Treating patients with multiple substance use in accordance with their personal treatment goals: a new paradigm for addiction treatment
Drugs and Alcohol Today, ISSN: 1745-9265, Vol: 21, Issue: 1, Page: 15-30
2021
- 6Citations
- 15Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Article Description
Purpose: This paper aims to present the theoretical foundation and practical approach of “open-target addiction treatment” (OTAT). Traditional treatment programmes are usually-oriented towards fixed predefined goals (abstinence, reduced consumption and harm reduction) and often focus on one substance only (e.g. alcohol). However, as a rule, people who use drugs consume several substances and sometimes additionally exhibit behavioural addictions. For many of these addictions, there is more or less motivation for change, but commonly it is not abstinence as a consistent goal. The paradigm of OTAT systematically considers multi-substance use, expects high readiness to change and is aware that commonly clients lack the willingness to abstain permanently. Design/methodology/approach: The theory and practice of OTAT involve three components, namely, first, to create a systematic inventory of all psychoactive substances consumed and addictive behaviours performed, second, to clarify, which substance-related change goals clients pursue and third, to choose adequate treatment options matching the substance-specific goals of the clients. Furthermore, OTAT includes didactic tools to support working along with these three steps (e.g. a set of cards to gain an overview over the psychoactive substances used and addictive behaviours performed). Findings: The systematic implementation of OTAT requires fundamentally different concepts about addiction and its treatment, specific competencies of the staff and a corresponding portfolio of interventions within the treatment facilities. Research limitations/implications: Future research should focus more on patients’ goal preferences and their impact on their willingness to take up treatment and its outcomes. Practical implications: To implement OTAT treatment, institutions have to undergo a systematic process of team and organizational development. Social implications: OTAT has the potential to reduce the treatment gap and to serve severely addicted individuals in a more comprehensive way. Originality/value: The OTAT approach has not been described in the addiction treatment literature so far.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85100090333&origin=inward; http://dx.doi.org/10.1108/dat-10-2020-0065; https://www.emerald.com/insight/content/doi/10.1108/DAT-10-2020-0065/full/html; https://www.emerald.com/insight/content/doi/10.1108/DAT-10-2020-0065/full/xml; https://dx.doi.org/10.1108/dat-10-2020-0065
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