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Digital approaches to continuing care.

James R McKay1

  • 1Department of Psychiatry, University of Pennsylvania, Crescenz VA Medical Center, Philadelphia, Pennsylvania, USA.

Current Opinion in Psychiatry
|July 5, 2022
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Summary
This summary is machine-generated.

Remote continuing care, using digital tools like apps and phone calls, effectively supports recovery from substance use disorders. These methods improve treatment accessibility for those unable to attend in-person sessions.

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Area of Science:

  • Addiction Medicine
  • Digital Health
  • Telemedicine

Background:

  • Continuing care is crucial for sustained recovery from substance use disorders (SUDs).
  • Many patients face barriers to attending clinic-based continuing care.
  • The COVID-19 pandemic highlighted the need for remote treatment options.

Purpose of the Study:

  • To review studies on the effectiveness of digital and telephonic remote continuing care for SUDs.
  • To identify the most efficacious remote interventions for SUDs.
  • To explore the integration of remote and traditional continuing care models.

Main Methods:

  • Systematic review of studies on digital and telephonic SUD continuing care.
  • Analysis of intervention effectiveness based on published research.
  • Evaluation of remote interventions like smartphone apps, text messaging, and telephone counseling.

Main Results:

  • Smartphone apps, text messaging, and telephone counseling are effective for remote SUD continuing care.
  • The Addiction Comprehensive Health Enhancement Support System (ACHESS) app and Telephone Monitoring and Counseling show strong evidence of efficacy.
  • These interventions have demonstrated positive effects on drinking outcomes in alcohol use disorder patients.

Conclusions:

  • Digital and telephonic approaches offer effective remote continuing care for SUDs.
  • These methods increase access to care for underserved populations.
  • Further research is needed to optimize the combination of remote and traditional continuing care.