Treatment of addiction is a complex and multifaceted process for Fight Addiction . It aims to change the circuitry in the brain and reverse the effects of addiction. Besides this, it must also address a variety of other factors beyond biology. These include emotional state, relationships, stress reactivity, coping skills, educational opportunities, and the development of new sources of purpose and reward.
Treatment of addiction as a behavioral and moral failure
Addiction is a behavior that causes emotional, physical, and social problems for the person who has a problem. It is one of the most common causes of preventable illness and premature death. Individuals with addiction problems often have trouble controlling their use of drugs or alcohol. They may miss important events, stop performing their major tasks, or even stop engaging in social activities.
While it is possible to view addiction as a moral and behavioral failure, this approach ignores the biological, environmental, and social aspects of the problem. The moral model focuses on the fact that a person with an addiction lacks moral strength and willpower. Therefore, it does not provide any sympathy for the addict and instead makes the addiction look like a “moral failure.”
While some addicts recover without medical treatment, many do not. The neurobiological factors that impact recovery are still unknown. Addiction treatment options are expensive and not available for everyone.
Evidence-based interventions and programs for treating addiction
The National Quality Forum, an umbrella organization for the substance abuse and mental health services field, publishes a database of evidence-based interventions and programs for treating addiction. The database includes several hundred interventions for treating substance use disorders. The database is searchable, and can be sorted by substance, population, and target audience. In addition, it includes reports, toolkits, fact/tip sheets, webinars, and more.
Evidence-based interventions and programs are based on clinical research and have proven to be effective in treating addiction. The process of implementing such interventions requires the clinician to follow the guidelines set forth in the manual. The evidence-based practices use a combination of clinical assessments, research, and collaboration with patients to create an effective treatment plan.
Despite the fact that some treatments are proven effective, others fail to achieve the desired results. This gap exists between clinical evidence and practice, and studies from various countries indicate that up to 25 percent of patients receive inappropriate or harmful treatments. This gap is also evident in the treatment of addiction.
Alternative payment models for addiction treatment
The current payment model for addiction treatment discourages comprehensive care, which is necessary for a long-term recovery. Many programs today operate in silos, and patients are referred from one clinic to another for treatment. But a new alternative payment model is intended to encourage the integration of medical, psychological, and social support services.
This model incorporates elements of the fee-for-service model and risk-based payment, and is aimed at improving integration of behavioral and physical health services. The goal is to ensure that a patient receives appropriate care from several providers and that they are able to communicate effectively. Moreover,visiting a rehab designers hope to encourage providers to view drug addiction as a chronic illness.
An alternative payment model for addiction treatment can be defined as a payment scheme that rewards providers for high-quality care. There are several types of APMs, each focusing on a specific clinical condition, care episode, or population. APMs can be bundled into several phases, and each has different levels of complexity and payment. Currently, the model offers three payment options: Episode-based care, bundled capitated payments, and quality achievement payments.
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