Home > Evidence-based practices in addiction treatment: review and recommendations for public policy.

Glasner-Edwards, Suzette and Rawson, Richard . (2010) Evidence-based practices in addiction treatment: review and recommendations for public policy. Elsevier. Health Policy, 97 (2-3)

URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC29519...

The movement in recent years towards evidence-based practice (EBP) in health care systems and policy has permeated the substance abuse treatment system, leading to a growing number of federal and statewide initiatives to mandate EBP implementation. Nevertheless, due to a lack of consensus in the addiction field regarding procedures or criteria to identify EBPs, the optimal processes for disseminating empirically based interventions into real-world clinical settings have not been identified. Although working lists of interventions considered to be evidence-based have been developed by a number of constituencies advocating EBP dissemination in addiction treatment settings, the use of EBP lists to form policy-driven mandates has been controversial. This article examines the concept of EBP, critically reviews criteria used to evaluate the evidence basis of interventions, and highlights the manner in which such criteria have been applied in the addictions field. Controversies regarding EBP implementation policies and practices in addiction treatment are described, and suggestions are made to shift the focus of dissemination efforts from manualized psychosocial interventions to specific skill sets that are broadly applicable and easily learned by clinicians. Organizational and workforce barriers to EBP implementation are delineated, with corresponding recommendations to facilitate successful dissemination of evidence-based skills.

Item Type:Evidence resource
Drug Type:Alcohol or other drugs in general
Intervention Type:AOD disorder, AOD disorder drug therapy, AOD disorder treatment method, Education and training, Psychosocial treatment method
Date:October 2010
Page Range:pp. 93-104
Subjects:HJ Treatment method > Substance disorder treatment method
HJ Treatment method > Treatment outcome
J Health care, prevention and rehabilitation > Health services, substance use research
J Health care, prevention and rehabilitation > Treatment and maintenance > Treatment factors
MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training
N Communication, information and education > Information transfer > Information transfer from research to practice
R Research > Research outcome > Policy implications of research
R Research > Research dissemination

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