Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health (2016)
“Well-supported scientific evidence shows that behavioral therapies can be effective in treating substance use disorders, but most evidence-based behavioral therapies are often implemented with limited fidelity and are under-used. Treatments using these evidence-based practices have shown better results than non-evidence-based treatments and services.”
“Despite substantial evidence documenting the efficacy of numerous treatments for mental and substance-use problems and illnesses, mental and/or substance-use (M/SU) health care (like all health care) often is not consistent with this evidence base. Further, in the absence of evidence on how best to treat some M/SU conditions, treatment for the same condition often varies inappropriately from provider to provider.”
- Improving the Quality of Health Care for Mental and Substance-Use Conditions
Institute of Medicine (US) Committee on Crossing the Quality Chasm: Adaptation to Mental Health and Addictive Disorders. Washington (DC): National Academies Press (US); 2006.
Evidence-Based Practices for Substance Use Disorders (McGovern & Carroll, 2003)
“This article reviews current methods used to evaluate strength of the empirical evidence supporting the efficacy of specific therapies. These methods are drawn from the medical, psychological and substance use disorder treatment research fields.”
Evidence-Based Practices in Addiction Treatment: Review and Recommendations for Public Policy (Glasner-Edwards & Rawson, 2010)
“This article examines the concept of EBP, critically reviews criteria used to evaluate the evidence basis of interventions, and highlights the manner in which such criteria have been applied in the addictions field.”
Evidence-Based Addiction Treatment (Miller, Peter M., 2009)
“This volume is designed to provide both the student and the practicing clinician with a basic knowledge and understanding of current major evidence-based assessment and treatment methods. While the goal is to educate students and health professionals in the latest practice methodologies, the eventual aim is to improve the quality of care for addicted individuals and improve their lives.”
Implementation
From Cat's Cradle to Beat the Reaper: Getting Evidence-Based Treatments into Practice (Sorensen, 2011)
“To improve addiction treatment using evidence-based approaches we need develop a new cadre of forward-looking collaborating researchers and practitioners who address the issues of how to build an infrastructure that will maintain evidence-based approaches to care in the coming decades.”
Adoption of NIDA’s Evidence-Based Treatments in Real World Settings (NIDA, 2012)
“Comparison of the ‘Principles of Drug Addiction Treatment’ (NIDA 2009) with the results from the 2010 SAMHSA-generated survey of treatment centers (SAMHSA 2011) provides substantial evidence that translation of evidence-based treatments and treatment principles have not effectively penetrated the majority of treatment services.”
Strategies for Improving Fidelity in the National Evidence-Based Practices Project (Bond, et al, 2009)
“Conclusion: A multi-pronged implementation strategy was effective in achieving high fidelity in over half of the sites seeking to implement a new EBP. Strategies for implementing complex psychosocial EBPs require attention to many aspects of the implementation process.”
Enabling the Implementation of Evidence-Based Practice: A Conceptual Framework (Kitson et al, 1998)
“The paper offers a conceptual framework that considers this imbalance, showing how it might work in clarifying some of the theoretical positions and as a checklist for staff to assess what they need to do to successfully implement research into practice.”
Relapse Prevention
A simple scale of Gorski's warning signs for relapse (Miller & Harris, 2000)
“Though it has enjoyed widespread popularity, Gorski's post-acute withdrawal syndrome (PAWS) model of relapse has been subjected to little scientific scrutiny. A scale to operationalize Gorski's 37 warning signs was developed and tested in a larger prospective study of predictors of relapse. CONCLUSIONS: This scale of Gorski's warning signs appears to be a reliable and valid predictor of alcohol relapses.”
A randomized trial of early warning signs relapse prevention training in the treatment of alcohol dependence (Bennett, et al, 2005)
“This current pragmatic study aims to establish whether providing Gorski’s intervention to alcohol dependent people when they complete day treatment reduces their risk of drinking during the following year. The results justify the use of EWSRPT with similar patients being treated in similar services, when the aim is to minimise drinking.”
