Treatment FAQ

who should use abstinence only instead of medication assistance substance treatment

by Prof. Rosalee Skiles Published 2 years ago Updated 2 years ago

The Substance Abuse and Mental Health Services Administration (SAMHSA) describes it as the “safest approach for those with substance use disorders.” Abstinence is the most common form of addiction treatment in the nation. The safest way to prevent a relapse is to avoid substance use entirely.

Full Answer

Is abstinence really necessary for addiction treatment?

Historically, addiction treatment has centered upon an abstinence-based model, one which asserts that abstinence is essential in order to recover from addiction.

Is total abstinence the best marker for addiction treatment success?

In fact, even most research institutions and well-informed providers use total abstinence as the marker for addiction treatment success.

What is abstinence-based recovery?

Abstinence-based recovery dates back centuries, long before addiction was determined to be a medical disease. This recovery philosophy expects an individual to completely stop the use of alcohol and other drugs as part of the treatment process.

Should I abstain from alcohol and drugs?

For those whose health has been severely compromised through alcohol and drug use, abstinence may be advisable, as further exposure to alcohol or drugs could be life-threatening, or abstinence may half progression of a condition that may become life-threatening if the person consumes alcohol or drugs.

Is abstinence the only solution for addiction?

Conclusions: Available evidence does not support abstinence as the only approach in the treatment of alcohol use disorder. Controlled drinking, particularly if supported by specific psychotherapy, appears to be a viable option where an abstinence-oriented approach is not applicable.

What does it mean to be abstinent from drugs?

Abstinence is used in addiction treatment to describe the process of abstaining—meaning not engaging in, or avoiding—from addictive substances and/or behaviors.

What are three benefits of abstaining from drugs?

Below we'll tell you about the top mental and physical benefits of quitting drinking and drugs for good.Better Focus and Memory. ... Reduce Heart Attack and Cancer Risk. ... Look Younger and Lose Weight. ... You'll Sleep Better. ... Increase Self-Esteem and Mental Health. ... You'll Have Better Relationships.

Why should you abstain from drugs?

Abstinence also ensures that those in recovery do not develop another addiction to another substance. Essentially swapping out one addiction for another. Without access to any type of substance that can cause relapse, a person has a 100 percent fair and equal chance at making a full recovery.

Why is total abstinence important?

Total abstinence is so important because any psychoactive substance can: Make it harder to resist temptation. Just about any intoxicant will strip you of inhibitions, making you far more likely to give in to impulse.

What is abstinence planning?

Abstinence is simply not having sexual intercourse. If you're abstinent, it means you've decided not to have sex - this includes vaginal, oral and anal sex. Abstinence prevents pregnancy by not giving the opportunity for semen to enter the vagina. A sperm can't fertilize an egg if you don't have intercourse.

When someone is addicted to drugs what is the best course of action?

Early intervention is best Intervening at an early stage is the most beneficial course of action for the addicted person. Like any illness, the condition responds best to treatment in the early stages. It is important not to simply ignore the problem until a major 'breaking point' occurs.

What is a short term benefit of quitting dependence on drugs?

What is a short term benefit of quitting a dependence on drugs. Increased clarity of thought. What is a long term benefit of quitting a dependence on drugs. Increases ability to sustain relationships. Your friend wants to quit smoking.

Which is a benefit related to abstaining from alcohol?

Abstaining from alcohol can lead to several mental health benefits, including improved focus, energy, memory and sleep. It can also reduce your risk for heart problems, liver problems and several types of cancer. Excessive drinking does a lot of long-term damage to the body.

What are the advantages of abstinence?

What Are the Benefits of Abstinence?prevent pregnancy.prevent STDs.wait until they're ready for a sexual relationship.wait to find the "right" partner.have fun with romantic partners without sexual involvement.focus on school, career, or extracurricular activities.More items...•

What is the meaning abstinence?

1 : the practice of abstaining from something : the practice of not doing or having something that is wanted or enjoyable … ate with a haste and an apparent relish, that seemed to betoken long abstinence from food.— Walter Scott. 2a : habitual abstaining from intoxicating beverages. b : abstention from sexual ...

What top 10 reasons would you give a friend to encourage them not to use drugs alcohol or tobacco?

Top Ten Reasons to Say NO to Tobacco, Alcohol, DrugsPlay for Keeps. Win for Life.Be yourself, be confident. ... One bad choice leads to another. ... Earn better grades, ensure a brighter future. ... Be happier and more content. ... Be free and independent. ... Sleep sound, improve memory. ... Feel healthier, more fit. ... More items...

What is the definition of abstinence?

When it comes to addiction treatment, abstinence is defined as the complete cessation of substance abuse. The Substance Abuse and Mental Health Services Administration (SAMHSA) says abstinence is the safest approach in treating substance use disorders. It remains the most common form of addiction treatment in the US.

What is the solution to existence in chemical jail?

Abstinence is the only solution to individuals suffering from existence in “chemical jail.” Many drug courts attempt to divert addicts with drug charges away from incarceration. They do so by requiring them to meet certain requirements and submit to drug tests.

Why do people take methadone?

Taking methadone, given in the liquid form, prevents the person from experiencing withdrawal sickness. To receive a dose, an individual must show up to a methadone clinic every day. Having to be present in this way severely limits their movements and ability to travel. Treatment can continue for years.

When did alcoholics get jailed?

In the late 1940s, alcoholics were often jailed or put in institutions for the mentally ill—if they weren’t left to face the fate of their addictions. Society know how to handle this population, however, AA’s membership grew over 90,000 during this time. The idea of abstinence grew from Alcoholics Ananymous.

Is abstinence a viable recovery?

Some people don’t realize that abstinence is a viable way to recover from drug addiction. They are led to believe that their only option out of addiction is to rely on synthetic addictive or toxic substances that got them there. Abstinence-based recovery can be the ticket to a healthier lifestyle.

Do medications help with addiction?

However, it does little to provide someone a stable path out of addiction. In some cases, these medications are used only in detox or for an immediate overdose-reversing intervention to save someone’s life. And for those reasons, medications do have their place in the treatment of addiction.

Does the CDC recommend MAT?

Many agencies, including the National Institute on Drug Abuse (NIDA) and the CDC, recommend the use of MAT. However, they don’t provide much guidance on what the recovery process using medications should look like. These agencies believe in compliance with a regimen of medications versus continued abstinence.

What is AA 12 step?

Alcoholics Anonymous (AA) was the first program focused specifically on treating addiction, and complete abstinence from alcohol was the cornerstone of the approach. Therefore, abstinence has a long history of being an entrenched concept required for recovery. Those who developed the AA 12 step program genuinely believed ...

Does 12-step require abstinence?

For example, 12-step programs require abstinence, whereas motivational interviewing does not . Abstinence from alcohol involves completely avoiding intake of any alcohol and contrasts with controlled drinking that might help an alcohol addict to become a moderate and non-problematic drinker.

Is abstinence a rigid or all or nothing approach?

Abstinence is a rigid, all-or-nothing approach, so much so, that it is considered by some factions of the addictions field to be unworkable for many people who want to overcome addictive behavior.

Is abstinence based therapy unworkable?

With the growing recognition of behavioral addictions, abstinence-based approaches are increasingly seen as unworkable. For example, everyone needs to eat, so abstinence from food is not possible—although some who are particularly attached to abstinence-based approaches hold that certain foods should be completely avoided.

Is it advisable to abstain from alcohol?

For those whose health has been severely compromised through alcohol and drug use, abstinence may be advisable, as further exposure to alcohol or drugs could be life-threatening, or abstinence may half progression of a condition that may become life-threatening if the person consumes alcohol or drugs. In these circumstances, the decision ...

Is abstinence necessary for recovery?

Complete Abstinence May Be Necessary. Some addictive behaviors, such as sexually abusive behavior or the use of inhalants, are so harmful that controlled behavior is not possible or advisable under any circumstances, and complete abstinence is necessary. Maintaining Abstinence During Recovery.

What percentage of abstinence programs are based on sobriety?

What Are Abstinence-Only Programs? Currently, it is estimated that about 95% of treatment programs are abstinence-based. Abstinence-only programs revolve around the theory that true recovery consists of a constant state of sobriety.

Why should programs include strategies to engage and keep patients in treatment?

Because individuals often leave treatment prematurely, programs should include strategies to engage and keep patients in treatment.”. A Sense Of Powerlessness: Some may struggle with the concept of admitting that they are powerless over a substance which may make it easier for them to relapse.

Is abstinence only treatment counterproductive?

Some proponents of abstinence-only treatment oppose using medication within the treatment or recovery progress. They consider it to be counterproductive or damaging to subject an individual to yet another chemical or drug while their body and mind are healing.

Is there a variance in the treatment of drug addiction?

There is a variance of opinion on the most effective method of managing a drug or alcohol addiction. This diversity of opinion may confuse an individual as they begin the process of seeking help. Traditionally, abstinence-only programs have been the most prevalent within the U.S and some proponents argue that they are the only way ...

Is addiction incurable?

The belief that addiction is a disease and inherently incurable as individuals have no control over their behavior or physical dependence. Adherence to the tenet that recovery occurs from the constant accountability and admission of your illness which is furthered by attending meetings and relying on your peers.

What is the abstinence only recovery model?

Historically, addiction treatment has centered upon an abstinence-based model, one which asserts that abstinence is essential in order to recover from addiction. One of the most popular forms of “abstinence only” recovery treatment is Alcoholics Anonymous (AA), a step-based, peer recovery program that has more than 2 million members worldwide in ...

Why is the AA program not resonated?

For some people, the AA program has not resonated, mainly due to its spiritual component. After all, not all people are comfortable with the idea of praying or focusing on spirituality. Others have found its framework too rigid, especially where the complete abstinence requirement is concerned.

Is the AA program faith based?

This betrayal by AA members claiming the program is spiritual not faith based when it actually is can, and does, result in newcomers leaving the program in disgust. Furthermore, on the subject of modern society, AA members become insular and isolated in a nearly cultlike fashion.

Is alcohol abuse on the rise?

Alcohol abuse is on the rise in the U.S. while dependence is declining (NIAAA, 2004) and the Institute on Medicine has determined that problem drinkers who are not dependent are a significant cost to society and whose needs are unmet (IOM, 1990, Broadening the base of treatment for alcohol problems).

Does moderate drinking work?

Research shows that moderate drinking can work for those who abuse alcohol. I can't even think of how many times I've heard the notion that complete, total, abstinence should be the only goal for all people who abuse drug or alcohol.

Abstinence-Based Treatment

  • As the name implies, abstinence-based treatment means simply abstaining from opioid use altogether without any medication assistance. It is the most common form of treatmentfor substance abuse in the United States today, mainly because it is difficult to find and access medication assistance. Thus it is often used as a matter of necessity instead o...
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Abstinence-Based Treatment Programs

  • Abstinence-based treatment programs were originally used for alcohol-dependent patients in 1935, the most famous being Alcoholics Anonymous (AA). The program, formally a 12 step program, provides individuals with a social support group and a gradual step-by-step path to counter their alcohol dependence. Since then, multiple twelve-step programs addressing a variet…
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What Is Medication For Addiction Treatment (MAT)?

  • Medication for Addiction Treatment for opioid dependence (MAT) advocates combining the use of medications with behavioral and psychological support. Using FDA-approved medications for OUD helps reduce cravings and prevent withdrawal symptoms, which are the most common reason for opioid relapse. Extensive research has demonstrated the efficacy of MAT in not only …
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Medications Used in Mat

  • Currently, three medications have been approved by the US Food and Drug Administration (FDA) in the medical treatment of opioid dependence. These drugs namely, methadone, buprenorphine, and naloxone, act in differing ways on the opioid receptors in the brain.
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Medication For Addiction Treatment vs. Abstinence-Based Treatment Success Rates

  • Given the effectiveness of MAT, its use has risen rapidly: Only 7 European countries provided methadone for OUD in 1980. By 2009, it was being used in more than 70 countries worldwide. Adoption rates for MAT are also increasing in the US, with roughly 50% of individuals with OUD now receiving medications. Research consistently proves MAT to be the superior treatment mo…
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Excited to Learn More?

  • To learn more about the success rates and safety of Bicycle Health’s telemedicine addiction treatment in comparison to other common treatment options, call us at (844) 943-2514 or schedule an appointment here. Photo by Artem Podrez from Pexels
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