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Substance Abuse

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Stepped Care and e-Health

Abstract

The field of substance abuse treatment includes a broad range of problems from nicotine-dependent smokers and problem drinkers to polysubstance abusing individuals with co-occurring mental health problems. Intervention needs vary across such a broad scope of clinical presentations. For example, those with mild alcohol problems are not likely to progress to more severe alcoholism (Schuckit et al., 2001) and may recover without any intervention (Cunningham, 1999). Similarly, nicotine dependence does not pose the same types of challenges involved in treating more severe problems, such as managing intense withdrawal symptoms for opiate addiction. There is a tendency to overuse more invasive and costly interventions, such as individual outpatient therapy and inpatient/residential programs, even when less intense treatments, including brief therapies, bibliotherapy, and e-health, may be successful.

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Levin, M.E., Lillis, J. (2011). Substance Abuse. In: Draper, C., O'Donohue, W. (eds) Stepped Care and e-Health. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-6510-3_7

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