| July 5th, 2012 |
| July 5, 2012: Relapse Prevention Therapy |
The first link, Relapse Prevention Therapy (RPT), is an introduction to an NREPP model that targets the cognitive and emotional aspects of relapse. The other links address specific populations that have growing treatment needs: namely, returning military service members and older adults. Despite being two of the fastest growing substance abuse treatment need populations, there are only a handful of EBPs that target these groups at this time. Relapse Prevention Therapy: Relapse following drug treatment is quite common. Patients that relapse often wrestle with extreme feelings of shame, doubt, and confusion. “Relapse Prevention Therapy is a behavioral self-control program that teaches individuals how to anticipate and cope with the potential for relapse” (NREPP). In addition, RPT serves to normalize relapse as part of the overall recovery process, thus reducing the negative feelings and behaviors that result from a setback. Military Service Members: On January 14, 2010, Dr. Susan Storti presented to the NCPIC. Her presentation, entitled “Evidence-Based Substance Abuse Interventions for Iraq and Afghanistan Veterans”, is especially applicable today as large numbers of service men and women return from the Middle East and transition from active duty status to civilian status. This presentation is available on the NCPIC website. (Taking the Fight to the Enemy). Older Adults: Recent data from the National Survey on Drug Use Health suggest what professionals in the field of addiction have anticipated for many years: that as the baby boom generation ages, there will be a dramatic and ever-increasing need for SA treatment among adults aged 55 and older. In a SAMHSA news release dated 1/8/10, the authors suggest that “these increases may require the doubling of substance abuse treatment services needed for this population by 2020”. For further information click here. |
| Posted in Updates |
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Flo A. Stein, MPH NC PIC Project Manager Chief, Community Policy Management Division of MH/DD/SAS
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| EBP Quick Links |
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MH#1: Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) Mental Health Bulletin #1 - Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) was developed to treat post-traumatic stress and related emotional and behavioral problems in children and adolescents. |
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MH#2: Integrated Dual Disorders Treatment (IDDT) Mental Health Bulletin #2 - Integrated Dual Disorders Treatment (IDDT) requires that mental health and substance abuse treatment be delivered concurrently by a team of cross-trained clinicians within the same program. |
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MH#3: Wellness Management and Recovery (WMR) Mental Health Bulletin #3 - The National Institute of Mental Health estimates that approximately 6% of the U.S. population has severe mental illness (SMI). For North Carolina, that percentage translates to approximately 200,000 people who suffer from severe psychiatric disorders. |
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MH#4: Family Psychoeducation Mental Health Bulletin #4 - Persons with severe mental illness (SMI) often rely on family members for the majority of their needed support, and it is estimated that 35-60% of adults with SMI live with family members. |
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SA#1: Contingency Management (CM) Substance Abuse Bulletin #1 - Contingency management (CM) is a motivational incentive intervention in which clients with substance use disorders receive small rewards for attending treatment, taking prescribed medication, providing negative urine samples, or complying with other defined treatment-related goals. |
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SA#2: Strengthening Families Program (SFP) Substance Abuse Bulletin #2 - The Strengthening Families Program (SFP) is a parenting and family strengthening program for high risk families. It combines science-based (1) parenting-skill training, (2) child life-skill building, and (3) family lifeskill education into a program that improves the child's social/life skills and family functioning and protects the children from the long-term risks of drug abuse. |
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SA#3: Seeking Safety Substance Abuse Bulletin #3 - Post-Traumatic Stress Disorder (PTSD) is an anxiety disorder that may result from exposure and sometimes multiple exposures to highly traumatic events such as child abuse, accidents, violent personal assaults, military combat, or natural or human caused disasters. |
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SA#4: Matrix Intensive Outpatient Treatment Substance Abuse Bulletin #4 - Matrix was developed in the 1980s by researchers at the University of Southern California and clinicians at the Matrix Institute on Addictions who found that clients addicted to stimulants were challenging the existing treatment system. |
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SA#5: The Seven Challenges Substance Abuse Bulletin #5 - The Seven Challenges program was developed in the early 1990s by Dr. Robert Schwebel who recognized the lack of age appropriate substance abuse treatment models for adolescents. |
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Developing Effective, High-Quality Community Mental Health and Substance Abuse Services: A Guide for Local Management Entities by Beth Melcher, Ph.D. This manual seeks to clarify and provide guidance to LMEs on how to successfully engage in the service development role. It promotes the implementation of evidence-based and best practice services and supports. |
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National Registry of Evidence-based Programs and Practices NREPP is a searchable database of interventions for the prevention and treatment of mental and substance use disorders. SAMHSA has developed this resource to help people, agencies, and organizations implement programs and practices in their communities. |
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