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Evidence Based Rehab

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What is evidence-based rehab? Evidence-based rehab practice is applying and translating research findings in our patient care practices and decision making. EBP also involves integrating the best available evidence with clinical knowledge and expertise, while considering patient outcomes are more likely to be achieved. Using EBP means abandoning outdated care delivery practices and choosing effective, scientifically validated methods to meet individual patient’s needs. Duke University Medical Center defines EBP as the integration of clinical expertise, patient values, and the best research evidence into the decision-making process for patient care. Why is EBP important? EBP is important because it aims to provide the most effective care that is available with the aim of improving patient outcomes. Patients expect to receive the most effective care based on the most available evidence.

Goal of Evidenced Based Rehab Approach

The goal of EBP is to utilize current knowledge and connect it with patient preferences and clinical expertise to standardize and improve care processes and ultimately, patient outcome.

Approaches to Treatment and Rehabilitation

Each EBP approach is designed to address certain aspects of addiction and its consequences for the individual, family, and society. The following are examples of treatment approaches and components that have an evidence base supporting their use. The following section is broken down into Pharmacotherapies, Behavioral Therapies, and Family Behavioral Therapies.

Behavioral Therapy approaches help engage patients in drug abuse treatment, provide incentives for them to remain abstinent, modify their attitudes and behaviors related to drug abuse, and increase their life skills to handle stressful circumstances and environmental cues that may trigger intense cravings for drugs and prompt another cycle of compulsive abuse.

The approaches are not exhaustive, and new treatments are continually under development.

Types of Evidenced Based Behavioral Therapies

Cognitive Behavioral Therapy (CBT) – CBT strategies are based on the theory that in the development of mal-adaptive behaviors patterns like substance abuse, learning processes play a critical role.

Dialectical Behavioral Therapy (DBT) – DBT strategies strengthens a person’s ability to handle distress without losing control or acting destructively. DBT teaches four critically important skills to help balance overwhelming emotions; Distress Tolerance, Mindfulness, Emotion Regulation, Interpersonal Effectiveness.

Motivational Interviewing Therapy (MIT) – MIT strategies help patients resolve ambivalent feelings and insecurities to find the internal motivation they need to change their behavior.

Family Behavioral Therapy (FBT) – FBT strategies demonstrate not only substance use problems, but other co-occurring problems as well, such as ; conduct disorder, depression, family conflict and child mistreatment.