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Practice guidelines in the addictions. Recent developments

R D Walker1, M O Howard, P S Walker

  • 1Seattle Veterans Affairs Medical Center, Washington, USA.

Journal of Substance Abuse Treatment
|March 1, 1995
PubMed
Summary
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Clinical practice guidelines for addiction treatment are emerging from major professional organizations. This review examines their development, impact, and role in assessing addiction care quality.

Area of Science:

  • Addiction Medicine
  • Clinical Practice Guidelines
  • Healthcare Policy

Background:

  • A proliferation of clinical practice guidelines has occurred across medicine in the last decade.
  • Recent initiatives aim to develop and implement guidelines specifically for the treatment of addictive disorders.

Purpose of the Study:

  • To review guideline development activities for addictive disorders by key professional organizations.
  • To discuss the role of performance and outcome assessments in evaluating and refining these guidelines.
  • To delineate the potential positive and negative effects of guidelines on addiction treatment practices.

Main Methods:

  • Review of guideline development efforts from major professional organizations including the American Psychiatric Association, American Psychological Association, American Society of Addiction Medicine, American Nurses Association, National Association of Social Workers, and the Center for Substance Abuse Treatment.

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  • Discussion of medical care performance and outcome assessments.
  • Delineation of potential salutary and deleterious effects of guidelines on clinical practice.

    • Main Results:

    • Multiple professional organizations are actively developing guidelines for addiction treatment.
    • Performance and outcome assessments are crucial for guideline evaluation and refinement.
    • Guidelines may have both beneficial and detrimental impacts on clinical practice in addiction care.

    Conclusions:

    • The development of practice guidelines for addictive disorders is a growing area of focus for major health organizations.
    • Effective implementation requires careful consideration of potential impacts and the use of robust assessment methods.
    • Ongoing evaluation is necessary to optimize the role of guidelines in improving addiction treatment.