Psychosocial Intervention Paper

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5.2. Behavioural interventions A meta-analysis of 35 studies examining the impact of adding psychosocial treatments in 4319 patients receiving OAT concluded that there is no value adding psychosocial treatment to OAT in treatment retention with a relative risk (RR) of 1.03. Similarly, there was no value found in adding psychosocial treatments to OAT over OAT alone in achieving negative drug screens with RR of 1.12. Moreover, there was no significant difference found in improving psychiatric disorders adding psychosocial treatment compared to providing OAT alone [Amato, Minozzi, Davoli, Vecchi, 2011]. Despite this, psychosocial interventions were reported to improve outcomes across several domains of SUDs. This has been demonstrated in a clinical trial of 102 patients randomised to receive: a) MET only maintenance b) MET + counselling c) MET + enhanced psychosocial services (i.e. counselling, employment and family interventions for 24 weeks). Results reveal that MET…show more content…
This study describes the medical management as a framework that includes brief intervention in maintaining abstinence, management of psychiatric and medical symptoms, review of UDS results, and efforts by the patient to achieve and maintain abstinence. The approximate duration of the medical management session was 15-20 minutes. Nevertheless, CBT session lasted for 50 minutes and included identifying and coping with craving, enhancing problem solving and refusal skills to reinforce relapse prevention. These sessions also focused on behavioural analysis and behavioural activation. The outcome of total number of sessions were hereby similar. Additionally, outcomes related to study retention and number of days of reported opioid use were similar among both groups achieving a reduction in opioid use from 5.3 days per week at baseline to 0.4 days per week at the end of the study [Fiellin et al,
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