Treatment Interventions 1
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Dec 6, 2023
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1
Treatment Interventions
College of Humanities and Social Sciences, Grand Canyon University
CNL-501-O504 Substance Use Disorders and Addiction
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Introduction
The implementation of drug detection tools, along with efficacious therapies, has a crucial role in
mitigating further illegal drug use and reducing the likelihood of relapse among individuals. Substance
use disorders are acknowledged as primary, progressive, chronic, relapsing, and amenable diseases, as
explained in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5).
This
authoritative manual provides comprehensive evidence-based treatment principles and protocols for
addressing these disorders. There exist numerous methodologies for addressing this matter.
Treatment treatments are specifically formulated to facilitate transformative processes in
individuals who have substance use disorders and addictions that have adverse effects on their overall
well-being. This research aims to examine various therapeutic approaches employed in addressing
addiction and substance use disorders among affected individuals. This paper aims to present a
comprehensive overview of interventions such as cognitive behavior therapy and solution-focused brief
therapy employed in the treatment of substance use disorders, as well as to elucidate the distinctions
between the many strategies under discussion. Tailoring the most rational methodology for the client
undergoing treatment by a professional, employing a selected modality to optimize the potential for client
transformation.
Treatment Description for Substance Use Disorders
The adoption and implementation of evidence-based substance misuse treatment
strategies in community settings remains a significant area of interest and importance. Treatment
providers face the difficulty of assessing a diverse range of interventions that have different
levels of empirical evidence. Their goal is to choose the most effective technology to integrate
into clinical care (Herbeck, et al., 2008).
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In the context of substance use disorder (SUD), cognitive-behavioral therapy (CBT)
conceptualizes substance use as a behavior that can be reinforced through both positive and
negative mechanisms and is impacted by various social and environmental factors. CBT for drug
SUD centers on the intervention of these processes by enhancing the individual's understanding
of the factors that precede and follow drug use. This is achieved by developing techniques that
target both internal and external factors that contribute to substance use, and by utilizing
principles of behavior change to diminish or eradicate substance use. CBT can be employed as
either a standalone treatment or as a supplementary intervention for SUD (Boness, et al., 2023).
Solution-focused brief therapy (SFBT) has been employed as a therapeutic intervention
for individuals with substance use disorders since its inception at the Brief Family Therapy
Center in Milwaukee during the early 1980s.
SFBT is a therapeutic approach that focuses on
assisting clients in identifying and working towards their future goals. This approach emphasizes
the development of individualized solutions that are tailored to the specific circumstances of
each client. By emphasizing self-determined objectives and the desired future outcomes, clients
can independently acknowledge the ways in which substance use hinders their ability to achieve
their desired lifestyle. To formulate effective strategies pertaining to substance use, it is crucial to
address the client's ambivalence and thoroughly examine their motivations for engaging in
substance use, as well as their motivations for desiring a reduction in such behavior.
Furthermore, the process of identifying previous events that facilitated a reduction in substance
use is also a valuable approach employed in SFBT (Franklin & Hai, 2021).
Treatment Differentiations
When it comes to the therapies of CBT and SFBT, there are several similarities between the two.
Both therapies are focused on cognitive behaviors, and the objectives of both approaches in terms of
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treatment are centered on addressing the immediate issue at hand, rather than attempting to alter the
fundamental personality traits of the individuals seeking assistance. Both therapies also use similar
techniques such as setting goals with the client and providing the client with homework.
CBT and SFBT exhibit distinct variations. One notable distinction is that CBT encompasses a
diverse array of approaches and methodologies (Dobson & Dozois, 2002). CBT encompasses various
therapeutic techniques, including behavior therapy, cognitive therapy, and rational emotive behavior
therapy, among others. Each approach possesses its own theoretical framework for understanding and
facilitating behavioral change. In contrast, SFBT can be seen as a unique paradigm for constructing
solutions, characterized by its specific interventions (De Jong & Berg, 2013).
Hence, SFBT has the
potential to deliver therapy in a consistent manner when employed by counselors proficient in SFBT
techniques. Furthermore, according to Beck (1979), cognitive-behavioral therapists claim that clients
exhibit problematic behaviors due to the presence of dysfunctional thought. Nevertheless,
SFBT practitioners maintain that it is unnecessary to pinpoint the shortcomings of clients, as they believe
that individuals already possess the necessary tools to address their challenges. Consequently,
CBT counselors prioritize assisting clients in modifying their erroneous cognitions, however
SFBT counselors concentrate on facilitating clients in expressing the specifics of their envisioned future
instead of endeavoring to alter their cognitive processes (Pichot & Dolan, 2003).
The CBT counselor
will help the client change their “negative” thoughts whereas the SFBT counselor looks past the
clients’ deficiencies because they believe that the client has the proper tools they need
.
Student Preference: Risks and Benefits
Both sets of therapies have their advantages as well as disadvantages. However, I would prefer to
utilize the SFBT approach. SFBT focuses on the client and working with the client through motivational
interviewing techniques. Solution-focused counselors prioritize client actions over problem behavior. The
SFC approach places significant emphasis on a collaborative and client-centered counseling approach,
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operating under the assumption that clients possess inherent internal strengths and skills that can facilitate
enduring transformative change (Franklin & Hai, 2021). The process of treatment can present difficulties
and extend beyond initial expectations due to clients' tendency to possess greater awareness and emphasis
on their aversion to certain emotions, rather than their desired emotional states and actions. SFBT has
demonstrated efficacy in working with clients who experience chronic relapse, mostly because of its
fundamental belief in the clients' expertise in their own lives. SFBT has the potential to be implemented
in several contexts, including individual sessions, family therapy, and group settings (Jordan, 2017).
A risk of using SFBT is that it is “brief” when the client may need additional support and
services. Another risk is that not all clients will benefit from the approach to SFBT. The counselor will
need to be familiar with and recognize when the client is in the stage for readiness for treatment. Due to
the short term sessions, it is a concern that the client may not receive additional sessions due to insurance
or other barriers and may be at a higher risk of relapsing due to the “lack of” therapy sessions when using
SFBT.
Cultural Considerations
Garber, Frankel, and Herrington (2016) observed a multitude of requirements for modifications in
the approaches of CBT when applied to the treatment of children and adolescents. This study
encompassed an examination of developmental stages, as well as an analysis of the characteristics and
behaviors exhibited by children and adolescents. Hartley et al. (2015) conducted a pilot study that
examined the efficacy of CBT as a therapeutic intervention for adults with depression and modest
intellectual disabilities. The findings of the study indicated that CBT was a suitable and feasible technique
for addressing the needs of these individuals. Recent research suggests that there is a growing need for
multicultural considerations in CBT to effectively address the dynamics of diverse populations in
contemporary society (Graham, et al., 2017).
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Conclusion
The responsibility of determining the most appropriate course of action for clients in the
addiction and substance use disorders sector lies with the specialists, who must assess each case
individually. CBT may not consistently yield favorable outcomes, and certain individuals may exhibit
limited responsiveness to SFBT. The client stands to derive significantly more benefits from possessing
comprehensive proficiency in addiction studies, effective inter-agency communication, and a treatment
team that exhibits strong cohesion. Based on the comprehensive analysis of CBT and SFBT, it is evident
that CBT places greater emphasis on rectifying cognitive distortions exhibited by the client, whereas
SFBT formulates a treatment strategy that aligns with the client's specific objectives. There are
advantages and disadvantages associated with both systems. There is an undeniable consensus on the
efficacy of CBT as a therapeutic approach. However, my personal inclination lies towards the utilization
of SFBT due to its ability to expedite goal attainment and its concise nature. Furthermore, within the
context of a therapy session, several professionals collaborate to facilitate the completion of treatment.
These experts may include mental health counselors, substance use disorder counselors, case managers,
and other relevant personnel.
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References
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