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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]
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.
Eliza Clontz has run abstinence-based treatment programs for opiate addiction in Kentucky and worked as a counselor in the state’s private and public sectors. She said the prevalence of the abstinence model for drug treatment parallels the faith-based approach to sex education.
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 ...
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]
Traditional addiction treatment is based primarily on counseling. Counselors help individuals with identifying behaviors and problems related to their addiction. It can be done on an individual basis, but it's more common to find it in a group setting and can include crisis counseling, weekly or daily counseling, and drop-in counseling supports.
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]
CBT proposes four assumptions essential to the approach to treatment: addiction is a learned behavior, it emerges in an environmental context, it is developed and maintained by particular thought patterns and processes, and CBT can be integrated well with other treatment and management approaches as they all have similar goals. [3]