Substance Use Disorder Treatment: Therapy and More

After speaking to a specialist, you might decide to enroll in an inpatient or outpatient rehab program. You may work with a therapist or a counselor at an outpatient clinic.1,11 Some clinicians offer therapeutic modalities like motivational interviewing, specifically intended to help individuals find their own “internal” motivators. During rehab, counselors and therapists help you examine the effects of addiction.

  • In other words, one step cannot exist without the other, and this brings to the fore the theme of accountability in the goal setting and monitoring process.
  • SAMHSA is also collaborating with CDC on their National Harm Reduction Technical Assistance Center (NHRTAC) to provide a comprehensive approach to harm reduction through syringe services programs (SSPs) and to improve access to prevention and intervention services to prevent infectious disease consequences of drug use.
  • Many courts and correctional systems use commitment or referral to community-based treatment programs as an adjunct to probation or conditional release (parole) from prison.
  • For these reasons, only appropriately trained health care professionals should decide whether medication is needed as part of treatment, how the medication is provided in the context of other clinical services, and under what conditions the medication should be withdrawn or terminated.
  • In addition, they are closely monitoring the pace of reform in many other states.
  • Recovery signals a dramatic shift in the expectation for positive outcomes for individuals who experience mental and substance use conditions or the co-occurring of the two.

Treatment programs that offer more of these evidence-based components have the greatest likelihood of producing better outcomes. In the case of serious mental disorders and threatening behavioral disorders, an assertive, psychiatrically based treatment approach is needed during the most intensive phases of the disorder. After the more severe symptoms have abated (usually through medication and behavioral management on a specialized unit or in a hospital), collaboration between mental health and substance abuse professionals is needed to determine the best approach to manage and treat the individual. Some individuals will achieve a level of adjustment that will allow mainstreaming within substance abuse programs, with medication monitoring in collaboration with medical staff.

Harm Reduction’s Place in and Among Prevention, Treatment, and Recovery

Psychotherapy theorists and treatment developers have for some time considered alternatives to the paradigm that a single best available treatment can be identified and implemented widely for a specific clinical population. The current review is in line with these efforts, and most closely with the latter, process-focused work. Moreover, each process is operationalized to further methods of training and fidelity assessment. This work also targets alcohol or other drug use disorders (AOD) specifically, though applications to behavior change broadly are possible.

Adjust your strategies based on your evaluation and identification of challenges. Seek additional support, refine coping mechanisms, or set new targets that are more realistic or effective. Track your activities, behaviors, and milestones related to your recovery goals. Keep a journal, use a tracking app, or seek support from a therapist or sponsor. Seeking support from a support group or professional guidance from Lantana can help you stay motivated and accountable on your recovery journey.

Why are SMART Goals Important in Addiction Recovery?

Dr. Arnold Washton is licensed to practice in New York, New Jersey, and Florida. Before going through treatment for cessation, the drug may have been a top priority in your life. Much of your time may have been spent thinking about the drug, seeking it out, using, and recovering.

substance abuse goals

Very few methadone clients—less than 3 percent—were directly referred by justice agencies in the 1979–1981 sample (Allison et al., 1985; Hubbard et al., 1989), but probation or parole status was quite common. In other studies, large proportions of methadone clients have indicated subjectively perceived pressure involving their legal status (Anglin et al., 1989b). Plurality of interests is not a phenomenon unique to drug treatment, and it is not an insuperable obstacle to setting achievable goals.


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