8. Retaining the patient in treatment for an adequate time period and facilitating continuous long-term connections to support recovery

  • Use of level-of-care guidelines (e.g., American Society of Addiction Medicine [ASAM] Patient Placement Criteria)
  • Treatment program protocols that incorporate linkages to community supports during the treatment process, long-term case management, alumni groups, linkages to primary care provider (PCP) as a monitoring system
  • Measurement of long-term engagement with the treatment and case management support system

9. During the treatment process, continuously assessing and modifying the treatment plan as necessary to ensure that the treatment is effective and meets the patient’s changing needs

  • Program treatment protocols
  • Use of objective tools and benchmarks to measure progress
  • Systematic reassessments during the treatment process within a level of care and upon transition to the next level of care

10. Using a treatment system that monitors for abstinence and expects successful management of treatment relapses

  • Repeated drug and breathalyzer testing
  • Use of use-limiting medications (e.g., antabuse, naltrexone)
  • Treatment program rules that do not discharge because of use during treatment but use it as a treatment opportunity

11. Using mutual-help and other community-based supports

  • Treatment protocols that incorporate use of community support groups during the treatment process (AA, Narcotics Anonymous [NA], other 12-step programs, Web-based social networking programs)

12. Successfully and appropriately engaging families, employers, and significant others

  • Family therapy as a standard part of treatment protocols and expectations
  • Appropriate incorporation of employer and/or EAP for work reentry

13. Using mutual-help and other community-based supports

  • Linkage of patients to community-based supports prior to discharge
  • Use of Web-based social networks and gaming approaches to facilitate engagement

14. Educating and promoting knowledgeable empowerment with respect to substance use, recovery, and relapse for patients and families

  • Education sessions as part of the treatment approach, with homework and testing of skills
  • Patient self-report surveys focused on the perception of confidence in new skills


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