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Article de Périodique
Making the hard work of recovery more attractive for those with substance use disorders [Addiction debate] (2017)
Auteur(s) :
McKAY, J. R.
Année
2017
Page(s) :
751-757
Langue(s) :
Anglais
Refs biblio. :
52
Domaine :
Plusieurs produits / Several products
Thésaurus mots-clés
TRAITEMENT
;
EFFICACITE
;
GUERISON
;
MOTIVATION
;
RECOMMANDATION
;
SANTE PUBLIQUE
;
ACTION COMMUNAUTAIRE
Note générale :
Commentaries:
- Rethinking recovery. Lancaster K., p. 758-759.
- Developing strengths-based recovery systems through community connections. Best D., p. 759-761.
- More carrots, less sticks: the role of incentives in drug treatment. Wincup E., p. 761-762.
- Tens of millions successfully in long-term recovery - let us find out how they did it. Kelly J.F., p. 762-763.
- Making recovery more rewarding: difficult with possible unintended consequences, but successful examples are out there. McKay J.R., p. 763-764.
- Rethinking recovery. Lancaster K., p. 758-759.
- Developing strengths-based recovery systems through community connections. Best D., p. 759-761.
- More carrots, less sticks: the role of incentives in drug treatment. Wincup E., p. 761-762.
- Tens of millions successfully in long-term recovery - let us find out how they did it. Kelly J.F., p. 762-763.
- Making recovery more rewarding: difficult with possible unintended consequences, but successful examples are out there. McKay J.R., p. 763-764.
Résumé :
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.
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.
Affiliation :
Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
Cote :
Abonnement