
Principles of Drug Addiction Treatment
Many people equate
addiction with simply using drugs and therefore expect
that addiction should be cured quickly,
and if it is not, treatment is a failure. In reality, because
addiction is a chronic disorder,
the ultimate goal of long-term abstinence often requires
sustained and repeated treatment episodes. Three decades
of scientific research and clinical practice
have yielded a variety of effective approaches to drug
addiction treatment. The National Institute of Drug Abuse (NIDA) has
determined the following:
No single treatment is appropriate for all individuals. Matching
treatment settings, interventions, and services to each
individual's particular problems and needs is critical
to his or her ultimate
success in returning
to productive functioning in the family, workplace, and
society.
Treatment needs to be readily available. Because individuals
who are addicted to drugs may be uncertain about entering
treatment, taking advantage of opportunities when they
are ready for treatment is crucial.
Potential treatment applicants can be lost if treatment
is not immediately available or is not readily accessible. Effective
treatment attends to multiple needs of the individual, not just
his or her drug use. To be effective, treatment
must address the individual's drug use and any associated
medical, psychological, social,
vocational, and legal problems.
An individual's treatment and services plan must be assessed
continually and modified as necessary to ensure that
the plan meets the person's changing needs. A patient may
require varying combinations of services
and treatment components during the course of treatment
and recovery. In addition to counseling or psychotherapy,
a patient at times may require
medication, other medical services, family therapy, parenting
instruction, vocational rehabilitation, and social and
legal services. It is critical
that the treatment approach be appropriate to the individual's
age, gender, ethnicity, and culture.
Remaining in treatment for an adequate period of time
is critical for treatment effectiveness. The appropriate
duration for an individual depends on his or her problems
and needs. Research indicates that for most
patients, the threshold of significant improvement
is reached at about 3 months in treatment. After this threshold
is reached, additional
treatment
can produce further progress toward recovery. Because
people often leave treatment prematurely, programs
should include strategies to engage and
keep patients in treatment.
Counseling (individual and/or group) and other behavioral
therapies are critical components of effective treatment
for addiction. In therapy, patients address issues
of motivation, build skills to resist
drug use, replace drug-using activities with constructive
and rewarding non drug-using activities, and improve
problem-solving abilities. Behavioral
therapy also facilitates interpersonal relationships
and the individual's ability to function in the family
and community.
For more information on effective
addiction treatment visit NIDA's
website.
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Twelve Step
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www.austinaa.org/
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Association of Addiction Treatment Providers
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www.naatp.org
Dedicated to promoting, assisting and enhancing the delivery of ethical, effective,
research-based treatments for alcoholism and other drug addictions
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National Institute on Alcohol Abuse & Alcoholism |
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www.niaaa.nih.gov
Get the latest information and publications on alcoholism and alcohol abuse
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National Institute on Drug Abuse |
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www.nida.nih.gov
Information, publications and news releases on drugs of abuse
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