Table 4.2, Principles of Effective Treatment for Substance Use Disorders (2024)

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Substance Abuse and Mental Health Services Administration (US); Office of the Surgeon General (US). Facing Addiction in America: The Surgeon General's Report on Alcohol, Drugs, and Health [Internet]. Washington (DC): US Department of Health and Human Services; 2016 Nov.

Table 4.2, Principles of Effective Treatment for Substance Use Disorders (1)

Facing Addiction in America: The Surgeon General's Report on Alcohol, Drugs, and Health [Internet].

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Table 4.2Principles of Effective Treatment for Substance Use Disorders

Principles of Effective Treatment for AdultsPrinciples of Effective Treatment for Adolescents
  1. Addiction is a complex but treatable disease that affects brain function and behavior.

  2. No single treatment is appropriate for everyone.

  3. Treatment needs to be readily available.

  4. Effective treatment attends to multiple needs of the individual, not just his or her drug abuse.

  5. Remaining in treatment for an adequate period of time is critical.

  6. Behavioral therapies—including individual, family, or group counseling-- are the most commonly used forms of drug abuse treatment.

  7. Medications are an important element of treatment for many patients, especially when combined with counseling and other behavioral therapies.

  8. An individual's treatment and services plan must be assessed continually and modified as necessary to ensure that it meets his or her changing needs.

  9. Many drug-addicted individuals also have other mental disorders.

  10. Medically assisted detoxification is only the first stage of addiction treatment and by itself does little to change long-term drug abuse.

  11. Treatment does not need to be voluntary to be effective.

  12. Drug use during treatment must be monitored continuously, as lapses during treatment do occur.

  13. Treatment programs should test patients for the presence of HIV/AIDS, Hepatitis B and C, tuberculosis, and other infectious diseases, provide risk-reduction counseling, and link patients to treatment if necessary.

  1. Adolescent substance use needs to be identified and addressed as soon as possible.

  2. Adolescents can benefit from a drug abuse intervention even if they are not addicted to a drug.

  3. Routine annual medical visits are an opportunity to ask adolescents about drug use.

  4. Legal interventions and sanctions or family pressure may play an important role in getting adolescents to enter, stay in, and complete treatment.

  5. Substance use disorder treatment should be tailored to the unique needs of the adolescent.

  6. Treatment should address the needs of the whole person, rather than just focusing on his or her drug use.

  7. Behavioral therapies are effective in addressing adolescent drug use.

  8. Families and the community are important aspects of treatment.

  9. Effectively treating substance use disorders in adolescents requires also identifying and treating any other mental health conditions they may have.

  10. Sensitive issues such as violence and child abuse or risk of suicide should be identified and addressed.

  11. It is important to monitor drug use during treatment.

  12. Staying in treatment for an adequate period of time and continuity of care afterward are important.

  13. Testing adolescents for sexually transmitted diseases like HIV, as well as Hepatitis B and C, is an important part of drug treatment.

Source: National Institute on Drug Abuse, (2012)85 and (2014).92

Table 4.2, Principles of Effective Treatment for Substance Use Disorders (2024)

FAQs

What are the four components of an effective substance abuse treatment plan? ›

What are the four components of the Substance Abuse treatment plan? In order to ensure you are creating a comprehensive treatment plan with a high chance of being effective for your client, it should include four components. These are: Problems, Goals, Objectives, and Interventions.

What are the 4 categories of substance use disorder? ›

The symptoms associated with a substance use disorder fall into four major groupings: impaired control, social impairment, risky use, and pharmacological criteria (i.e., tolerance and withdrawal).

How many people in the US have substance use disorder? ›

Quick Facts on Drug Addiction

According to the 2022 United States National Survey on Drug Use and Health (NSDUH): 46.8 million (16.7%) Americans (aged 12 and older) battled a substance use disorder in the past year. 10.5% of Americans 12 and older had an alcohol use disorder in the past year.

What is the stress coping model of addiction? ›

The stress-coping model views substance use and possibly other problem behaviors as deriving from a high level of life stress, a low level of active coping, and a high level of avoidant coping.

What are the 4 steps in treatment planning? ›

Why are Treatment Plans important? are developed into an individualized plan through a logical series of steps that build on one another: Problem Statement, Goal, Objectives, and Interventions.

What are the 4 C's of addiction to drugs? ›

One of the widely recognized frameworks to understand addiction is the 4Cs – Craving, Compulsion, Control, and Consequences. In this article, we delve into these components, shedding light on how they define addiction and what can be done to address them.

What are 4 factors of substance abuse? ›

Risk factors
  • Family history of addiction. Drug addiction is more common in some families and likely involves an increased risk based on genes. ...
  • Mental health disorder. ...
  • Peer pressure. ...
  • Lack of family involvement. ...
  • Early use. ...
  • Taking a highly addictive drug.
Oct 4, 2022

What are the four major criteria for a drug disorder? ›

Based on decades of research, DSM-5 points out 11 criteria that can arise from substance misuse. These criteria fall under four basic categories — impaired control, physical dependence, social problems and risky use: Using more of a substance than intended or using it for longer than you're meant to.

What might be the fastest growing drug problem in the United States? ›

Prescription drug abuse is the Nation's fastest-growing drug problem and has been classified as an epidemic by the Centers for Disease Control and Prevention.

Is addiction genetic? ›

While finding the precise genetic cause is tricky, multiple lines of research do show that genes influence substance use. From careful studies, scientists estimate a person's genetics account for 40-60 percent of their risk. Each person has a mix of gene variations that influence addiction.

What is the relationship between mental illness and substance use? ›

Substance use can worsen the course of another mental health condition and untreated mental health concerns can increase the vulnerability to high-risk substance use or developing a substance use disorder,” she added. “When both conditions are treated simultaneously, the chances of successful recovery improve.”

What is the biggest predictor of addiction? ›

Age of first use

Starting alcohol, nicotine or other substance use at an early age is one of the strongest and most consistent predictors of an increased risk of addiction.

What is the 3 stage model of addiction? ›

Well-supported evidence suggests that the addiction process involves a three-stage cycle: binge/intoxication, withdrawal/negative affect, and preoccupation/anticipation.

What is the trauma model of addiction? ›

This theory suggests that youth turn to alcohol and other drugs to manage the intense flood of emotions and traumatic reminders associated with traumatic stress or PTSD, or to numb themselves from the experience of any intense emotion, whether positive or negative.

What are the four elements of a treatment plan? ›

There are four necessary steps to creating an appropriate substance abuse treatment plan: identifying the problem statements, creating goals, defining objectives to reach those goals, and establishing interventions.

What are the components of a medical treatment plan? ›

A treatment plan will include the patient or client's personal information, the diagnosis (or diagnoses, as is often the case with mental illness), a general outline of the treatment prescribed, and space to measure outcomes as the client progresses through treatment.

What does a treatment plan consist of? ›

A detailed plan with information about a patient's disease, the goal of treatment, the treatment options for the disease and possible side effects, and the expected length of treatment.

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