Empirically supported substance abuse treatment approaches: A survey of treatment providers' perspectives and practices

Abstract

To better understand the extent that empirically supported and promising substance abuse treatment approaches are implemented in community settings, treatment providers were surveyed regarding their perceptions and use of several psychosocial and pharmacological treatment interventions. Program directors (n=30) and staff members (n=331) from diverse community settings rated the effectiveness and extent of use of various treatment interventions, and provided information on program and workforce characteristics via self-administered questionnaires. On average, program directors and staff rated the psychosocial treatment interventions as effective, with the exception of vouchers/motivational incentives. About half of the treatment providers did not know the effectiveness of certain pharmacological treatments, including buprenorphine and naltrexone. Respondents from the majority of programs (55%-80%) reported using Motivational Enhancement Therapy, Community Reinforcement Approach, and Supportive Expressive Psychotherapy. The extent that programs used several of the treatment interventions was related to organizational training and information resources. The study findings provide important information regarding training and research dissemination efforts.

Guidelines for the Primary Prevention of Stroke

“…Long-term treatment strategies, including medication, psychological counseling, and community-based programs, are important in the management of drug dependency. 521,535 There is insufficient evidence to evaluate the clinical utility of screening tests for drug abuse in primary care settings, including toxicology tests of blood or urine, or the use of standardized questionnaires to screen for drug use or misuse. 536…”

Prescription Stimulant Abuse on University Campuses

“…This model requires that the rewards be of value to the client and increase in value as the length of non-use of drugs continues. This method is considered expensive (Hart et al, 2009) and has been reported by therapists in the field to be the least effective of the previously described therapies (Herbeck, Hser, & Teruya, 2008).…”

Harm Reduction Treatment Interventions for Rural Methamphetamine Abuse

“…Because of a lack of capacity to treat in 28 day hospitals and mental health clinics, clinicians decided to implement the Matrix model [20]. The Matrix model incorporates evidence-based practices to effectively help individuals struggling with dependence issues to begin alleviating those issues with acquired skills.…”

“…The Matrix model incorporates evidence-based practices to effectively help individuals struggling with dependence issues to begin alleviating those issues with acquired skills. Components of the program include individual sessions, early recovery groups, relapse prevention groups, family education sessions, 12 step meetings, social support groups, relapse analysis and urinalysis [20].…”