Pub Date : 2021-09-17DOI: 10.1093/oso/9780197601372.003.0006
David A. Patterson Silver Wolf
This chapter opens with a story of how current beliefs and practices can have disastrous outcomes. It discusses the search to understand why front-line therapists and the treatment systems that employ them were not using empirically proven practices, and a new science that was investigating this research-to-practice gap. This chapter discusses the startling things discovered. Even if it could be guaranteed that every therapist would use evidence-based interventions with every patient every time, there would still be no way to measure and monitor the effectiveness of those validated treatments. In addition to evidence-based practice, a vital tool is still missing to make sure services result in sustained recovery. Along with evidence-based practices, performance-based practice is also needed.
{"title":"The Best-Laid Plans","authors":"David A. Patterson Silver Wolf","doi":"10.1093/oso/9780197601372.003.0006","DOIUrl":"https://doi.org/10.1093/oso/9780197601372.003.0006","url":null,"abstract":"This chapter opens with a story of how current beliefs and practices can have disastrous outcomes. It discusses the search to understand why front-line therapists and the treatment systems that employ them were not using empirically proven practices, and a new science that was investigating this research-to-practice gap. This chapter discusses the startling things discovered. Even if it could be guaranteed that every therapist would use evidence-based interventions with every patient every time, there would still be no way to measure and monitor the effectiveness of those validated treatments. In addition to evidence-based practice, a vital tool is still missing to make sure services result in sustained recovery. Along with evidence-based practices, performance-based practice is also needed.","PeriodicalId":344655,"journal":{"name":"The New Addiction Treatment","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125005060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-17DOI: 10.1093/oso/9780197601372.003.0004
David A. Patterson Silver Wolf
It is important to understand how the addiction treatment industry began and how its beliefs and practices gradually evolved into today’s standards of care. The problems associated with alcohol and drug use have been around for millennia, but the notion of addiction as a chronic medical illness is a relatively new (twentieth-century) concept. Stigma and misunderstanding abound, and antiquated attitudes about addiction as a moral failing continue to marginalize and shame the people we are tasked with helping. The chapter addresses how current addiction treatment is designed and its involvement with both medical and physical elements.
{"title":"How Did We Get Here?","authors":"David A. Patterson Silver Wolf","doi":"10.1093/oso/9780197601372.003.0004","DOIUrl":"https://doi.org/10.1093/oso/9780197601372.003.0004","url":null,"abstract":"It is important to understand how the addiction treatment industry began and how its beliefs and practices gradually evolved into today’s standards of care. The problems associated with alcohol and drug use have been around for millennia, but the notion of addiction as a chronic medical illness is a relatively new (twentieth-century) concept. Stigma and misunderstanding abound, and antiquated attitudes about addiction as a moral failing continue to marginalize and shame the people we are tasked with helping. The chapter addresses how current addiction treatment is designed and its involvement with both medical and physical elements.","PeriodicalId":344655,"journal":{"name":"The New Addiction Treatment","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130020836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-17DOI: 10.1093/oso/9780197601372.003.0003
D. A. Wolf
This chapter examines the way the medical profession addresses physical illnesses and how recovery—from even the most difficult surgical procedures or terrible diseases—is still more likely than it is from substance use disorders. This chapter argues that few addiction treatment professionals regularly employ evidence-based interventions and emphasizes the importance making institutional or structural changes to ensure that they do.
{"title":"Failure Is an Option","authors":"D. A. Wolf","doi":"10.1093/oso/9780197601372.003.0003","DOIUrl":"https://doi.org/10.1093/oso/9780197601372.003.0003","url":null,"abstract":"This chapter examines the way the medical profession addresses physical illnesses and how recovery—from even the most difficult surgical procedures or terrible diseases—is still more likely than it is from substance use disorders. This chapter argues that few addiction treatment professionals regularly employ evidence-based interventions and emphasizes the importance making institutional or structural changes to ensure that they do.","PeriodicalId":344655,"journal":{"name":"The New Addiction Treatment","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131942631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-17DOI: 10.1093/oso/9780197601372.003.0005
David A. Patterson Silver Wolf
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.
{"title":"The Holy Trinity","authors":"David A. Patterson Silver Wolf","doi":"10.1093/oso/9780197601372.003.0005","DOIUrl":"https://doi.org/10.1093/oso/9780197601372.003.0005","url":null,"abstract":"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.","PeriodicalId":344655,"journal":{"name":"The New Addiction Treatment","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115949720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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