Implications of treatment providers’ varying conceptions of the disease model of addiction: A response

Barnett, Anthony; Hall, Wayne; Fry, Craig Lindsay; Dilkes-Frayne, Ella; Carter, Adrian

doi:10.1111/dar.12844

Cited by 6 publications

(4 citation statements)

References 18 publications

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“…In this way, tailoring care to a client's needs may have clinical benefits ( Savic & Lubman, 2018 ). However, whilst this might make for holistic, tailored care, it is unclear whether offering a broad spectrum of interventions (e.g., abstinence, harm reduction services) based on different ontologies of addiction (e.g., whether addiction is a disease, social problem) might contribute to confusion among clients, which in turn could undermine treatment engagement ( Barnett, Hall, Fry, Dilkes-Frayne, & Carter, 2018 ).…”

Section: Resultsmentioning

confidence: 99%

Enacting ‘more-than-human’ care: Clients’ and counsellors’ views on the multiple affordances of chatbots in alcohol and other drug counselling

Barnett

Savic

Pienaar

et al. 2021

International Journal of Drug Policy

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Highlights AI-driven chatbots promise to revolutionise future alcohol and other drug treatment Clients and counsellors were interviewed about chatbots and care delivered online Care delivered by chatbots was viewed as potentially lacking empathy Benefits of human/chatbot hybrid models may include more efficient online care Client experiences with chatbots may emerge in different ways depending on context

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Section: Resultsmentioning

confidence: 99%

Enacting ‘more-than-human’ care: Clients’ and counsellors’ views on the multiple affordances of chatbots in alcohol and other drug counselling

Barnett

Savic

Pienaar

et al. 2021

International Journal of Drug Policy

Self Cite

View full text Add to dashboard Cite

show abstract

“…As a result, clients accessing treatment may be presented with multiple, even contradictory, views about the factors underlying their drug problems and how to treat them. One avenue to address treatment providers' multiple ontologies of addiction is for policymakers responsible for service design to consider standardizing care via the implementation of an overarching, universal addiction treatment model (Barnett, Hall et al, 2018a, 2018b. One way to implement this may be to: (i) use standard intake and assessment systems across a treatment sector; (ii) standardize interventions and map client treatment pathways; and (iii) ensure treatment approaches are harmonized across a treatment sector (e.g., by following a harm reduction approach).…”

Section: Implications For Treatmentmentioning

confidence: 99%

Addiction Treatment Providers' Engagements with the Brain Disease Model of Addiction

Barnett¹,

Savic²,

Pickersgill³

et al. 2022

Evaluating the Brain Disease Model of Addiction

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“…Contrastingly, disease models of addiction, such as the brain disease model of addiction (for a critical discussion of this specific model, see e.g. [18]), assume that addictive behaviour is caused by disease symptomatology and cannot be helped ( [19], p. 117, [20]). Thus, addiction is perceived as a (medical) illness.…”

Section: Swiss Disability Insurance and Recent Changes In Legislationmentioning

confidence: 99%

Alcohol use disorder and disability insurance in Switzerland: the attitudes and views of lawyers, insurance medical experts, and addiction-specialist therapists

Wyler

Maisch

Berger

et al. 2022

Subst Abuse Treat Prev Policy

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Background According to a landmark decision by the Swiss Federal Supreme Court, people with a substance use disorder (SUD) are now eligible for disability benefits if their disorder impairs their ability to work. Alcohol use disorder (AUD) is one of the most common SUDs in Switzerland and is associated with high societal and economic costs. This study aimed to gain an in-depth understanding of the views of professional stakeholder groups regarding AUD and their opinions on the new legal precedent. Methods Swiss social insurance lawyers, insurance medical experts, and addiction-specialist therapists (N = 79) answered an online questionnaire. Due to violations of the assumption of normality, non-parametric tests are reported in most cases. Results Therapists held significantly higher regard for patients with AUD than both lawyers and insurance medical experts. All three groups strongly supported a disease view of AUD but agreed significantly less that it was a disease like cancer, suggesting that AUDs might be seen as at least partially self-inflicted. Overall, moralist views of AUD received considerably less support than the disease view, with lawyers agreeing with moralist views more than therapists. All groups were well-informed and largely supportive about the new legal precedent. When asked about stipulating participation in medical treatment to mitigate damages associated with a claim, attending therapy was supported the most amongst the groups (80% of participants felt this was somewhat or fully appropriate), followed by a reduction in drinking quantity (58%), and abstinence (18%). In all three groups, we identified associations between certain views and opinions on AUD and support for the new legal precedent. Conclusions Whilst there were differences between the stakeholder groups in their regard for and views of AUD, all three adopted a clear harm-reduction approach with respect to measures to mitigate damages associated with the insurance disability claim. A possible connection of this stance with the Swiss national drug policy in recent years is discussed together with limitations of the study and practical implications of the findings.

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Implications of treatment providers’ varying conceptions of the disease model of addiction: A response

Cited by 6 publications

References 18 publications

Enacting ‘more-than-human’ care: Clients’ and counsellors’ views on the multiple affordances of chatbots in alcohol and other drug counselling

Enacting ‘more-than-human’ care: Clients’ and counsellors’ views on the multiple affordances of chatbots in alcohol and other drug counselling

Addiction Treatment Providers' Engagements with the Brain Disease Model of Addiction

Alcohol use disorder and disability insurance in Switzerland: the attitudes and views of lawyers, insurance medical experts, and addiction-specialist therapists

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