As the ACA expands coverage for addiction, can the system deliver?

The AP recently ran an article looking at the horizon for addition treatment under the Affordable Care Act expansion in insurance coverage: The surge in patients is expected to push a marginal part of the health care system out of church basements and into the mainstream of medical care. Already, the prospect of more paying patients … Continue reading As the ACA expands coverage for addiction, can the system deliver?

Seeking Safety + 12 Step Facilitation = good outcomes

The Journal of Substance Abuse Treatment looks at Seeking Safety plus twelve step facilitation. Good news: Objective The Recovery Management paradigm provides a conceptual framework for the examination of joint impact of a focal treatment and post-treatment service utilization on substance abuse treatment outcomes. We test this framework by examining the interactive effects of a treatment for … Continue reading Seeking Safety + 12 Step Facilitation = good outcomes

Treating depression and substance use: no significant difference from control

Another study finds treatment as usual to be just as effective as specialized CBT: Few integrated substance use and depression treatments have been developed for delivery in outpatient substance abuse treatment settings. To meet the call for more “transportable” interventions, we conducted a pilot study to test a group cognitive–behavioral therapy (CBT) for depression and … Continue reading Treating depression and substance use: no significant difference from control

A New Paradigm for Substance Use Disorder Treatment

From Robert DuPont, MD: Substance abuse treatment is committed to abstinence from nonmedical drug use. Yet, continued nonmedical drug and alcohol use and relapse are so common that they are often defined as part of the disease itself. A “new paradigm” for care management has been pioneered over the past four decades by the state … Continue reading A New Paradigm for Substance Use Disorder Treatment