Evidence-Based Behavioral Therapies for Substance Use Disorders

2020 ◽  
pp. 267-282
Author(s):  
Kathryn Polak ◽  
Sydney Kelpin ◽  
Jarrod Reisweber ◽  
Dace S. Svikis
Keyword(s):  
Gender Differences ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Brief Intervention ◽  
Behavioral Therapy ◽  
Contingency Management ◽  
Psychosocial Interventions ◽  
Evidence Based ◽  
Behavioral Therapies ◽  
Selection Of

A variety of pharmacological and psychosocial interventions have demonstrated efficacy in the treatment of substance use disorders (SUDs). This chapter focuses on evidence-based behavioral and psychosocial interventions for the treatment of alcohol use disorder and other SUDs. Among the interventions discussed are screening, brief intervention, and referral to treatment (SBIRT); motivational interviewing (MI); cognitive behavioral therapy (CBT); and contingency management (CM). Additionally, one promising intervention for SUD, Transcending Self Therapy (TST), is spotlighted. The importance of comprehensive care is noted by the authors, as is the importance of recognizing gender differences in the selection of therapies and the need to address barriers to care for specific populations.

Non-Pharmacological Therapies for Substance Use Disorders (DRAFT)

2018 ◽  
Author(s):  
Michael F. Weaver
Keyword(s):  
Primary Care ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Behavioral Therapy ◽  
Contingency Management ◽  
Motivational Enhancement Therapy ◽  
Present Level ◽  
Duration Of Treatment ◽  
Motivational Enhancement ◽  
Level Of Understanding

In conjunction with chapters 16 and 17, which described non-pharmacological approaches to pain management, this chapter reviews the available non-pharmacological approaches to substance use disorders (SUD). Specific subtopics include 12-Step programs and facilitation, motivational enhancement therapy, cognitive behavioral therapy, individual and group psychotherapies, contingency management, community reinforcement, family therapy, relapse management, and the terminal consideration of all therapies, termination (what is the duration of treatment)? Each subtopic is addressed in abstract rather than in comprehensive format, to allow the primary care provider to identify her level of interest and present level of understanding, and to inform further reading. The chapter concludes with a text box providing additional resources.

Psychosocial Treatment Approaches for Substance Use

2018 ◽  
Author(s):  
Lynn McFarr ◽  
Julie Snyder ◽  
Lisa Benson ◽  
Rachel Higier
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Meta Analysis ◽  
Contingency Management ◽  
Psychosocial Interventions ◽  
Psychosocial Treatment ◽  
Community Based ◽  
Theoretical Orientations ◽  
Psychosocial Treatments ◽  
Community Based Programs

Multiple psychosocial treatments for substance-use disorders have been studied for efficacy. A recent meta-analysis indicates that psychosocial interventions are effective across multiple types of substances used. In the case of opiates, psychosocial interventions combined with medication appear to be the most effective. Many studies further agree that psychosocial interventions are an integral and necessary part of treating substance-use disorders. Although theoretical orientations may differ across psychosocial treatments, they have several principles and practices in common. All involve talk therapy or talk in communities as a way to clarify triggers, build commitment, and improve accountability. Many also target addiction behaviors and work to develop alternative contingencies to reduce or eliminate use. Finally, targeting repeated performance (or building “chains of committed behavior”) decreases the likelihood of relapse. This chapter discusses the most frequently studied and employed psychosocial treatments for substance use including CBT, motivational interviewing, contingency management, mindfulness, and community-based programs.

Co-occurring Substance Use Disorders

2017 ◽  
Author(s):  
Michael Soule ◽  
Hilary S. Connery
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Psychotic Disorders ◽  
Behavioral Therapy ◽  
Contingency Management ◽  
Integrated Treatment ◽  
Mental Health Clinics ◽  
Medication Assisted Treatment ◽  
Community Mental Health Clinics

Substance use disorders are frequently comorbid with mood, anxiety, and psychotic disorders, and they commonly present in tandem in both primary care and psychiatric settings. Unfortunately, in the past, individuals with co-occurring substance use and mental health disorders would receive treatment in community mental health clinics only after their substance use disorder was “stabilized.” There has been increasing recognition that integrated treatment is necessary for these individuals to fully succeed and achieve recovery. This chapter uses a common presentation to illustrate up-to-date screening and treatment recommendations. Motivational interviewing, contingency management, cognitive–behavioral therapy, and medication-assisted treatment are explored. A discussion of the continuum of community-based services and systems challenges follows.

scholarly journals Pharmacotherapy treatment of stimulant use disorder

2021 ◽  
Vol 11 (6) ◽  
pp. 347-357
Author(s):  
Mei T. Liu
Keyword(s):  
Public Health ◽  
Behavioral Therapy ◽  
Contingency Management ◽  
Public Health Problem ◽  
Psychosocial Interventions ◽  
The United States ◽  
Stimulant Use ◽  
Methamphetamine Use ◽  
Methamphetamine Use Disorder ◽  
Selection Of

Abstract Stimulant use disorder (SUD) is a public health problem in the United States that is associated with increased morbidity and mortality. Psychosocial interventions, such as cognitive behavioral therapy and contingency management, are the main treatment modality for SUDs and no pharmacotherapy is currently FDA approved for this indication. Although some medications show promising data for the treatment of SUD, the evidence remains inconsistent, and the clinical application is limited due to the heterogenicity of the population and the lack of studies in patients with various comorbidities. Selection of pharmacotherapy treatment for methamphetamine intoxication, persistent methamphetamine-associated psychosis with methamphetamine use disorder, and cocaine use disorder in patients with co-occurring OUD are discussed in 3 patient cases.

Substance Use Disorders

2020 ◽  
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Evidence Based ◽  
Need For Treatment ◽  
The Past ◽  
The Us ◽  
Evidence Based Treatments ◽  
Behavioral Therapies ◽  
Illegal Activities ◽  
Lay Public

Over the past few years there has been an increased interest in the identification and treatment of substance use disorders, due at least in part to the widespread drug overdose epidemic. Clinicians and the lay public have gained a greater understanding of the need for treatment of substance use disorders and the consequences of avoiding treatment. In addition, there has been a growing understanding of substance use disorders as medical or mental health disorders, rather than as character flaws or merely illegal activities. This book builds on this nascent understanding and presents epidemiology, basic science, and treatment from the perspective of a clinician who wants to gain the knowledge and background needed to work with this patient population. The overall theme of the book is to discuss evidence-based rather than anecdotal or unproved treatments. Section I begins with the epidemiology, etiology, and neurobiology of substance use disorders, including preclinical data. Section II discusses pharmacotherapy for substance use disorders, focusing on medications approved by the US Food and Drug Administration (FDA). Section III focuses on other evidence-based treatments for substance use disorders, including behavioral therapies, and ends with potential future treatments.

Substance-Related and Addictive Disorders

2014 ◽  
Author(s):  
Benjamin R. Bryan ◽  
Frances R. Levin
Keyword(s):  
Substance Use ◽  
Drug Use ◽  
Substance Use Disorders ◽  
Alcohol Use Disorder ◽  
Behavioral Therapy ◽  
Evidence Based ◽  
Addictive Behaviors ◽  
Addictive Disorders ◽  
Psychotherapeutic Interventions ◽  
Drug Use Pattern

Alcohol use disorder tends to have a progressive course with varying outcomes. The rate of onset of a drug’s effects and the rate at which the effects diminish or are lost affect the evolution of a drug use pattern into a substance use disorder. Depression, psychosis, anxiety, and delirium are all common symptoms associated with drug use. Many patients underestimate the amount of alcohol or drugs they use when asked by a physician. Patients with addictive behaviors demonstrate varying degrees of denial. Evidence-based psychotherapeutic interventions for the treatment of substance use disorders include motivational interviewing and cognitive-behavioral therapy. A number of medications are available for treatment of substance use disorders: acamprosate, buprenorphine, bupropion, disulfiram, methadone, naloxone, naltrexone, and varenicline.

The Holy Trinity

2021 ◽  
pp. 33-44
Author(s):  
David A. Patterson Silver Wolf
Keyword(s):  
Substance Use ◽  
Cognitive Behavioral Therapy ◽  
Motivational Interviewing ◽  
Substance Use Disorders ◽  
Behavioral Therapy ◽  
National Level ◽  
Cognitive Behavioral ◽  
Twelve Step ◽  
Evidence Based ◽  
Holy Trinity

Decades of research have identified three effective treatments for substance use disorders. This chapter explores the three most studied and proven evidence-based interventions: Motivational Interviewing, Cognitive Behavioral Therapy, and Twelve-Step Facilitation. The inconsistency or infrequency with which evidence-based interventions are used in the treatment of addictions is finally getting some attention at the national level, and there are new recommendations regarding the deployment of treatment approaches. It is important for the reader to understand the roots of these three interventions and why, despite being easy to learn and likely to work, they are not regularly being deployed inside of treatment centers.

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