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Therapeutic Substance Abuse Treatment Facilities
No single substance abuse treatment approach is effective for everyone. The appropriateness of a given intervention depends on a number of variables including the types of substances used, severity of substance issues, the setting in which treatment is delivered, presence of co-occurring physical or mental disorders, time or funding limitations, and other unique needs or issues. As the literature on different substance abuse interventions continues to expand, it is important to understand which approaches are being implemented in the field across different populations and treatment settings.
The 2009 National Survey on Substance Abuse Treatment Services (N-SSATS) collects information on the frequency with which specific clinical or therapeutic approaches (hereafter referred to as "therapeutic approaches") are used by treatment facilities. The specific therapeutic approaches addressed in N-SSATS were selected based on their representation of widely recognized evidence-based practices in substance abuse treatment. Surveyed treatment facilities were asked to indicate how often they used each of the following 12 practices: substance abuse counseling, relapse prevention, cognitive-behavioral therapy, motivational interviewing, 12-step facilitation, anger management, brief intervention, trauma-related counseling, contingency management/motivational incentives, rational emotive behavioral therapy, Matrix Model, and community reinforcement plus vouchers.
Not all therapeutic approaches are designed to apply to all substance abuse treatment clients; some variation is expected across different facilities depending on the populations served. Further, the N-SSATS questionnaire does not include detailed questions about the ways in which the approaches are implemented, but is intended instead to provide a general indication of their adoption by substance abuse treatment providers. This report describes each therapeutic approach and presents the frequency with which facilities reported using them (always or often, sometimes, rarely or never, or were not familiar with the approach) (Figure 1). The following descriptions of the therapeutic approaches were provided to N-SSATS respondents on the survey Web site; some information was also obtained from the Substance Abuse and Mental Health Services Administration (SAMHSA) National Registry of Evidence-based Programs and Practices (NREPP). Readers who would like more information on these therapeutic approaches can visit NREPP (at http://www.nrepp.samhsa.gov/) as well as SAMHSA ™ Treatment Improvement Protocols.
12 step meetings DUI Info
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