Implementing Behavioral Couples Therapy for Substance Use Disorders in Real-World Clinical Practice

Area of Science:

• Behavioral Couple Therapy
• Substance Use Disorder Treatment
• Clinical Psychology

Background:

• Behavioral Couple Therapy (BCT) is an evidence-based treatment primarily for alcohol use disorder.
• Its efficacy is supported by randomized controlled trials, but translation to general practice is limited.
• The intimate partner relationship is leveraged to support recovery.

Purpose of the Study:

• To provide recommendations for implementing BCT in everyday practice settings.
• To broaden the application of BCT for various substance use disorders and couple dynamics.
• To guide the use of BCT in general couple therapy settings.

Main Methods:

• Describing a stepwise approach for couple intake and treatment appropriateness.
• Recommending broadened inclusion criteria for diverse substance use profiles and goals (e.g., controlled use vs. abstinence).
• Suggesting BCT as a standalone or add-on treatment and providing guidance for telehealth delivery.

Main Results:

• The article outlines practical strategies for integrating BCT into routine clinical practice.
• It proposes expanding BCT's utility to couples with drug use disorders and those seeking controlled use.
• Guidance is offered for adapting BCT in general couple therapy and via telehealth.

Conclusions:

• BCT can be effectively implemented in general practice settings beyond specialized substance use disorder clinics.
• Adaptations allow for broader application, including couples with drug use disorders and varied recovery goals.
• Further research on dissemination strategies and optimal BCT dosage is encouraged.