Resources on Cognitive Behavioral Therapy
Contents
Resources on Cognitive Behavioral Therapy
Return to Expand SBIRT Program
Background
Types of Treatments
Individual and Group
Common individual and group treatments include Motivational Interviewing (MI), which targets ambivalence toward behavior change relative to alcohol and drug use, contingency management (CM), which rewards users who abstain from drugs by presenting them with a non-drug reinforcer such as vouchers for goods, and relapse prevention (RP) which focuses on identification and prevention of high risk situations in which a patient may be more likely to engage in substance abuse.[1] Both MI and CM have been shown to have a moderate effect sizes for efficacy in treating opioid misuse.[2][3] RP has been shown to have a small effect for actually reducing substance abuse, but a large effect on for improvement of overall psychosocial adjustment.[4]
Couples and Family
The Community Reinforcement Approach (CRT) and Behavior Couples Therapy (BCT) are used to address factors in a substance user's social environment that contribute to their disorder. Like CM, CRT focuses on altering contingencies in the environment to make sober behavior more rewarding than substance abuse.[5] BCT focuses on the link between substance abuse and relationship functioning by improving a partner's coping with substance-related situations as well as improving overall relationship functioning.[6]
Electronic Cognitive Behavioral Therapy eCBT
There are a growing number of on-line platforms and applications (like phone apps) that provide a variety of forms of electronic CBT (eCBT) or Internet-based CBT (ICBT). While it is difficult for the academic research to keep up with the advances in eCBT, studies of earlier forms of eCBT indicate that it has significant potential to provide a low-cost and effective way of helping people.
This report has some initial findings that could be summarized here: [1]
This report has more information: [2]
Examples of Electronic or Internet-based CBT applications
MyStrength
MoodGym
This Australian-based site claims to have over 1 million users worldwide and scientific research to back its effectiveness. More investigation is needed.
[3] It was listed as a free resource by this site:
[4]
That above source also recommends eCouch, another free program.
e-Couch
The original version of e-couch was co-funded by Australia's beyondblue: the national depression initiative and the Australian National University.
e-couch has continued to be expanded and delivered with funding from the Australian Commonwealth Department of Health & Ageing, as part of its 'Funding for Telephone Counselling, Self Help and Web-based Support Programmes' measure.
e-couch was originally developed and evaluated over 10 years by researchers at the Australian National University. The principal authors of the content were Professor Kathy Griffiths, Georgia Tayler and Professor Helen Christensen.
The development and delivery of e-couch is now undertaken by e-hub Health – an ANU spin-off company managed by the senior staff involved in the original development and ongoing delivery of the program.[7]
Learn to Live
Learn to Live is a multi-faceted program to help people address a wide range of mental health issues. Live to Learn has a strong evidence base and has been endorsed by major health plans as a valuable tool to get results and reduce healthcare costs. This public radio story shares helpful information:
Other Apps
List of other Apps and Platforms to Support Mental Health
Toolkits and Training Resources
Resources to Investigate
Report: [5]
Meta Study:
[6]
Report:
[7]
Research:
[8]
Footnotes:
- McHugh, R. Kathryn, Bridget A. Hearon, and Michael W. Otto. “Cognitive-Behavioral Therapy for Substance Use Disorders.” The Psychiatric clinics of North America 33.3 (2010): 511–525. PMC. Web. 13 Jan. 2017.
- [9]
- [10]
- Efficacy of relapse prevention: a meta-analytic review.
Irvin JE, Bowers CA, Dunn ME, Wang MC
J Consult Clin Psychol. 1999 Aug; 67(4):563-70.
[11] - [12]
- [13]
- [14]
