Addiction Today does a good job reviewing the questions and challenges involved in evaluating addiction treatment. The issues they tackle include:
- What are we measuring?
- How impartial is the evidence?
- In the context of “pay for performance”, should we pay for processes or outcomes?
The last question is a huge one. Treatment providers often have to invest significant resources in evaluating their own outcomes to defend their existence and the efficacy of their services. Evidence-based practices offer a path to lifting that burden, but there would be an accompanying loss of freedom.