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Updated: Apr 19, 2026

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NADA protocol: integrative acupuncture in addictions.

Kenneth Carter1, Michelle Olshan-Perlmutter

  • 1Kenneth Carter, MD, MPH, UNC Chapel Medical School and Emergency Psychiatric Services, Carolinas Healthcare System, Behavioral Health, Charlotte, NC. Michelle Olshan-Perlmutter, PMHCNS-BC, FNP-BC, Carolinas Healthcare System, Outpatient Psychiatry Carolinas Psychiatry and Behavioral Wellness, Charlotte, NC.

Journal of Addictions Nursing
|December 17, 2014
PubMed
Summary

National Acupuncture Detoxification Association (NADA) acupuncture, a 5-point auricular protocol, is a best practice for substance use disorders. It improves engagement, retention, and reduces cravings and anxiety in behavioral health.

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Area of Science:

  • Integrative Medicine
  • Behavioral Health
  • Addiction Treatment

Background:

  • National Acupuncture Detoxification Association (NADA) acupuncture is a standardized auricular needling protocol.
  • Originated in the 1970s as a response to the opiate epidemic.
  • Increasingly recognized for addiction treatment and general behavioral health.

Purpose of the Study:

  • To highlight the effectiveness of NADA acupuncture in addiction treatment.
  • To underscore its role as a best practice in substance use disorder management.
  • To explore its benefits in integrative behavioral health programs.

Main Methods:

  • Utilizes a simple, standardized 1- to 5-point auricular needling protocol.
  • Application within integrative programs for addiction and behavioral health.

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  • Focus on the NADA acupuncture protocol's implementation.
  • Main Results:

    • NADA acupuncture is recognized as a best practice for substance use disorders.
    • Integrative programs show improvements in patient engagement and retention.
    • Observed decreases in drug cravings, anxiety, and physical symptoms.

    Conclusions:

    • NADA acupuncture is a valuable intervention for addiction and behavioral health.
    • Its standardized protocol offers a universally useful approach.
    • Integrative programs incorporating NADA acupuncture yield positive patient outcomes.