Empirically supported substance abuse treatment approaches: A survey of treatment providers' perspectives and practices
Open accessAbstract
To better understand the extent that empirically supported and promising substance abuse treatment approaches are implemented in community settings, treatment providers were surveyed regarding their perceptions and use of several psychosocial and pharmacological treatment interventions. Program directors (n=30) and staff members (n=331) from diverse community settings rated the effectiveness and extent of use of various treatment interventions, and provided information on program and workforce characteristics via self-administered questionnaires. On average, program directors and staff rated the psychosocial treatment interventions as effective, with the exception of vouchers/motivational incentives. About half of the treatment providers did not know the effectiveness of certain pharmacological treatments, including buprenorphine and naltrexone. Respondents from the majority of programs (55%-80%) reported using Motivational Enhancement Therapy, Community Reinforcement Approach, and Supportive Expressive Psychotherapy. The extent that programs used several of the treatment interventions was related to organizational training and information resources. The study findings provide important information regarding training and research dissemination efforts.
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Contingency management has shown the greatest effectiveness among studied interventions for stimulant use disorder and is the current standard of care.
“Contingency management (CM) has demonstrated the best effectiveness in the treatment of stimulant use disorders (StUDs) compared to any other intervention studied and represents the current standard of care.”
From The ASAM/AAAP Clinical Practice Guideline on the Management of Stimulant Use Disorder (2024) · cites this paper as [45]
Multiple systematic reviews report positive effects of contingency management on methamphetamine use.
“Multiple systematic reviews have shown positive effects of CM on methamphetamine use, 44,45”
From The ASAM/AAAP Clinical Practice Guideline on the Management of Stimulant Use Disorder (2024) · cites this paper as [45]
Strong evidence indicates that contingency management effectively increases treatment engagement and reduces stimulant use.
“There is strong evidence that CM is an effective intervention for increasing treatment engagement and reducing stimulant use.”
From The ASAM/AAAP Clinical Practice Guideline on the Management of Stimulant Use Disorder (2024) · cites this paper as [45]
The Matrix Model reduced craving and risky behavior compared with wait-list control.
“The Matrix Model also reduced craving and risky behavior compared to a wait-list control.45”
From The ASAM/AAAP Clinical Practice Guideline on the Management of Stimulant Use Disorder (2024) · cites this paper as [45]
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References 38 · Cited by 93
- Authors
- Herbeck, D. M., Hser, Y.-I., & Teruya, C.
- Affiliations
- University of California, Los Angeles (US)
- Corresponding author
- Herbeck, Diane M.
- ORCID
- Hser, Yih-Ing
- Venue
- Addictive Behaviors
- Publisher
- Elsevier BV
- Published
- 2008-05
- Volume
- 33
- Issue
- 5
- Pages
- 699-712
- ISSN
- 0306-4603 (ISSN-L)
- PMC
- PMC2373985
- OpenAlex
- W2081609707
- Cited by
- 93
- References
- 38
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 4 · 2023: 3 · 2022: 3 · 2021: 5 · 2020: 3 · 2019: 5 · 2018: 2 · 2017: 3 · 2016: 4 · 2015: 6 · 2014: 5 · 2013: 7 · 2012: 8
- FWCI
- 3.67
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Addictive Behaviors (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (R01DA014472, DA014472)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- addiction treatment, empirically supported treatments, community-based treatment, psychosocial interventions, pharmacotherapy, buprenorphine, naltrexone, motivational enhancement therapy, community reinforcement approach, employee training, research dissemination
- MeSH terms
- Attitude of Health Personnel, California, Community Health Services, Female, Humans, Male, Middle Aged, Motivation, Outcome and Process Assessment, Health Care, Perception, Social Support, Cognitive Behavioral Therapy, Substance Abuse Treatment Centers, Evidence-Based Medicine, Substance-Related Disorders
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