what is evidence based treatment for substance abuse

by Alba Hessel Published 2 years ago Updated 2 years ago

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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. ...

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What is the best therapy for substance abuse?

22 rows · Evidence-based practices for substance use disorders This article focuses on treatments with a ...

What are the DSM 5 criteria for addiction?

Some of the most common forms of evidence-based treatments used for addiction and mental illness treatment include: Cognitive-behavioral therapy (CBT). Cognitive-behavioral therapy is based on the idea that thoughts determine behavior. Dialectical behavior therapy (DBT). Dialectical behavior therapy ...

What are the pros and cons of evidence based practice?

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. This section presents examples of treatment approaches and components that have an evidence base supporting their use.

Which is the best treatment for drug addiction?

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) for alcohol and …

What are some evidence-based interventions for substance abuse?

What is considered the most effective treatment for substance abuse?

Talk therapy (counseling) is the most commonly used treatment for substance misuse. Therapy is a treatment that helps people with emotional, physical, and mental health problems function better.Sep 20, 2021

What is the treatment for substance use disorder?

Treatment programs usually offer: Individual, group or family therapy sessions. A focus on understanding the nature of addiction, becoming drug-free and preventing relapse. Levels of care and settings that vary depending on your needs, such as outpatient, residential and inpatient programs.Oct 26, 2017

What are evidence-based prevention programs?

Evidence-based prevention strategy (HPIO, 2013). Programs, policies or other strategies that have been evaluated and demonstrated to be effective in preventing health problems based upon the best-available research evidence, rather than upon personal belief or anecdotal evidence.

What is a treatment modality?

Treatment modalities, or methods of treatment, are the ways that a doctor or administrative health professional treat a patient with mental, emotional, personality disorders or dual diagnosis.

What are the principles of effective treatment?

Effective Treatment Attends to Multiple Needs of the Individual, not just his or her drug use: To be effective, treatment must address the individual's drug use and any associated medical, psychological, social, vocational, and legal problems. age, gender, ethnicity, and culture.

How is substance abuse diagnosis?

Taking the substance in larger amounts or for longer than you're meant to. Wanting to cut down or stop using the substance but not managing to. Spending a lot of time getting, using, or recovering from use of the substance.Mar 21, 2020

What are three options for drug abuse?

There are many options that have been successful in treating drug addiction, including:behavioral counseling.medication.medical devices and applications used to treat withdrawal symptoms or deliver skills training.evaluation and treatment for co-occurring mental health issues such as depression and anxiety.More items...•Jan 17, 2019

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 are examples of evidence-based programs?

Provides evidence-based information about medical technologies, treatments, and models of care. Some examples are: PSA screening for prostate cancer, migraine management, and hepatitis C treatments. An international research network that produces systematic reviews of the effects of social interventions.

How do you choose evidence-based treatment?

Step 1: Identify the issue of concern, collect baseline data, and. develop goals.Step 2: Search the Internet, books, and primary resources for. interventions.Step 3: Consider benefits and disadvantages of intervention options.Step 4: Select an appropriate evidence-based intervention.

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

What is Nova Recovery Center?

Nova Recovery Center utilizes several evidence-based treatment methods and specialized therapies to provide an individualized long-term rehab program that addresses the specific needs of each client. If you or a loved one is seeking addiction treatment, call Nova today to learn more about why our rehab center may be a great fit for you.

Is scientific research reliable?

Scientific research is an extremely reliable source for determining what works. For this reason, evidence-based addiction treatment methods are widely viewed as being very effective for helping addicted individuals overcome their drug and alcohol abuse. Nova Recovery Center, for example, is a rehab center that offers evidence-based approaches ...

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.

Why is CBT important?

Addition of cue exposure techniques to a CBT may further assist heroin-dependent users in working toward a goal of abstinence.[28] Thus, CBT forms an important tool of intervention and occupies an important place in the psychosocial treatment of substance use disorders. RP.

What is CBT in psychology?

Standard CBT is a time-limited, structured psychological intervention, derived from a cognitive model of drug misuse.[23] .

What are the elements of CBT?

Other elements of CBT include social skills training (effective communication, refusal skills) and problem solving skills. CBT is often rated as the most effective approach to treatment with a drug and alcohol population.[24,25] and is accepted well by clients.[26] .

What are the activities of a program?

Programs usually include activities such as employment, education and skills training, life skills training (such as budgeting and cooking), counseling, group work, RP and a “re-entry” phase where people are helped return to their community . The effectiveness data are sparse.

What is methadone maintenance?

Patients on opioid agonist maintenance therapies. Most studies have evaluated psychosocial treatments in the context of methadone maintenance, whose goal is the reduction of illicit drug use and its associated harms and risks. These therapies have been variable in their approach.

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 ...

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 ...

What is the purpose of the SAMHSA?

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.

What is matrix model?

* The Matrix model is used in the treatment of stimulant abuse. It involves using education and encouragement to lead the individual into recovery from their addiction.

Why is it important to choose the right addiction treatment option?

Is addiction a medical specialty?

Addiction as a Medical Specialty. The world of medicine relies heavily on evidence based practice. In recent years there have been moves to take addiction treatment under the wings of medicine. This is due to increasing evidence that this behavior is a brain disease that can be treated by medical interventions.

Why do we learn so much from other people?

This is because most people will be telling the truth, and there personal experiences can be of great value. It makes it possible to learn from the mistakes of other humans and so avoid pain and wasted time.

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.

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.

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 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 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.

Evidence-Based Therapy

Evidence-based therapies (EBTs) have been shown to improve a variety of mental health conditions and overall well-being. These treatments are tailored to each Veteran’s needs, priorities, values, preferences, and goals for therapy.