However, completing treatment does not equal long-term recovery and sobriety. Research states that there are high rates of relapse in coerced individuals. Generally, this is why intervention is no longer an approach that experts recommend. For example, an older study from 2008 compared groups who had a Johnson intervention to those who did not. Keep reading to learn more about drug interventions, including how they work, potential benefits, and the risks and dangers.

substance abuse intervention

The National Survey on Drug Use and Health (NSDUH) data from 2016, show that of the 19.9 million adults who needed treatment for a substance use disorder, only 2.1 million, or 10.8%, received addiction treatment within the past 12 months [7]. A Healthcare Cost and Utilization Project (HCUP) analysis on trends from 2006 to 2013 in the rate of ED visits involving substance use disorders, found a 37% increase, from 1838 to 2519, ED visits per 100,000 people ≥ 15 years of age [8]. Substance and mental health disorders do not just affect the people with the problem. They have a ripple effect on everyone, including families, friends, employers – the list is endless. All because everyone often encounters erratic behaviors, have an unstable home, or work dynamic or constantly worry about their loved one’s health and safety. A professionally facilitated intervention can be the first step to recovery for all involved.

Comprehensive Resources that include Prevention, Intervention and Continuity of Care

Evidence-based behavioral interventions may seek to increase patients’ motivation to change, increase their self-efficacy (their belief in their ability to carry out actions that can achieve their goals), or help them identify and change disrupted behavior patterns and abnormal thinking. Pursuant to TEC §38.351 Section (b) and Sub-section (c-3) each school district may select programs related to this area of mental health promotion and intervention, substance abuse prevention and intervention, and suicide prevention for appropriate implementation in the district. Substance abuse prevention involves helping individuals develop the knowledge, attitudes, and skills needed to prevent substance abuse. Intervention resources are intended to support students and their families to enhance or maintain their treatment and recovery from substance misuse. Brief interventions are research-proven procedures for working with individuals with
at-risk use and less severe abuse behaviors and can be successful when transported
into specialist treatment settings and performed by alcohol and drug counselors. Brief
interventions, as defined and discussed in this TIP are time limited, structured,
and directed toward a specific goal.

  • Many clients do not use alcohol, for example, at a level that
    requires specialized treatment.
  • In addition to the oral form of naltrexone, an injectable form is available to treat opioid dependence and alcoholism.
  • A 2005 study demonstrated biochemical confirmation of increased cocaine and heroin abstinence at 6 months in the brief intervention arm of a RCT conducted in an urgent care, women’s clinic and homeless clinic setting [46].

One explanation may be that the female
participants were only recruited from two relatively affluent
countries–Australia and the United States–thus, the results cannot be
generalized to all women (Sanchez-Craig,
1994). There are six elements critical to a brief intervention to change substance abuse
behavior (Miller and Sanchez, 1994). The acronym FRAMES was coined to summarize these active ingredients, which are
shown in Figure 2-4
. The FRAMES components have
been combined in different ways and tested in diverse settings and cultural
contexts. The goal of a brief intervention with someone who is a light or moderate user
is to educate her about guidelines for low-risk use and potential problems
of increased use. Even light or moderate use of some substances can result
in health problems or, in the case of illicit substances, legal problems.

Systemic Family Model of Intervention

The Applied Behavior Analysis (ABA) Medical Necessity Guide helps determine appropriate (medically necessary) levels and types of care for patients in need of evaluation and treatment for behavioral health conditions. Treating providers are solely responsible for medical advice and treatment of members. Members should discuss any matters related to their coverage or condition with their treating provider. Interventions for teens with substance abuse issues are not a one-size-fits-all solution. Instead, there are a variety of ways licensed mental health professionals can help you and your teen come up with a treatment plan that works best for your family. SAMHSA’s mission is to lead public health and service delivery efforts that promote mental health, prevent substance misuse, and provide treatments and supports to foster recovery while ensuring equitable access and better outcomes.

substance abuse intervention

This study has influenced a rapidly evolving clinical practice as many emergency departments are increasingly treating opioid withdrawal with buprenorphine and actively linking ED patient with opioid use disorder to care by starting buprenorphine in the ED and referring to treatment [50, 51]. The FHE Health team is committed to providing accurate information that adheres to the highest standards of writing. If one of our articles is marked with a ‘reviewed for accuracy and expertise’ badge, it indicates that one or more members of our team of doctors and clinicians have reviewed the article further to ensure accuracy. This is part of our ongoing commitment to ensure FHE Health is trusted as a leader in mental health and addiction care. There are many reasons some parents opt to try to tackle a teen’s substance abuse problem at home without professional help.


Moreover, the focus has not been on the need for multicomponent integrated interventions that can address syndemic issues such as violence, HIV, mental health along with substance misuse among victimized substance-using individuals. We address this gap in the literature by focusing on the need for multicomponent interventions that address syndemic conditions specifically among victimized substance-using individuals. Although victimized substance-using individuals have co-occurring health concerns such as HIV risk and mental health, the healthcare delivery system typically attends to these problems separately, thus creating siloed systems of care (McGovern & McLellan, 2008). An analysis of healthcare facilities in the United States (US) found that only 18% of substance use services met were designed to address both substance misuse and co-occurring disorders (McGovern, Lambert-Harris, Gotham, Claus, & Xie, 2014). Victimized substance-using individuals with multiple co-occurring health problems tend to derive less benefit from single disorder-focused interventions (McGovern, Lambert-Harris, Alterman, Xie, & Meier, 2011; Sacks, 2000; van Dam, Ehring, Vedel, & Emmelkamp, 2013). Data and experts tend to support multicomponent interventions to address co-occurring health problems (National Institute on Drug Abuse, 2010; Perron, Bunger, Bender, Vaughn, & Howard, 2010; Torrens, Rossi, Martinez-Riera, Martinez-Sanvisens, & Bulbena, 2012).

What are the three intervention strategies?

Intervention strategies – additional targeted strategies (such as remedial instruction, differentiated curriculum and scaffolding) that are implemented when learning gaps put a student at educational risk.

If the initial intervention does not result in substantial
improvement, the professional may refer the individual for additional
specialized substance abuse treatment. Another important skill is the ability to help clients explore and
resolve ambivalence. Ambivalence is the hallmark of a person in the
contemplation stage of readiness.

Providing effective brief interventions requires knowledge, skills, and
abilities. Sample scenarios are provided
where brief interventions might be initiated, with practical information about
that particular step. For each step, Figure 2-5
presents scripts for brief interventions that clinicians can use in substance
abuse treatment units or other settings where interventions might occur. (For
examples focused on at-risk drinkers, see TIP 24, A Guide to Substance
Abuse Services for Primary Care Clinicians [CSAT, 1997]. For detailed descriptions of more
techniques, see TIP 35, Enhancing Motivation for Change in Substance
Abuse Treatment [CSAT,
1999c]). CBT is often rated as the most effective approach to treatment with a drug and alcohol population.[24,25] and is accepted well by clients.[26] Evidence for the efficacy of CBT exists for a range of substances including alcohol, cannabis, amphetamines, cocaine, heroin and injecting drug use. Psychosocial interventions for treatment of alcohol and drug problems cover a broad array of treatment interventions, which have varied theoretical backgrounds.

substance abuse intervention