Treating depression and substance use: no significant difference from control

On the Threshold of Eternity
Image via Wikipedia

Another study finds treatment as usual to be just as effective as specialized CBT:

Few integrated substance use and depression treatments have been developed for delivery in outpatient substance abuse treatment settings. To meet the call for more “transportable” interventions, we conducted a pilot study to test a group cognitive–behavioral therapy (CBT) for depression and substance use that was designed for delivery by outpatient substance abuse treatment counselors. Seventy-three outpatient clients were randomized to usual care enhanced with group CBT or usual care alone and assessed at three time points (baseline and 3 and 6 months postbaseline). Our results demonstrated that the treatment was acceptable and feasible for delivery by substance abuse treatment staff despite challenges with recruiting clients. Both depressive symptoms and substance use were reduced by the intervention but were not significantly different from the control group. These results suggest that further research is warranted to enhance the effectiveness of treatment for co-occurring disorders in these settings.

Primary care is good for recovery

The doctor's office on Transylvania Project, L...
Image via Wikipedia

Primary care visits are associated with better recovery outcomes:

A yearly primary care visit was also positively associated with remission (OR, 1.39), as was continuing care (OR, 2.34), defined as:

  • having at least 1 yearly primary care visit,
  • completing substance abuse treatment or receiving further treatment,
  • receiving alcohol or drug treatment when the alcohol or drug Addiction Severity Index (ASI) score at last assessment was higher than 0, and
  • receiving psychiatric services when the psychiatric ASI score at last assessment was higher than 0.

Makes our primary care project look pretty smart.