

Detoxification is normally the first step in treatment. This involves clearing a substance from the body and limiting withdrawal reactions. In 80 percent of cases, a treatment clinic will use medications to reduce withdrawal symptoms, according to the Substance Abuse and Mental Health Services Administration (SAMHSA).Nov 2, 2018

What is evidence based therapy?

Evidence-based therapy is multilayered in nature, attacking the disease of addiction on several fronts. Each specific approach or strategy is used to address both the specific aspects of the individual’s substance abuse disorder and the consequences and repercussions that affect the individual, their friends and family, and society as a whole.

How does behavioral therapy help with addiction?

Behavioral therapy helps addicts/alcoholics change their self-destructive behaviors. The goal is to replace bad habits with good ones. In terms of treating substance abuse disorders, behavioral therapy has several objectives: 1 Engage the substance abuser and empower them to participate in their recovery 2 Provide positive motivation and incentives for continued abstinence 3 Modify drug-seeking or addictive behaviors 4 Teach the substance abuser new life skills 5 Assist in developing new stress reduction techniques and coping mechanisms 6 Recognize “triggers” that may precipitate drug use/drinking 7 Avoidance of unhealthy people, places, things, and thoughts 8 Overcoming drug cravings 9 Relapse prevention

What is behavioral therapy?

Behavioral therapy helps addicts/alcoholics change their self-destructive behaviors. The goal is to replace bad habits with good ones. In terms of treating substance abuse disorders, behavioral therapy has several objectives: Engage the substance abuser and empower them to participate in their recovery.

How to help a substance abuser?

Teach the substance abuser new life skills. Assist in developing new stress reduction techniques and coping mechanisms. Recognize “triggers” that may precipitate drug use/drinking. Avoidance of unhealthy people, places, things, and thoughts. Overcoming drug cravings. Relapse prevention.

What is family behavior therapy?

Family Behavior Therapy – This approach is one of the most important components of any successful recovery, regardless of the drug used, because it addresses both the substance abuse problem as a disease and the effects on the family including enabling and excessive caretaking.

How does dopamine affect the reward system?

Most substances of abuse target the reward system of the brain, by stimulating the overproduction of dopamine – a neurotransmitter involved in movement, emotions, motivation, and feelings of pleasure. Certain drugs can release up to 10 times the amount of dopamine produced by other healthy and natural activities, such as eating or having sex.

Is medication an essential component of treatment?

However, this is just the first step in treatment. Medications have also become an essential component of an ongoing treatment plan, enabling addicted persons to regain control of their health and their lives .”.

What is Evidence-Based Treatment?

Evidence-based treatment is defined as adherence to approaches and techniques that are backed up by sound scientific evidence. Ideally, a treatment practice has been tested by at least one high-quality study conducted under carefully controlled conditions.

Evidence-Based Practices and Addiction Treatment

Numerous studies over the last few decades have indicated that addiction is a chronic brain disease that isn’t curable, but can be successfully managed with proper treatment.

How to Know if Treatment is Evidence-Based

EBT increases the chance that people in treatment for addiction receive safe, effective treatments; not unproven techniques that may be useless or unsafe. In some cases, insurance companies won’t pay for treatments that don’t rely on EBT.

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.

What is buprenorphine used for?

Buprenorphine has also been used in the treatment of opiate addiction. This drug is a partial opioid agonist that suppresses withdrawal, produces effects similar to other opiates at low doses, and blocks the effects of other opiates.

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 ).

Can acamprosate and naltrexone be combined?

The COMBINE study expanded on the findings of Project MATCH to determine whether combining medications for alcohol dependence (naltrexone, a camprosate) could improve the effectiveness of behavioral interventions. In COMBINE, a combined behavioral intervention was created that incorporated aspects of all three treatments from Project MATCH. In addition, COMBINE tested a medication management (MM) intervention, a less involved treatment focusing on providing support and medication compliance. To explore which medication and behavioral treatment combination led to better outcomes, participants in the study were randomly assigned to one of nine treatment combinations. Results from the COMBINE study showed that adding a brief intervention (MM) to naltrexone can be a cost-effective way of treating alcohol dependence and that a combination of medication and behavioral treatment was more effective than medications alone ( Anton et al., 2006 ). The implication of these results is that, via the use of a variation of MM (i.e., more focused and fewer sessions) combined with naltrexone, it may be possible to treat alcohol dependence in primary care settings.

What is Project Match?

Project MATCH was a multisite, collaborative project supported by the National Institute on Alcohol Abuse and Alcoholism. The study was designed to test matching hypotheses, which predicted that clients with certain characteristics would fare better in one treatment versus another. Clients were assigned randomly to one of three treatments (cognitive behavioral treatment [CBT], motivational enhancement therapy [MET], or 12-step facilitation [TSF]) and their outcomes were compared based on 10 client variables, including psychiatric severity and level of motivation ( Project MATCH Research Group, 1993 ). At a 12-month follow-up, participants from all three treatments had more days abstinent and drank fewer drinks per episode when compared with baseline assessments. However, few of the matching hypotheses were supported. Findings indicated that CBT, MET, and TSF were equally effective in improving alcohol outcomes and that specific patient characteristics do not differentially influence the effectiveness of these interventions.

What is motivational interviewing?

Motivational interviewing (MI) is a brief, client-centered, directive intervention that enables clients to explore and resolve ambivalence about change ( Rollnick & Miller, 1995 ). In MI, therapists are encouraged to take a nonjudgmental stance and guide patients through the process of exploring their substance use in the context of personal goals and values. This intervention has been widely studied and shows moderate levels of efficacy in the treatment of alcohol and drug disorders, as well as in engaging people in other forms of addiction treatment ( Hettema, Steele, & Miller, 2005 ). MI techniques are discussed further in Chapter 9.

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.

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