|Titre :||Making the hard work of recovery more attractive for those with substance use disorders [Addiction debate] (2017)|
|Auteurs :||J. R. McKAY|
|Type de document :||Article : Périodique|
|Dans :||Addiction (Vol.112, n°5, May 2017)|
|Article en page(s) :||751-757|
|Note générale :||
- 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.
|Discipline :||TRA (Traitement et prise en charge / Treatment and care)|
Thésaurus TOXIBASETRAITEMENT ; EFFICACITE ; GUERISON ; MOTIVATION ; RECOMMANDATION ; SANTE PUBLIQUE ; ACTION COMMUNAUTAIRE
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.
|Domaine :||Plusieurs produits / Several products|
|Refs biblio. :||52|
|Affiliation :||Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA|