Web-based Evidence on the Treatment of Behavioral Addictions in United States Model Treatment Centers

Sussman, Steve; Galimov, Artur; Ayala, Nayeli; Sinclair, Deborah Louise

doi:10.1177/01632787221130543

Cited by 3 publications

(2 citation statements)

References 31 publications

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“…Given that most treatments are abstinence-based, substitute addiction will remain a problem. It is a problem that is seldom treated (e.g., Sussman et al, 2023).…”

Section: Discussionmentioning

confidence: 99%

“…One seldom researched area, particularly relevant to abstinence-based approaches is the potential occurrence of “substitute addictions” (e.g., Sussman, 2017; Sussman et al, 2023), also referred to as cross addiction, replacement addiction, switching addictions, and addiction hopping (Blume, 1994; Buga et al, 2017; Shaffer et al, 2004; Sinclair, Sussman, Savahl, et al, 2021, Sinclair, Sussman, De Schryver, et al, 2021). Substitute addiction generally pertains to the experience of quitting or cutting down on a particular addictive behavior but replacing it with another addictive behavior, that had begun, resumed, or increased in frequency and/or intensity after addressing the targeted addiction.…”

Section: Defining Substitute Addictionsmentioning

confidence: 99%

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Commentary: Similarities and Differences Between Harm-Reduction and Substitute Addiction-- Implications for the Health Professions

Sussman,

Sinclair,

Clifasefi

et al. 2024

Eval Health Prof

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“Substitute addiction” refers to the process of achieving abstinence or resolution of one addictive behavior and subsequently engaging in one or more additional addictive behaviors in its place. Substitute addiction, a concept in the abstinence-based recovery field for decades, is viewed as a cause for concern because resolving one addictive behavior might not fully remove harm or ensure recovery. Conversely, “harm-reduction treatment” refers to a counseling orientation that focuses on helping service users reduce substance-related harm and improve their quality of life without necessarily requiring abstinence or use reduction. Harm-reduction treatment assesses a constellation of addictive behaviors in the larger context of a person’s life to holistically reduce harm in that constellation. In this commentary, we define and compare both constructs and point out their implications for addictions treatment.

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“…Given that most treatments are abstinence-based, substitute addiction will remain a problem. It is a problem that is seldom treated (e.g., Sussman et al, 2023).…”

Section: Discussionmentioning

confidence: 99%

Section: Defining Substitute Addictionsmentioning

confidence: 99%

Commentary: Similarities and Differences Between Harm-Reduction and Substitute Addiction-- Implications for the Health Professions

Sussman,

Sinclair,

Clifasefi

et al. 2024

Eval Health Prof

Self Cite

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Behavioral Addiction Treatment Centers in the Hospitals of Türkiye: A Web-Based Research

Doğan Keskin,

Öztürk,

Düştü

et al. 2024

Eval Health Prof

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This study investigates the current landscape of behavioral addiction treatment in Türkiye hospitals, considering both inpatient and outpatient approaches. The analysis involved examining the websites of 1393 hospitals across Türkiye based on various criteria. The review of the websites was conducted between June and September 2023. The findings reveal that out of these hospitals, comprising 822 public and 571 private institutions, only 51 provide treatment for behavioral addictions. Behavioral addiction treatments are available in 23 of the 81 provinces in Türkiye, and 24 out of the 51 hospitals offering treatment for behavioral addictions are located in İstanbul (47.1%), while three (5.9%) are located in Ankara. Among these 51 hospitals, 22 are public, and 29 are private. The primary focus of treatment revolves around internet and gambling addiction. Upon analyzing the patient groups served, it was observed that 49% ( n = 25) of the hospitals specialize in treating adult patients, while 29.4% ( n = 15) cater to pediatric patients. While the websites of 11 hospitals contain information about the behavioral addiction treatments offered, they lack any information on the patient groups to which they cater. The predominant treatment modalities include psychotherapy (25.49%), followed by psychopharmacotherapy (19.61%) and cognitive-behavioral therapy (17.65%). In conclusion, the treatment of behavioral addictions, such as those related to the internet, gaming, and shopping, are offered in hospitals across various regions and age groups. Considering that only 3.7% of hospitals in Türkiye treat behavioral addictions, this type of treatment is not widespread.

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Collaborative work processes in establishing a MiniMaria treatment center for youth substance addiction: a qualitative inquiry of county council healthcare and municipal efforts

Lindberg,

Kihlström,

Hylander

et al. 2024

BMC Health Serv Res

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Background This article is part of a larger study exploring the collaborative dynamics between key stakeholders in providing care to youths suffering from alcohol or substance use and their families in formulating policies and operational practices for county and country-wide application in similar settings. The focus of this article is to describe the collaborative processes between two stakeholders, a municipality, and a county council, in establishing a MiniMaria treatment center. While collaborative efforts between municipalities and county councils in health service provision are often acknowledged, little is known about how communication and decision-making processes between these entities shape the success of such initiatives. This study aims to fill this gap by providing insights into the communicative processes that foster organizational cohesion, agility, and innovation. The guiding research question is: What communicative processes occur between the county council and municipal stakeholders during the planning phase of the MiniMaria treatment center? Methods The municipality and county council were selected based on purposive sampling, owing to the proximity and accessibility of the field. An exploratory and descriptive design, incorporating a participatory research approach, was employed for this qualitative investigation. Results Two central themes, each underpinned by specific subthemes sum up the essence of our findings. The first theme underscores the collaborative dynamics and shared objectives that have emerged through the project, thus showing the importance of a unified vision and mutual understanding in driving the initiative forward. The second theme points to the practical aspects of implementing the project, including recruitment strategies, and the significance of interpersonal communication. Conclusions This article sheds light on the establishment of a MiniMaria treatment center through collaboration between a municipality and county council, using the Four Flows Model to interpret communicative processes. Membership negotiation was crucial for defining roles and building a unified team identity, while activity coordination ensured aligned stakeholder efforts. Self-structuring facilitated internal organization and operational clarity, and institutional positioning aligned the initiative with broader healthcare norms, enhancing its credibility and impact. These communicative practices were central to get a grip on inter-organizational complexities, emphasizing communication’s constitutive role in organizational development and innovation.

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Web-based Evidence on the Treatment of Behavioral Addictions in United States Model Treatment Centers

Cited by 3 publications

References 31 publications

Commentary: Similarities and Differences Between Harm-Reduction and Substitute Addiction-- Implications for the Health Professions

Commentary: Similarities and Differences Between Harm-Reduction and Substitute Addiction-- Implications for the Health Professions

Behavioral Addiction Treatment Centers in the Hospitals of Türkiye: A Web-Based Research

Collaborative work processes in establishing a MiniMaria treatment center for youth substance addiction: a qualitative inquiry of county council healthcare and municipal efforts

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