fbpx Call our specialists 24/7 in confidence Click to call 02075818222 Call us 24/7 in confidence Call our specialists 24/7 in confidence. Click to call 02075818222

Treatment of Drug Addiction: When is it successful?

June 11th, 2012

When can we say that treatment of drug addiction has been successful? The problem of deciding what constitutes success, or even improvement has generated heated debate between therapists, most notably in the past between 12-steps, psychoanalytic and behavioural enthusiasts. It has also divided policy makers. Those who favour prevention and environmental control are sceptical of the proposal that more elaborate treatment strategies will contribute to eliminating the problems caused by drug addiction.

Those who provide treatment interventions need to justify confidence in their value. When can we say that treatment has delivered a satisfactory outcome? Without an answer to this question, there will never be a satisfactory answer to the underlying debates, nor to questions of the relative effectiveness of different interventions.

There has been a recent exchange of views between U.S. and European experts which explores the question of how treatment success should be assessed. The National Institute on Drug Abuse in the USA sponsored two recently published reports (1,2). The first argues that the primary outcome measure should be drug use, measured by both self-report and by toxicology testing. The authors argue that problems of the reliability of both self-report and toxicology testing can be overcome by tailoring the method used to the drug in question. The authors provide a useful guide to this process, and they also sensibly recognise the likelihood of one drug being substituted by another, and hence the need to test for a range of substances (and behaviours?), and not only for the one that has initially proved problematic. By following the guidance in this report there is no doubt that the validity of self-report, and the efficiency of toxicology tests, can be maximised.

However, even given the will to deal with the complexities of improving validity and efficiency of these measures of drug use, is information about drug usage all that we need to consider, or even the most important information we might obtain? Read the rest of this entry »

Equine Assisted Psychotherapy

August 26th, 2009


I attended a refresher course on Equine Assisted Psychotherapy last weekend.

Read the rest of this entry »

Copyright PROMIS Addiction Rehab Clinics ©