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Although therapist fidelity to an evidence-based treatment manual is believed to predict treatment outcome, this relationship has been difficult to prove. [20] A 2017 study found that higher ongoing fidelity (model competence) ratings of 91 A-CRA therapists' clinical sessions predicted improved adolescent substance use outcomes. [21]
The adoption of evidence-based treatments have been slow. [28] Instead, many addiction counselors were tied to a twelve-step model with less research support. The National Institute on Drug Abuse (NIDA), a federally funded organisation aiding scientific research into addiction, has supported CRAFT intervention techniques among others. [29]
SMART Recovery is based on scientific knowledge and is intended to evolve as scientific knowledge evolves. [4] The program uses principles of motivational interviewing, found in motivational enhancement therapy (MET), [5] and techniques taken from rational emotive behavior therapy (REBT), and cognitive-behavioral therapy (CBT), as well as scientifically validated research on treatment. [6]
In general medicine and psychiatry, recovery has long been used to refer to the end of a particular experience or episode of illness.The broader concept of "recovery" as a general philosophy and model was first popularized in regard to recovery from substance abuse/drug addiction, for example within twelve-step programs or the California Sober method.
Acceptance and commitment therapy (ACT), is showing evidence that it is effective in treating substance use, including the treatment of polysubstance use disorder and tobacco smoking. [ 67 ] [ 68 ] Mindfulness programs that encourage patients to be aware of their own experiences in the present moment and of emotions that arise from thoughts ...
To enter the drug treatment system, such as it is, requires a leap of faith. The system operates largely unmoved by the findings of medical science. Peer-reviewed data and evidence-based practices do not govern how rehabilitation facilities work. There are very few reassuring medical degrees adorning their walls.
An intensive outpatient program (IOP), also known as an intensive outpatient treatment (IOT) program, is a structured non-residential psychological treatment program which addresses mental health disorders and substance use disorders (SUDs) that do not require detoxification through a combination of group-based psychotherapy, individual psychotherapy, family counseling, educational groups, and ...
The SBIRT model was developed by the Institute of Medicine as a result of a recommendation that encouraged community-based screening for health risk behaviours, including substance use. Unhealthy and unsafe alcohol and drug use are major preventable public health problems resulting in 3 million deaths every year worldwide, as reported by WHO. [3]