Making the hard work of recovery more attractive for those with substance use disorders
Open accessAbstract
Background: Research has led to improvements in the effectiveness of interventions for substance use disorders (SUD), but for the most part progress has been modest, particularly with regard to longer‐term outcomes. Moreover, most individuals with SUD do not seek out treatment. Argument/analysis: This paper presents two recommendations on how to improve treatment engagement and long‐term outcomes for those with SUD. First, treatments should go beyond a focus on reducing or eliminating substance use to target greater access to and more time spent in experiences that will be enjoyable or otherwise rewarding to clients. Secondly, there must be sufficient incentives in the environment to justify the effort needed to sustain long‐term abstinence for individuals who often have limited access to such incentives. Conclusions: To increase rates of long‐term recovery from substance misuse, treatments should link clients to reinforcers that will make continued abstinence more appealing. This work needs to extend beyond interventions focused on the individual or family to include the local community and national policy in an effort to incentivize longer‐term recoveries more strongly.
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Adding a treatment focus on experiences enjoyable to clients may increase engagement in therapy.
“As discussed in the introduction, adding a treatment focus on experiences enjoyable to clients may increase engagement in therapy.29”
From Safety and psychological impact of sailing adventure therapy among Veterans with substance use disorders (2018) · cites this paper as [29]
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- Authors
- McKay, J. R.
- Affiliations
- Philadelphia VA Medical Center (US)
- Corresponding author
- McKay, James R.
- ORCID
- McKay, James R.
- Venue
- Addiction
- Publisher
- Wiley
- Published
- 2016-08-17
- Volume
- 112
- Issue
- 5
- Pages
- 751-757
- ISSN
- 0965-2140 (ISSN-L)
- 1360-0443
- PMC
- PMC5315690
- OpenAlex
- W2508479311
- Cited by
- 164
- References
- 50
- Citations by year
- 2026: 9 · 2025: 20 · 2024: 18 · 2023: 21 · 2022: 15 · 2021: 16 · 2020: 16 · 2019: 28 · 2018: 7 · 2017: 9 · 2016: 5
- FWCI
- 15.32
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Addiction (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- U.S. Department of Veterans Affairs
- National Institute on Drug Abuse (K24DA029062)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Keywords
- substance use disorders, treatment engagement, long-term recovery, abstinence, reinforcers, treatment seeking, addiction policy
- MeSH terms
- Mental Health Recovery, Humans, Motivation, Patient Acceptance of Health Care, Reward, Substance-Related Disorders
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