Evidence-Based Addiction Treatment

✍ Scribed by Peter M. Miller

• Publisher: Academic Press
• Year: 2009
• Tongue: English
• Leaves: 484
• Edition: 1
• Category: Library

✦ Synopsis

The addictions treatment field is currently undergoing a period of increased scrutiny, upheaval and change. The growing emphasis on treatment accountability and cost effectiveness is leading to major changes in standards of care. Inconsistent practices based solely on clinical intuition rather than hard scientific evidence of treatment efficacy are rapidly becoming unacceptable.Translating science-based treatments into clinical settings is an important priority in the addictions field and has been the subject of an influential Institute of Medicine report. Substance abuse treatment programs are now mandated to provide evidence-based treatments, with funding and insurance reimbursement contingent on their doing so.Evidence-Based Addiction Treatment provides a state-of-the-art compilation of assessment and treatment practices with proven effectiveness. A substantial body of evidence is presented to provide students, academics and clinicians with specific science-based treatments that work. Written at a level appropriate for a variety of audiences, research studies are discussed but highly sophisticated knowledge in research methodology is not required. - Treatments that work- Explicit case examples- Contributions by well-known researchers on addiction treatment- Simple ways to evaluate treatment effectiveness- Accompanying web-site with exam questions

✦ Table of Contents

Evidence-Based Addiction Treatment......Page 4
Copyright Page......Page 5
Contents......Page 6
Preface......Page 12
Contributors......Page 16
Part 1 Introduction to Evidence-Based Practices......Page 20
Summary points......Page 22
What does "evidence based" mean?......Page 24
Evaluating the evidence......Page 25
Examples of key studies and findings......Page 30
Examples of evidence-based treatments......Page 33
Conclusions and future directions......Page 36
References......Page 37
Summary points......Page 40
Introduction......Page 41
Accessing treatment......Page 44
Treatment engagement and outcomes......Page 48
References......Page 55
Part 2 Clinical Assessment and Treatment Monitoring......Page 66
Summary points......Page 68
Self-report/interview methods of alcohol and other drug consumption......Page 71
Biomarker measures of alcohol and illicit drug consumption......Page 86
General summary and conclusions......Page 91
References......Page 92
Summary points......Page 96
Defining substance use disorders......Page 97
Screening methods......Page 101
Diagnostic assessment......Page 103
References......Page 105
Summary points......Page 108
Features of co-occurring disorders that inform assessment......Page 109
Screening for AMDS......Page 119
References......Page 130
Summary points......Page 138
Antecedents to substance use and/or relapse......Page 140
Self-efficacy......Page 143
Expectancies......Page 145
Motivation......Page 146
Assessment of craving......Page 150
References......Page 152
Summary points......Page 158
Coping skills......Page 159
Consequences......Page 161
Social support......Page 164
Alcoholics anonymous involvement......Page 166
Spirituality and religiosity......Page 168
Multidimensional measures......Page 169
Summary......Page 170
References......Page 171
Part 3 Treatment Methods......Page 176
Summary points......Page 178
Review of behavioral therapy and cognitive therapy......Page 179
Cognitive behavioral therapy for substance use disorders......Page 181
General format of CBT for substance use disorders......Page 182
Evidence for efficacy of CBT for substance use disorders......Page 190
References......Page 192
Introduction: The counselor's dilemma......Page 194
Four principles of motivational interviewing: "Common ingredients"......Page 195
Client language: A unique ingredient in MI......Page 196
Revisiting the initial consultation......Page 197
The transtheoretical model of change......Page 198
Common misconceptions about motivational interviewing......Page 199
Training and evaluating motivational interviewing......Page 200
Conclusions......Page 201
Motivational interviewing resources......Page 205
References......Page 206
Summary points......Page 208
Background......Page 209
Origins and theory base......Page 210
The evidence base......Page 212
Delivering screening and brief intervention in primary care settings......Page 216
Implementation issues......Page 221
References......Page 227
Summary points......Page 234
Background of relapse prevention......Page 235
Theoretical models behind relapse prevention......Page 237
Empirical evidence supporting relapse prevention......Page 239
Therapeutic components of relapse prevention interventions......Page 240
Specific intervention strategies......Page 241
Global intervention strategies......Page 245
References......Page 249
Summary points......Page 252
Introduction to alcohol behavioral couples therapy......Page 253
How well does ABCT work?......Page 259
Some criticisms of the ABCT approach......Page 260
Expanding ABCT to fit innovations in EFT......Page 262
References......Page 264
Summary points......Page 268
Introduction......Page 269
Conceptualizing treatment......Page 270
Community reinforcement approach......Page 271
Contingency management......Page 272
Initial study......Page 273
Extending CRA to treatment of patients with cocaine and opioid use disorders......Page 274
Further extensions......Page 275
Conclusions......Page 281
References......Page 282
Summary points......Page 286
Professional help and lay help—treatment systems in crisis......Page 287
Self-organized quitting, self-change from addictive behaviors......Page 289
Creating a societal climate friendly to individual change: Advice for policy makers......Page 300
References......Page 301
Introduction......Page 306
The neurobiology of addictions......Page 307
Pharmacotherapy of addictions......Page 310
Pharmacotherapy as an "adjunctive" therapy......Page 321
References......Page 323
Part 4 Special Populations and Applications......Page 330
Summary points......Page 332
Addiction treatment disparities......Page 334
Conditions that create disparities......Page 335
Treatment issues......Page 336
Prejudice, racism, and homophobia......Page 337
Empirically based treatment and minority clients......Page 338
References......Page 339
Summary points......Page 346
Is psychiatric comorbidity an indicator of poor prognosis?......Page 347
What happens over time with comorbid symptoms?......Page 349
Treatment of comorbid mental illness and substance abuse......Page 350
References......Page 358
Summary points......Page 364
Systematic reviews and meta-analyses......Page 365
Interventions......Page 367
Where do we go from here......Page 373
References......Page 375
Summary points......Page 380
Prevention/brief intervention focus versus treatment......Page 382
Delivery methods of intervention......Page 384
Conclusions......Page 392
References......Page 393
Summary points......Page 398
What do internet-based interventions look like?......Page 400
Considerations for creating an evidence base......Page 408
Looking to the future......Page 412
References......Page 413
Part 5 Evidence-Based Treatment in Action......Page 418
Summary points......Page 420
Overview of treatment planning......Page 424
Steps in the individual treatment planning process......Page 426
Advances toward the goal of evidence-based treatment planning......Page 433
References......Page 435
Summary points......Page 438
Background and introduction......Page 439
Leadership......Page 441
Implementation science: A model for program change......Page 442
Practical applications: Assessing the organization......Page 447
Interpretation......Page 449
Reformative strategies......Page 450
Conclusions and implications......Page 452
Acknowledgments......Page 453
References......Page 454
Part 6 A Look Toward the Future......Page 458
Summary points......Page 460
Ongoing issues and challenges......Page 462
Conclusions......Page 466
References......Page 467
A......Page 468
B......Page 470
C......Page 471
D......Page 473
F......Page 474
H......Page 475
K......Page 476
M......Page 477
N......Page 478
P......Page 479
R......Page 480
S......Page 481
U......Page 483
Y......Page 484