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what are eveidence based practices in drug rehab

by Erna Gislason Published 2 years ago Updated 1 year ago
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Here is a list of evidence-based practices in substance abuse treatment:

  • Twelve-Step Facilitation Therapy: This type of therapy involves a series of individual or group sessions. The content of...
  • Eye Movement Desensitization and Reprocessing (EMDR): EMDR is a type of psychotherapy that is designed to help clients...
  • Cognitive Behavioral Therapy (CBT): CBT is a type of...

Full Answer

What is an example of evidence based treatment in drug rehab?

Jan 17, 2018 · This section presents examples of treatment approaches and components that have an evidence base supporting their use. Each approach is designed to address certain aspects of drug addiction and its consequences for the individual, family, and society. Some of the approaches are intended to supplement or enhance existing treatment programs, and ...

What makes a treatment method “evidence-based”?

May 18, 2018 · Here is a list of evidence-based practices in substance abuse treatment: Twelve-Step Facilitation Therapy: This type of therapy involves a series of individual or group sessions. The content of... Eye Movement Desensitization and Reprocessing (EMDR): EMDR is a type of psychotherapy that is designed ...

Why is understanding evidence-based practice (EBP) important in addiction treatment?

Oct 04, 2011 · Evidence based practices in addiction treatment are widely becoming accepted – and generally required – as the most credible practices at drug rehab centers around the country. For the addict or alcoholic evidenced based practices mean that their treatment will largely be based on therapies that have been tested and proven using a variety of scientific methods.

What is the hierarchy of evidence-based practices for substance use disorders?

Another set of practice guidelines was put forth by the National Institute on Drug Abuse; formally termed principles of drug abuse treatment, the publication describes 13 concepts or themes defined as “a set of overarching principles that characterize the most effective drug abuse and addiction treatments and their implementation [34,35].” Although the NIDA principles include …

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What are evidence-based practices for substance abuse?

Table 2PracticeEvidence-based medicine modelStage model for therapy and researchCognitive–behavioral23Contingency management23Drug counseling individual and group32Motivational enhancement therapy2319 more rows

What strategies are used for drug abuse prevention?

What are the Basic Prevention Strategies?Information Dissemination. ... Prevention Education. ... Alternatives. ... Problem Identification and Referral. ... Community-Based Process. ... Environmental Approach.

What is the value of evidence-based treatment programs?

According to a clinical research article catalogued in the US National Library of Medicine, “EBP has been shown to improve patient care, increase patient safety, improve clinical outcomes, reduce healthcare costs, and decrease variation in patient outcomes.”Jun 22, 2020

What are evidence-based prevention programs?

Evidence-based prevention strategy (HPIO, 2013). Programs, policies or other strategies that have been evaluated and demonstrated to be effective in preventing health problems based upon the best-available research evidence, rather than upon personal belief or anecdotal evidence.

What are prevention strategies of drug and alcohol abuse?

There are several primary prevention strategies that can be used to reduce harm from alcohol and other drug use among young people, including: evidence-based AOD education programs. health promotion and community development initiatives, and.Apr 28, 2021

What does prevention techniques primarily focus on?

Prevention is prevention is prevention. In both cases, prevention strategies take aim at how people think, feel, and act by focusing messages and activities on areas of influence such as the individual, family, or community. Successful prevention decreases risk factors and enhances protective factors.

What is an example of evidence-based practice?

Through evidence-based practice, nurses have improved the care they deliver to patients. Key examples of evidence-based practice in nursing include: Giving oxygen to patients with COPD: Drawing on evidence to understand how to properly give oxygen to patients with chronic obstructive pulmonary disease (COPD).

What is an evidence-based treatment?

Evidence-based treatment (EBT) refers to treatment that is backed by scientific evidence. That is, studies have been conducted and extensive research has been documented on a particular treatment, and it has proven to be successful.Apr 1, 2016

What makes up evidence-based practice?

Evidence-based practice includes the integration of best available evidence, clinical expertise, and patient values and circumstances related to patient and client management, practice management, and health policy decision-making. All three elements are equally important.

How many evidence-based practices are there?

27 evidence-based practicesWhat is ABA? A number of the 27 evidence-based practices draw directly from the science of Applied Behavior Analysis (ABA). ABA, a robust empirical approach to the study of human behavior, has often been misinterpreted. At its heart, the science of behavior analysis is used to enhance an individual's quality of life.

What are some examples of evidence-based practice in social work?

Evidence-Based Practice Social Work ExamplesTrainers who work with participants in a community or clinical setting for three months.Counseling and coaching.Informational sessions about nutrition and exercise.Jan 15, 2021

What are some examples of prevention programs?

Preventing Drug Use among Children and Adolescents (In Brief) Universal ProgramsCaring School Community Program (Formerly, Child Development Project). ... Classroom-Centered (CC) and Family-School Partnership (FSP) Intervention. ... Guiding Good Choices (GGC) (Formerly, Preparing for the Drug-Free Years).More items...

What are the inherent complexities in evaluating EBPs for substance use disorders?

There are inherent complexities in evaluating EBPs for substance use disorders: the heterogeneity of the disorder itself, the variability in people who suffer from them, the range of settings in which services are provided, and multiple lines of research development.

What is evidence in healthcare?

Evidence is ubiquitous, inherently biased, and complicated to evaluate. Clinicians sit with patients who present with specific complaints, a range of symptoms, and a historical narrative. Influenced by education, training, supervision, the setting within which the clinician works, intuition, economics, and experience.

What is behavioral therapy?

Behavioral couples therapy (BCT), or behavioral marital therapy, is a behavioral treatment for both alcohol and drug use disorders that has been in development since 1985 [39]. It uses behavioral principles and contracting to reinforce abstinence and the appropriate use of medications (eg, naltrexone).

What is stage II in clinical trials?

Stage II consists principally of controlled clinical trials to evaluate the efficacy of approaches that have shown promise in earlier pilot studies. Stage III consists of studies to evaluate the transportability of treatments (eg, efficacy in diverse populations, means of training therapists, and cost-effectiveness).

How does treatment help with substance use?

Treatment is beneficial in reducing substance use, in alleviating associated psychiatric, legal, job, family/social, and medical problems, and in reducing the use other services and the cost burden to other systems. Positive outcomes are found to correlate with treatment retention and duration of treatment [6].

Is substance use disorder heterogeneous?

People with substance use disorders are heterogeneous, with wide variations across groups in terms of substances used, comorbid disorders, and their strengths and resources. Specialized therapies have been developed to target specific types of substance use disorders: alcohol, opiates, cocaine, and marijuana.

Is evidence based intervention irrelevant?

Apart from scientific quality, a clinical research-developed evidence-based intervention may also be practically irrelevant or unfeasible by virtue of its being too complicated, too expensive, or too narrowly focused on certain types of patients.

What are the best ways to treat substance abuse?

Here is a list of evidence-based practices in substance abuse treatment: 1 Twelve-Step Facilitation Therapy: This type of therapy involves a series of individual or group sessions. The content of each session is based on the concepts of the 12-step program and helps individuals in recovery accept their disease of addiction and surrender to a willingness to engage in treatment and maintain their sobriety.3 2 Eye Movement Desensitization and Reprocessing (EMDR): EMDR is a type of psychotherapy that is designed to help clients manage trauma-related depression, anxiety, and stress. Sessions involve repetitive eye and movement exercises led by an EMDR therapist. These exercises are designed to help clients process traumatic memories and maintain a positive sense of self even when faced with the memory of a traumatic incident.4 3 Cognitive Behavioral Therapy (CBT): CBT is a type of talk therapy that helps individuals address negative thoughts and behaviors and modify them. Many therapists at drug and alcohol rehab centers use it to help clients learn how to manage stressful situations, emotions, and cope with loss, grief, or other traumatic life experiences.5 4 Interactive Journaling: Interactive journaling is a form of written self-reflection that gives clients the ability to think about their substance abuse and how it relates to their current situation. Journaling is also a great tool for guiding change, modifying behaviors, and developing plans and goals for continued progress.6 5 Motivational Interviewing: This type of therapy helps clients sort through and resolve contradictory ideas about their substance abuse, behaviors, and attitudes.7

What is Nova Recovery Center?

Nova Recovery Center utilizes several evidence-based treatment methods and specialized therapies to provide an individualized long-term rehab program that addresses the specific needs of each client. If you or a loved one is seeking addiction treatment, call Nova today to learn more about why our rehab center may be a great fit for you.

Is ineffective treatment harmful?

There is often a lack of scientific evidence and research that validates any claims that the treatment works, which means clients are likely to waste a lot of time and money. Ineffective treatment methods can be physically and/or emotionally harmful to the client.

Is drug rehab evidence based?

When individuals are searching for a drug rehab program for the first time, they are often told to look for evidence-based programs, but it can be difficult to determine which rehab programs are evidence-based and which ones are not. To determine whether a drug and alcohol rehab program is reputable and provides evidence-based addiction treatment, ...

What is evidence based treatment?

Evidence based practices in addiction treatment are widely becoming accepted – and generally required as the most credible practices at drug rehab centers around the country. For the addict or alcoholic evidenced based practices mean that their treatment will largely be based on therapies that have been tested and proven using a variety ...

What is EBP therapy?

To simplify it, EBP consist of therapy and other treatments – including medications – that have been tested in an actual clinical setting with real alcoholics and drug addicts. The application of these therapies and treatments is monitored, the patients are observed and the results are recorded.

Why is EBP important?

Therefore, understanding EBP is critical for both addiction treatment professionals and for those in recovery because as new treatment modalities are tested they may eventually be considered an evidence-based practice. The movement toward evidence-based practices is a relatively new one in the field of addiction treatment.

What is EBP in medical?

EBP promotes the collection, interpretation, and integration of valid, important and applicable patient-reported, clinician-observed, and research-derived evidence. The aim of EBP is that the best available evidence, moderated by patient circumstances and preferences, is applied to improve the quality of clinical judgments ...

How does a practice demonstrate effectiveness?

The practice has demonstrated effectiveness in several replicated research studies using different samples, at least one of which is comparable to the treatment population. . . The practice either targets behaviors or shows good effect on behaviors that are generally accepted outcomes.

Is addiction a personal experience?

This is in part due to the fact that for many in the field, addiction is a personal and professional experience. This can lead some clinicians to prefer using methods that worked for them – they might even consider this to be a practice based on evidence as they believe they have personally seen it work.

What is the continuum of care for substance abuse?

very broad and flexible continuum of substance abuse care accommodating individualized and assessment-driven treatment is in place in many areas of the U S The American Society of Addiction Medicine’s (ASAM) comprehensive set of guidelines describing the continuum of addiction health services, The ASAM Criteria: Treatment Criteria for Addictive, Substance-Related, and Co-Occurring Conditions, Third Edition (ASAM Criteria), discusses the clinical components and programmatic construct of the treatment continuum in depth Use of this clinical guide may improve assessment and outcomes-driven treatment and recovery services for patients matched to appropriate treatment settings, interventions and levels of care The goal of addiction treatment services is not simply stabilizing the patient’s condition, but altering the course of the patient’s disease toward wellness and recovery and productive functioning in family, workplace, and society The ASAM Criteria does not use the term “detoxification services” and refers instead to “withdrawal management” (Mee-Lee et al , 2013)

What is psychosocial treatment?

Psychosocial treatment is an essential component of a comprehensive treatment program as it can assist patients in coping with the emotional and social challenges that often accompany substance use disorders (ASAM, p 100) Cognitive, behavioral and motivation treatments are well-defined and have been rigorously studied across a broad range of SUDs—i e , alcohol, stimulant, marijuana and opioid dependent populations Psychosocial treatment is widely available in the clinical community and in a variety of convenient formats (e g , books, videotapes, manuals, training resources and computer-based/Internet delivered) The APA guideline indicates that while these modalities employ a variety of techniques and theories, they all focus on achieving the following critical tasks (APA, 2006):

What are the drugs used in nightclubs?

These substances are known by this moniker because they are used at dance parties, raves and nightclubs in order to intensify social experiences by giving a reported sense of physical closeness, empathy and euphoria The most prominent “club drugs” are MDMA or “ecstasy” (3, 4-methy-lenedioxymethamphetamine), GHB (gamma-hydroxybutyrate); Rohypnol or “date rape” drug (flunitrazepam)and Ketalar (ketamine). The focus of treatment for MDMA is to manage the complications of intoxication and overdose (i e , sympathetic overload, “serotonin syndrome,” end-organ damage, respiratory distress and coagulopathy) but not withdrawal, since it is not addictive Chronic use of GHB may produce dependence and a withdrawal syndrome that includes anxiety, insomnia, tremor, delirium, and in severe cases, treatment-resistant psychoses Mild cases of GHB may be managed with benzodiazepines and supportive care and more severe withdrawal requires high doses of intravenous benzodiazepines or barbiturates Since Rohypnol is a benzodiazepine with 10 times the potency of diazepam, the principles of intensive medically managed benzodiazepine withdrawal apply in these cases (as previously described) Chronic users of ketamine, a derivative of PCP, become addicted and exhibit severe withdrawal symptoms along with bizarre ideations and hallucinations that require detoxification with benzodiazepines

What is the best treatment for opioid addiction?

Medication-assisted therapies used in treating patients with opioid addiction include methadone, buprenorphine, and naltrexone If not successful in reaching goals of withdrawal management or if experiencing intolerable side effects, patients may switch from methadone to buprenorphine, oral naltrexone, or extended-release injectable naltrexone Prior to a switch to buprenorphine, patients should be on low doses of methadone (30-40 mg per day or less) When switching from methadone to oral naltrexone or extended-release injectable naltrexone, patients generally must be completely withdrawn from methadone and other opioids (ASAM, 2015) Recent studies have found that buprenorphine-naloxone compared to methadone, has a lower abuse potential, allows for more flexibility, and carries less stigma (Mauger et al , 2014) Whereas methadone is administered under the opioid treatment program (OTP) on a daily basis without the prescribing of medications, buprenorphine can be prescribed or administered by physicians (who have received waiver to prescribe buprenorphine) in private practices or other types of public sector clinics under the office-based opioid treatment (OBOT). Studies have shown that in a primary care office, buprenorphine treatment combined with counseling may be most effective in treating patients with opioid dependence (Neumann et al , 2013) It has no depression of respiration and thus is much safer than methadone A recent study showed buprenorphine maintenance treatment to be as effective as methadone maintenance treatment in reducing illicit opioid use and was associated with less risk of adverse events Results of the study suggested that due to limited access to methadone maintenance treatment as well as its more restrictive safety profile, buprenorphine maintenance treatment should be considered for the long-term management of opioid use disorders. Improved access to care as well as earlier initiation of treatment improves access to care as well as earlier initiation of treatment (Thomas et al , 2014) Monitoring of medication administration until the patient’s clinical response and behavior demonstrate appropriate prescribing is required

What is withdrawal management?

Withdrawal management, formerly called detoxification services, includes interrupting the momentum of habitual compulsive use as well as attenuation of the physiological and psychological features of withdrawal (ASAM, 2013) Services include breaking the cycle of use, enabling the patient to establish abstinence, and evaluation of the need for further care A greater intensity of services is required to establish initial treatment engagement and patient involvement ASAM points to how current medication protocols allow management on an ambulatory basis, except for the most severe withdrawal syndromes It is critical to continue withdrawal support at less intensive levels of withdrawal management ASAM states, “a ‘successful detox’ encounter involves more than acute management of withdrawal It involves engagement in services to address the accompanying addiction process and thus reduce the likelihood of ‘readmission for detox’” (Mee-Lee et al , 2013)

How long does it take to taper off benzodiazepines?

Individuals who are dependent on low doses of benzodiazepines may receive a quick tapering with minimal discomfort, but the usual tapering process requires from one to four weeks Individuals dependent on high doses of benzodiazepines may be withdrawn using one of the following methods: substituting a long-acting benzodiazepine tapered over two to six weeks as the preferred method; tapering the dosage of the original agent of dependence; or converting the dosage of benzodiazepine to be withdrawn to a phenobarbital equivalent After stabilization, the individual receives an individualized tapering-off regimen

What is the acronym for substance abuse treatment?

Substance abuse treatment is conceptually divided into phases and defined by SAMHSA in their Treatment Improvement Protocol (TIP) 42—Substance Abuse Treatment for Persons With Co-Occurring Disorders and TIP 45—Detoxification and Substance Abuse Treatment as engagement, stabilization, primary treatment and continuing care (or aftercare) In these phases, the clinician should apply approaches to treatment that promote a recovery-focused orientation (SAMHSA, 2006; SAMHSA, 2005)

How many sessions of evidence based care are there?

The Los Angeles Times reports on the medical field’s controversy over science-based and personal experience-based treatments, citing research that shows evidence-based practices perform better and quicker than conventional models, with patients responding to care in 12 to 16 sessions.

What is traditional therapy?

Traditional therapies rely on the therapist-patient relationship rather than clinical proof of validated procedures. Many physicians tend to apply their years of experience and expertise to newer Evidence-Based Practices rather than the older ones. This approach also combines medicine and psychodynamic therapy, which focuses on the patient’s unconscious processes.

What are the best treatments for mental health?

Listed Below are a Few Evidence-Based Practices Treatments that are Successful for Various Disorders: 1 Many conditions, including alcohol and mental health disorders, benefit from Cognitive Behavioral Therapy. 2 Exposure therapy is used to treat anxiety, phobias, and post-traumatic stress disorder (PTSD). 3 Adolescents with issues such as drug abuse can benefit from functional family therapy. 4 Dialectical Behavior Therapy is for individuals who have several disorders. 5 Motivational Interviewing is a technique that may aid in the recovery of people who have struggled with drug abuse. 6 Assertive group treatment is a form of intensive care for people with severe mental disabilities and disorders.

What is community therapy?

Community and individual therapy are used in conjunction with detoxification and, in some cases, treatment. Addicts are more concerned with lifestyle changes and behavioural therapy than with detox. Instead of going against the grain, Evidence-Based Practices are built to partner with patients in rehabilitation.

Is CBT evidence based?

CBT has an established track record of effective evidence-based practice, backed by extensive empirical studies. An analysis of cognitive-behavioural therapy trials on several conditions was performed. Eleven of the studies specifically compared CBT to other approaches, and seven found that CBT produced better results.

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