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Becoming an Evidence-Based Practitioner.

Mark M Lowis1, Jennifer Harrison2, Steve Wiland3

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Summary

Effective treatment for co-occurring mental health and substance use disorders requires evidence-based practices. Addressing staff conflict through education improves patient outcomes in medication-assisted therapy programs.

Keywords:
Co-occurring disordersEvidence-based practitionerMotivational approaches

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Area of Science:

  • Clinical Psychology
  • Psychiatry
  • Public Health

Background:

  • Co-occurring mental health and substance use disorders frequently lead to adverse outcomes in housing, employment, health, and recovery.
  • Practitioners often rely on personal experience over evidence-based interventions, hindering effective treatment.
  • Medication-assisted therapy (MAT) is evidence-based for co-occurring disorders, yet suboptimal practices persist.

Purpose of the Study:

  • To highlight the challenge of implementing evidence-based interventions for co-occurring disorders.
  • To examine the impact of staff conflict arising from differing treatment approaches.
  • To propose solutions for improving treatment outcomes through education and conflict resolution.

Main Methods:

  • Review of existing literature on evidence-based interventions for co-occurring disorders.
  • Analysis of the impact of practitioner reliance on non-evidence-based practices.
  • Discussion of strategies for staff education and intra-staff conflict resolution.

Main Results:

  • Discrepancies in treatment approaches among staff negatively affect patient outcomes.
  • Evidence-based practices, particularly MAT, show significant positive outcomes for co-occurring disorders.
  • Staff conflict stemming from differing therapeutic philosophies can undermine treatment efficacy.

Conclusions:

  • Implementing evidence-based interventions, like MAT, is crucial for co-occurring mental health and substance use disorders.
  • Addressing and resolving intra-staff conflict through targeted education is essential for effective treatment.
  • A unified approach grounded in scientific evidence improves patient engagement and recovery.