Support and Advance Effective Treatment - Revision history

BasilSavitsky: /* Available Tools and Resources */

2024-11-25T00:09:47Z

Available Tools and Resources

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	'''American Addiction Centers''' provides "Treatment Solutions," an online resource dedicated to helping people find solutions to meet their specific treatment needs. <ref>https://treatmentsolutions.com/admissions/</ref> Its website describes how and where to locate free or low-cost drug rehabilitation programs and highlights options for state-funded drug treatment programs, who qualifies for services, and how to local find state-funded treatment options. <ref>https://americanaddictioncenters.org/rehab-guide/free</ref> It also gives information about other possible payment options for treatment such as scholarships, loans, insurance, and how to ask friends and family for support. American Addiction Centers also provides a succinct overview of SAMHSA programs, grants, and treatment services. <ref>https://treatmentsolutions.com/treatment/rehab-guide/samhsa/</ref>		'''American Addiction Centers''' provides "Treatment Solutions," an online resource dedicated to helping people find solutions to meet their specific treatment needs. <ref>https://treatmentsolutions.com/admissions/</ref> Its website describes how and where to locate free or low-cost drug rehabilitation programs and highlights options for state-funded drug treatment programs, who qualifies for services, and how to local find state-funded treatment options. <ref>https://americanaddictioncenters.org/rehab-guide/free</ref> It also gives information about other possible payment options for treatment such as scholarships, loans, insurance, and how to ask friends and family for support. American Addiction Centers also provides a succinct overview of SAMHSA programs, grants, and treatment services. <ref>https://treatmentsolutions.com/treatment/rehab-guide/samhsa/</ref>

			'''Futures Recovery Healthcare''' has a useful infographic and a variety of information on various types of resources related to drug & alcohol counseling. <ref>https://futuresrecoveryhealthcare.com/blog/drug-alcohol-counseling/</ref>

			'''The Rural Health Information Hub''' provides an evidence-based toolkit on effective methods of increasing residential education and awareness of substance use disorder and its impact. This covers methods that utilize print and digital media, mass media, and meetings and conferences. <ref>https://www.ruralhealthinfo.org/toolkits/substance-abuse/7/dissemination-methods</ref>

	'''Advanced Recovery Systems''' is a behavioral health company focused on helping people on their path to recovery from substance abuse and mental health issues. It operates a network of inpatient and outpatient addiction and mental health treatment facilities and hosts a website that provides a assistance in navigating insurance for treatment. <ref>http://Drugrehab.com</ref> and a tool that checks if your insurance provider covers addiction care. <ref>https://www.drugrehab.com/insurance-check/</ref>		'''Advanced Recovery Systems''' is a behavioral health company focused on helping people on their path to recovery from substance abuse and mental health issues. It operates a network of inpatient and outpatient addiction and mental health treatment facilities and hosts a website that provides a assistance in navigating insurance for treatment. <ref>http://Drugrehab.com</ref> and a tool that checks if your insurance provider covers addiction care. <ref>https://www.drugrehab.com/insurance-check/</ref>

BasilSavitsky: /* Promising Practices */

2024-11-25T00:04:08Z

Promising Practices

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	'''Massachusetts.''' Boston Medical Center opened its Faster Paths to Treatment Opioid Urgent Care Center in 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits, and transportation to detox. <ref>https://www.bmc.org/faster-paths-treatment</ref>		'''Massachusetts.''' Boston Medical Center opened its Faster Paths to Treatment Opioid Urgent Care Center in 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits, and transportation to detox. <ref>https://www.bmc.org/faster-paths-treatment</ref>

	*'''American Addiction Centers''' promotes the benefits of group therapy, when led by a trained professional, to include, but not limited to: recovery education, social support, and motivation in recovery, observing various issues and methods within recovery, peer empowerment, and feedback, learning healthy coping skills, and build a sense of optimism, self, and connectedness. <ref>https://drugabuse.com/treatment/therapy/group/</ref>		'''American Addiction Centers''' promotes the benefits of group therapy, when led by a trained professional, to include, but not limited to: recovery education, social support, and motivation in recovery, observing various issues and methods within recovery, peer empowerment, and feedback, learning healthy coping skills, and build a sense of optimism, self, and connectedness. <ref>https://drugabuse.com/treatment/therapy/group/</ref>

	*'''Therapeutic Community (TC)''' is long-term residential treatment model that is whole-person centered: <ref>https://nida.nih.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/drug-addiction-treatment-in-united-states/types-treatment-programs</ref> Labeled the best-known residential treatment model by the NIDA-NIH, TC's are 6-12 months long and focus on “resocialization” of the patient and “use of the program’s entire community - including other residents, staff, and the social context - as active components of treatment.” TC is highly structured and sometimes “confrontational,” as it moves towards developing accountability, responsibility, and productivity. In TC, residents will confront harmful beliefs, ideas, self-views, and behavior patterns while learning to replace these with healthier behaviors, cognitions, and habits. TC may include other support services to aid in the transition.		'''Therapeutic Community (TC)''' is long-term residential treatment model that is whole-person centered: <ref>https://nida.nih.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/drug-addiction-treatment-in-united-states/types-treatment-programs</ref> Labeled the best-known residential treatment model by the NIDA-NIH, TC's are 6-12 months long and focus on “resocialization” of the patient and “use of the program’s entire community - including other residents, staff, and the social context - as active components of treatment.” TC is highly structured and sometimes “confrontational,” as it moves towards developing accountability, responsibility, and productivity. In TC, residents will confront harmful beliefs, ideas, self-views, and behavior patterns while learning to replace these with healthier behaviors, cognitions, and habits. TC may include other support services to aid in the transition.

	*'''The University of Pittsburgh Graduate School of Public Health''' expanded tele-treatment for addiction post-COVID-19. This expansion helped to address gaps in service. It allows for more far-reaching and equitable access to treatment and support Noted benefits of tele-treatment during the pandemic included virtual initiation of treatment, relaxed restrictions that allowed for more access, contactless medication pick-up, and ease of virtual therapy and group meetings. <ref>https://inside.upmc.com/four-steps-to-continue-tele-addiction-treatment-growth/</ref>		'''The University of Pittsburgh Graduate School of Public Health''' expanded tele-treatment for addiction post-COVID-19. This expansion helped to address gaps in service. It allows for more far-reaching and equitable access to treatment and support Noted benefits of tele-treatment during the pandemic included virtual initiation of treatment, relaxed restrictions that allowed for more access, contactless medication pick-up, and ease of virtual therapy and group meetings. <ref>https://inside.upmc.com/four-steps-to-continue-tele-addiction-treatment-growth/</ref>

	= Sources =		= Sources =

BasilSavitsky: /* Promising Practices */

2024-11-25T00:03:42Z

Promising Practices

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	'''Massachusetts.''' Boston Medical Center opened its Faster Paths to Treatment Opioid Urgent Care Center in 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits, and transportation to detox. <ref>https://www.bmc.org/faster-paths-treatment</ref>		'''Massachusetts.''' Boston Medical Center opened its Faster Paths to Treatment Opioid Urgent Care Center in 2016. This center, which is specifically for treating patients addicted to prescription painkillers, is located next to the hospital emergency room, giving patients immediate access to comprehensive care including counseling, case management, home visits, and transportation to detox. <ref>https://www.bmc.org/faster-paths-treatment</ref>

			*'''American Addiction Centers''' promotes the benefits of group therapy, when led by a trained professional, to include, but not limited to: recovery education, social support, and motivation in recovery, observing various issues and methods within recovery, peer empowerment, and feedback, learning healthy coping skills, and build a sense of optimism, self, and connectedness. <ref>https://drugabuse.com/treatment/therapy/group/</ref>

			*'''Therapeutic Community (TC)''' is long-term residential treatment model that is whole-person centered: <ref>https://nida.nih.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/drug-addiction-treatment-in-united-states/types-treatment-programs</ref> Labeled the best-known residential treatment model by the NIDA-NIH, TC's are 6-12 months long and focus on “resocialization” of the patient and “use of the program’s entire community - including other residents, staff, and the social context - as active components of treatment.” TC is highly structured and sometimes “confrontational,” as it moves towards developing accountability, responsibility, and productivity. In TC, residents will confront harmful beliefs, ideas, self-views, and behavior patterns while learning to replace these with healthier behaviors, cognitions, and habits. TC may include other support services to aid in the transition.

			*'''The University of Pittsburgh Graduate School of Public Health''' expanded tele-treatment for addiction post-COVID-19. This expansion helped to address gaps in service. It allows for more far-reaching and equitable access to treatment and support Noted benefits of tele-treatment during the pandemic included virtual initiation of treatment, relaxed restrictions that allowed for more access, contactless medication pick-up, and ease of virtual therapy and group meetings. <ref>https://inside.upmc.com/four-steps-to-continue-tele-addiction-treatment-growth/</ref>

	= Sources =		= Sources =

BasilSavitsky: /* Relevant Research */

2024-11-24T23:50:33Z

Relevant Research

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	'''Cost/Benefit Analysis.''' Drug treatment programs are known for being expensive and difficult to find. Current research suggests that when people are able to enroll in treatment, the benefits impact not only on individuals living with a substance use disorder but also healthcare administrations, law enforcement, and the criminal justice system. Recent data suggests that every dollar spent on substance use treatment centers saves $4 in health care costs and $7 in criminal justice and law enforcement involvement. <ref>https://americanaddictioncenters.org/rehab-guide/public-assistance</ref> Over $8,200 can be saved on health care and productivity costs per individual who spends at least 60 days in a quality substance abuse treatment program. <ref>https://americanaddictioncenters.org/rehab-guide/public-assistance</ref> Thus, it is effective to invest taxpayer dollars and government resources to implement accessible, affordable, and quality treatment centers -- regardless of access to insurance or financial status.		'''Cost/Benefit Analysis.''' Drug treatment programs are known for being expensive and difficult to find. Current research suggests that when people are able to enroll in treatment, the benefits impact not only on individuals living with a substance use disorder but also healthcare administrations, law enforcement, and the criminal justice system. Recent data suggests that every dollar spent on substance use treatment centers saves $4 in health care costs and $7 in criminal justice and law enforcement involvement. <ref>https://americanaddictioncenters.org/rehab-guide/public-assistance</ref> Over $8,200 can be saved on health care and productivity costs per individual who spends at least 60 days in a quality substance abuse treatment program. <ref>https://americanaddictioncenters.org/rehab-guide/public-assistance</ref> Thus, it is effective to invest taxpayer dollars and government resources to implement accessible, affordable, and quality treatment centers -- regardless of access to insurance or financial status.

			'''This article''' reports on research which found that lack of patient motivation for treatment significantly impacts retention and successful outcomes, implying that increasing patient motivation is critical prior to and during treatment programs. <ref>https://psycnet.apa.org/record/2013-33245-001</ref>

			'''This chapter''' within the book, "Women, Children, and Addiction," addresses the importance of gender issues in substance use research and emphasizes the importance of gender-sensitive treatment and approaches. <ref>https://www.taylorfrancis.com/chapters/edit/10.4324/9781315873824-9/women-addiction-importance-gender-issues-substance-abuse-research-ellen-tuchman</ref>

	= Impactful Federal, State, and Local Policies =		= Impactful Federal, State, and Local Policies =

BasilSavitsky: /* Introductory Paragraph */

2024-11-24T23:42:05Z

Introductory Paragraph

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	According to a 2022 national survey, about 48.7 million people ages 12 and over in the United States had a substance use disorder within the past year. <ref>https://www.hhs.gov/about/news/2023/11/13/hhs-samhsa-release-2022-national-survey-drug-use-health-data.html</ref> Only about 11% receive treatment. <ref>https://drugfree.org/drug-and-alcohol-news/new-data-show-millions-of-americans-with-alcohol-and-drug-addiction-could-benefit-from-health-care-reform/</ref> ~~Substance Use Disorder (~~SUD) is a substantial problem for Americans, with nearly 20 million reporting having a substance use problem. <ref>https://www.recoveryanswers.org/research-post/1-in-10-americans-report-having-resolved-a-significant-substance-use-problem/</ref> This is alarming, as the effects of a SUD extend well beyond the individual, impacting families, communities and the economy in a significantly negative way. The social stigma surrounding alcohol and substance use has made access to treatment less equitable and less attainable. Despite evidence-based, successful methods for treatment and recovery, barriers are ever-present and include a severe professional shortage, high costs, social stigma, and fear of retaliation. <ref>https://americanaddictioncenters.org/rehab-guide/treatment-barriers</ref> <ref>https://www.pewtrusts.org/en/research-and-analysis/blogs/stateline/2015/4/01/how-severe-is-the-shortage-of-substance-abuse-specialists</ref>. Creating social awareness of the benefits of treating and supporting those with a SUD is essential to breaking down barriers and improving access.		According to a 2022 national survey, about 48.7 million people ages 12 and over in the United States had a substance use disorder within the past year. <ref>https://www.hhs.gov/about/news/2023/11/13/hhs-samhsa-release-2022-national-survey-drug-use-health-data.html</ref> Only about 11% receive treatment. <ref>https://drugfree.org/drug-and-alcohol-news/new-data-show-millions-of-americans-with-alcohol-and-drug-addiction-could-benefit-from-health-care-reform/</ref> SUD is a substantial problem for Americans, with nearly 20 million reporting having a substance use problem. <ref>https://www.recoveryanswers.org/research-post/1-in-10-americans-report-having-resolved-a-significant-substance-use-problem/</ref> This is alarming, as the effects of a SUD extend well beyond the individual, impacting families, communities and the economy in a significantly negative way. The social stigma surrounding alcohol and substance use has made access to treatment less equitable and less attainable. Despite evidence-based, successful methods for treatment and recovery, barriers are ever-present and include a severe professional shortage, high costs, social stigma, and fear of retaliation. <ref>https://americanaddictioncenters.org/rehab-guide/treatment-barriers</ref> <ref>https://www.pewtrusts.org/en/research-and-analysis/blogs/stateline/2015/4/01/how-severe-is-the-shortage-of-substance-abuse-specialists</ref>. Creating social awareness of the benefits of treating and supporting those with a SUD is essential to breaking down barriers and improving access.
	There is an increasingly important need to provide options for individuals who may benefit from quality and affordable alcohol and drug treatment programs. The demand for treatment is met with a shortage of quality recovery centers in America, which makes it difficult for individuals ''and their families'' to receive the care they need. The small populations in rural communities, for example, cannot support the specialized treatment or trained primary care practitioners who are willing to treat individuals living with addiction. This leads many individuals to either go without care or join waitlists for treatment.		There is an increasingly important need to provide options for individuals who may benefit from quality and affordable alcohol and drug treatment programs. The demand for treatment is met with a shortage of quality recovery centers in America, which makes it difficult for individuals ''and their families'' to receive the care they need. The small populations in rural communities, for example, cannot support the specialized treatment or trained primary care practitioners who are willing to treat individuals living with addiction. This leads many individuals to either go without care or join waitlists for treatment.

BasilSavitsky: /* Introductory Paragraph */

2024-11-24T23:41:21Z

Introductory Paragraph

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	According to a 2022 national survey, about 48.7 million people ages 12 and over in the United States had a substance use disorder within the past year. <ref>https://www.hhs.gov/about/news/2023/11/13/hhs-samhsa-release-2022-national-survey-drug-use-health-data.html</ref> Only about 11% receive treatment. <ref>https://drugfree.org/drug-and-alcohol-news/new-data-show-millions-of-americans-with-alcohol-and-drug-addiction-could-benefit-from-health-care-reform/</ref> There is an increasingly important need to provide options for individuals who may benefit from quality and affordable alcohol and drug treatment programs. The demand for treatment is met with a shortage of quality recovery centers in America, which makes it difficult for individuals ''and their families'' to receive the care they need. The small populations in rural communities, for example, cannot support the specialized treatment or trained primary care practitioners who are willing to treat individuals living with addiction. This leads many individuals to either go without care or join waitlists for treatment.		According to a 2022 national survey, about 48.7 million people ages 12 and over in the United States had a substance use disorder within the past year. <ref>https://www.hhs.gov/about/news/2023/11/13/hhs-samhsa-release-2022-national-survey-drug-use-health-data.html</ref> Only about 11% receive treatment. <ref>https://drugfree.org/drug-and-alcohol-news/new-data-show-millions-of-americans-with-alcohol-and-drug-addiction-could-benefit-from-health-care-reform/</ref> Substance Use Disorder (SUD) is a substantial problem for Americans, with nearly 20 million reporting having a substance use problem. <ref>https://www.recoveryanswers.org/research-post/1-in-10-americans-report-having-resolved-a-significant-substance-use-problem/</ref> This is alarming, as the effects of a SUD extend well beyond the individual, impacting families, communities and the economy in a significantly negative way. The social stigma surrounding alcohol and substance use has made access to treatment less equitable and less attainable. Despite evidence-based, successful methods for treatment and recovery, barriers are ever-present and include a severe professional shortage, high costs, social stigma, and fear of retaliation. <ref>https://americanaddictioncenters.org/rehab-guide/treatment-barriers</ref> <ref>https://www.pewtrusts.org/en/research-and-analysis/blogs/stateline/2015/4/01/how-severe-is-the-shortage-of-substance-abuse-specialists</ref>. Creating social awareness of the benefits of treating and supporting those with a SUD is essential to breaking down barriers and improving access.
			There is an increasingly important need to provide options for individuals who may benefit from quality and affordable alcohol and drug treatment programs. The demand for treatment is met with a shortage of quality recovery centers in America, which makes it difficult for individuals ''and their families'' to receive the care they need. The small populations in rural communities, for example, cannot support the specialized treatment or trained primary care practitioners who are willing to treat individuals living with addiction. This leads many individuals to either go without care or join waitlists for treatment.

	Those living with substance use disorders are among the highest cost of healthcare users. <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref> Overdose patients in particular place a heavy burden on first responders, emergency departments, and the foster care system. <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref> Some options to solve this issue could include innovations such as expanded use of online tools and assessments, integration of primary care treatment, and virtual reality. <ref>Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780</ref>		Those living with substance use disorders are among the highest cost of healthcare users. <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref> Overdose patients in particular place a heavy burden on first responders, emergency departments, and the foster care system. <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref> Some options to solve this issue could include innovations such as expanded use of online tools and assessments, integration of primary care treatment, and virtual reality. <ref>Volkow, N. D., Frieden, T. R., Hyde, P. S., & Cha, S. S. (2014). Medication-Assisted Therapies—Tackling the Opioid-Overdose Epidemic. New England Journal of Medicine, 370(22), 2063–2066. https://doi.org/10.1056/NEJMp1402780</ref>

Charliekapinos: /* Available Tools and Resources */

2024-10-23T20:06:49Z

Available Tools and Resources

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	'''SAFE Project:'''		'''SAFE Project:'''
	*'''Treatment and Family Support Locator''' is a SAFE Project and University of Maryland created resource designed to search the SAMHSA Treatment Locator database using more criteria to help find the best~~/more specific~~ options available.<ref>https://safelocator.org/en/search</ref>		*'''Treatment and Family Support Locator''' is a SAFE Project and University of Maryland created resource designed to allow users seeking substance use/mental health treatment to search the SAMHSA Treatment Locator database using more specific criteria to help find the best options available.<ref>https://safelocator.org/en/search</ref>
	*'''"SAFE Community Playbook"''' is a downloadable resource that provides a blueprint on how communities can convene a local coalition, conduct an assessment, and prioritize actions to address the addiction epidemic.<ref>https://www.safeproject.us/safe-community-playbook-and-safe-solutions/download/</ref>		*'''"SAFE Community Playbook"''' is a downloadable resource that provides a blueprint on how communities can convene a local coalition, conduct an assessment, and prioritize actions to address the addiction epidemic.<ref>https://www.safeproject.us/safe-community-playbook-and-safe-solutions/download/</ref>

Charliekapinos: /* Available Tools and Resources */

2024-10-23T20:06:05Z

Available Tools and Resources

← Older revision		Revision as of 13:06, 23 October 2024
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	*"Selecting Best-fit Programs and Practices: Guidance for Substance Misuse Prevention Practitioners." This resource places the selection of programs and practices within the broader context of evidence-based prevention and covers the value of embedding program and practice selection in a strategic planning process. It provides information on programs and practices, how to choose among them, and tips for their adoption, adaptation, and implementation, and continual improvement. <ref>https://www.samhsa.gov/sites/default/files/ebp_prevention_guidance_document_241.pdf</ref>		*"Selecting Best-fit Programs and Practices: Guidance for Substance Misuse Prevention Practitioners." This resource places the selection of programs and practices within the broader context of evidence-based prevention and covers the value of embedding program and practice selection in a strategic planning process. It provides information on programs and practices, how to choose among them, and tips for their adoption, adaptation, and implementation, and continual improvement. <ref>https://www.samhsa.gov/sites/default/files/ebp_prevention_guidance_document_241.pdf</ref>

	'''SAFE Project''' ~~offers a~~ Treatment and Family Support Locator ~~based upon awareness that the first challenge~~ a person or loved one faces after deciding to accept treatment is finding an effective and affordable treatment center. Treatment locators may help those to find an appropriate center that is suitable for the individual based on their insurance, ability to pay, type of addiction, ability to address co-occurring mental illness, distance from home, and other factors. The SAFE Project ~~Treatment Locator was developed with the~~ University of Maryland ~~to provide a platform that is easy to navigate and that provides the ability~~ to search the SAMHSA database using more criteria to help find the best options available. <ref>https://safelocator.org/en/search</ref>		'''SAFE Project:'''
			*'''Treatment and Family Support Locator''' is a SAFE Project and University of Maryland created resource designed to search the SAMHSA Treatment Locator database using more criteria to help find the best/more specific options available.<ref>https://safelocator.org/en/search</ref>
			*'''"SAFE Community Playbook"''' is a downloadable resource that provides a blueprint on how communities can convene a local coalition, conduct an assessment, and prioritize actions to address the addiction epidemic.<ref>https://www.safeproject.us/safe-community-playbook-and-safe-solutions/download/</ref>

	'''BJA''' has published "Promising Practices Guidelines for Residential Substance Abuse Treatment." This aims to assist correctional administrators and practitioners at the state and county levels in establishing and maintaining programs that adhere to the promising practices suggested by current research and standards for substance-use disorder treatment and criminal justice programming. <ref>https://bja.ojp.gov/library/publications/promising-practices-guidelines-residential-substance-abuse-treatment</ref>		'''BJA''' has published "Promising Practices Guidelines for Residential Substance Abuse Treatment." This aims to assist correctional administrators and practitioners at the state and county levels in establishing and maintaining programs that adhere to the promising practices suggested by current research and standards for substance-use disorder treatment and criminal justice programming. <ref>https://bja.ojp.gov/library/publications/promising-practices-guidelines-residential-substance-abuse-treatment</ref>

BasilSavitsky: /* Key Information */

2024-08-02T00:21:30Z

Key Information

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	*Family support and family recovery programs		*Family support and family recovery programs

	Specific evidence-based treatments that have been researched and scientifically proven include:		'''Treatment Options'''

			There are inpatient treatment choices, such as residential treatment, and outpatient options, depending on what is best suited for the level of care for an individual. Treatment may require detox on either an outpatient or inpatient basis, depending upon professional medical advice. Other treatment programs include recovery coaching, recovery housing, recovery management, peer-led recovery community centers, and recovery-based education. Specific evidence-based treatments that have been researched and scientifically proven include:

	*Cognitive behavioral therapy (CBT) provides one-to-one attention by a a therapist. CBT has been proven to reduce substance use and to have a positive impact for life improvements. CBT has also been proven to be effective with trauma which often coincides with substance use disorders. <ref>https://www.apa.org/ptsd-guideline/patients-and-families/cognitive-behavioral</ref>		*Cognitive behavioral therapy (CBT) provides one-to-one attention by a a therapist. CBT has been proven to reduce substance use and to have a positive impact for life improvements. CBT has also been proven to be effective with trauma which often coincides with substance use disorders. <ref>https://www.apa.org/ptsd-guideline/patients-and-families/cognitive-behavioral</ref>

	*12-step therapy programs, such as Alcoholics Anonymous and Narcotics Anonymous are self-help group programs which are evidence-based in assisting with maintaining sobriety. <ref>https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3753023/</ref>		*12-step therapy programs, such as Alcoholics Anonymous and Narcotics Anonymous, are self-help group programs which are evidence-based in assisting with maintaining sobriety. <ref>https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3753023/</ref> While quite common, there is some controversy associated with an emphasis on total abstinence, which limits advancing multiple pathways. Likewise, the documentary "The Business of Recovery" maintains that 12-step programs are typically only helpful for 5-10% of people who partake in them. <ref> Inside The $35 Billion Addiction Treatment Industry. (n.d.). Retrieved December 5, 2019, from https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#c20c67817dc9</ref>

	*Medication-assisted treatment (MAT) is ~~a combination of medications and talk therapy~~. ~~Depending on~~ the ~~substance, MAT is an evidence~~-~~based option~~ for ~~recovery from alcohol and opioid use~~. <ref>https://www.~~samhsa~~.~~gov~~/~~medication~~-~~assisted~~-treatment</ref>

	~~There are inpatient~~ treatment ~~options~~, ~~such~~ as ~~residential~~ treatment, and ~~outpatient choices, depending on what~~ is ~~best suited~~ for the ~~level~~ of ~~care for an individual~~. ~~Treatment may require detox on either an outpatient or inpatient basis, depending upon professional medical advice~~.		*Medication-assisted treatment (MAT) is available in accredited and certified private and public clinics across the United States. It is a combination of medications and talk therapy. Depending on the substance, MAT is an evidence-based option for recovery from alcohol and opioid use. <ref>https://www.samhsa.gov/medication-assisted-treatment</ref> MAT A combination of medication, counseling, and behavioral therapy is regarded as the most effective in treating opioid dependency. <ref>https://www.samhsa.gov/medication-assisted-treatment/medications-counseling-related-conditions</ref> The Substance Abuse and Mental Health Administration (SAMHSA) is responsible for overseeing the certification of opioid treatment programs which use Buprenorphine, Methadone, and Naltrexone. <ref>https://www.samhsa.gov/medication-assisted-treatment</ref>

	'''Implementing Treatment in the Primary Care Setting'''		'''Implementing Treatment in the Primary Care Setting'''

	Primary care providers are highly likely to come in contact with individuals who are struggling with substance use disorders ~~however~~, only about 3,600 physicians are board-certified in treating addiction. <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref> Approximately 4% of all physicians nationwide are certified to prescribe medication for opioid use disorder. <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref> A majority of individuals must obtain their medication from Methadone clinics. While these clinics are helpful in assisting people in getting their medication, it is difficult for specialty clinics to meet the demand for services. This calls for more primary care providers to obtain the training and certifications to treat complex cases of substance use disorders. One possible solution for getting more primary care physicians to assist in this issue is to incentivize the screening and treatment of addiction. There are many challenges that primary care providers may face when choosing to treat addiction patients, including stigma, the complexity of this population, and reimbursement for services.		Primary care providers are highly likely to come in contact with individuals who are struggling with substance use disorders, but only about 3,600 physicians are board-certified in treating addiction. <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref> Approximately 4% of all physicians nationwide are certified to prescribe medication for opioid use disorder. <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref> A majority of individuals who use MAT must obtain their medication from Methadone clinics. While these clinics are helpful in assisting people in getting their medication, it is difficult for specialty clinics to meet the demand for services. This calls for more primary care providers to obtain the training and certifications to treat complex cases of substance use disorders. One possible solution for getting more primary care physicians to assist in this issue is to incentivize the screening and treatment of addiction. There are many challenges that primary care providers may face when choosing to treat addiction patients, including stigma, the complexity of this population, and reimbursement for services.

	= Relevant Research =		= Relevant Research =

BasilSavitsky: /* Key Information */

2024-08-02T00:04:12Z

Key Information

← Older revision		Revision as of 17:04, 1 August 2024
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	There are inpatient treatment options, such as residential treatment, and outpatient choices, depending on what is best suited for the level of care for an individual. Treatment may require detox on either an outpatient or inpatient basis, depending upon professional medical advice.		There are inpatient treatment options, such as residential treatment, and outpatient choices, depending on what is best suited for the level of care for an individual. Treatment may require detox on either an outpatient or inpatient basis, depending upon professional medical advice.

			'''Implementing Treatment in the Primary Care Setting'''

			Primary care providers are highly likely to come in contact with individuals who are struggling with substance use disorders however, only about 3,600 physicians are board-certified in treating addiction. <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref> Approximately 4% of all physicians nationwide are certified to prescribe medication for opioid use disorder. <ref>https://www.commonwealthfund.org/publications/2017/sep/focus-expanding-access-addiction-treatment-through-primary-care</ref> A majority of individuals must obtain their medication from Methadone clinics. While these clinics are helpful in assisting people in getting their medication, it is difficult for specialty clinics to meet the demand for services. This calls for more primary care providers to obtain the training and certifications to treat complex cases of substance use disorders. One possible solution for getting more primary care physicians to assist in this issue is to incentivize the screening and treatment of addiction. There are many challenges that primary care providers may face when choosing to treat addiction patients, including stigma, the complexity of this population, and reimbursement for services.

	= Relevant Research =		= Relevant Research =