Adaptive Treatment

Recent work done by researchers at the Center and other institutions suggests that adaptive treatment models may provide a solution to many of the problems that interfere with the successful implementation of a continuum of care approach to the treatment of addiction. These models are designed to increase participation in treatment by providing flexible care that is adjusted over time on the basis of patient response to treatment, according to clearly operationalized, empirically derived decision rules. Adaptive approaches also seek to maximize participation by specifying lower intensity treatment whenever possible, and factoring in issues such as patient preference.

Work by Center investigators addresses the main components of adaptive treatment: identification of key tailoring variables that are assessed at regular intervals during treatment, development of a menu of treatment options and modifications, specification of algorithms that link changes on tailoring variables to modifications in treatment, and incorporation of patient preferences and choice to further improve adherence.

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