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Evidence-based practices for substance use disorders.

Mark P McGovern1, Kathleen M Carroll

  • 1Department of Psychiatry, Dartmouth Medical School, Lebanon, NH 03766, USA. mark.p.mcgovern@dartmouth.edu

The Psychiatric Clinics of North America
|January 9, 2004
PubMed
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Evaluating evidence-based practices (EBPs) for substance use disorders presents challenges. This article reviews models for assessing interventions and highlights available effective treatments for substance use disorders.

Area of Science:

  • Addiction Medicine
  • Psychiatry
  • Public Health

Background:

  • Substance use disorders (SUDs) are complex, with patient and treatment variability.
  • Evaluating evidence-based practices (EBPs) for SUDs is challenging due to disorder heterogeneity and diverse service settings.
  • Multiple research avenues are exploring SUD interventions.

Purpose of the Study:

  • To outline models for evaluating evidence for SUD interventions.
  • To describe pharmacological, behavioral/psychosocial, and treatment services for SUDs.
  • To inform clinicians and patients about effective treatment alternatives.

Main Methods:

  • Review of four models for evaluating SUD intervention evidence.
  • Description of interventions with defined protocols (pharmacological, manual-guided therapy).

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  • Inclusion of interventions with documented objective evaluation records.

    • Main Results:

    • Four models for evaluating SUD EBPs were presented.
    • Pharmacological, behavioral/psychosocial, and treatment services with clear definitions and evaluation records were described.
    • Significant ongoing work aims to assess real-world effectiveness.

    Conclusions:

    • Clinicians and individuals with SUDs should be aware of available effective treatment options.
    • The landscape of SUD treatments is expanding with ongoing research.
    • Informed awareness of EBPs is crucial for managing substance use disorders.