Marsch, PhD, who directs the Psychiatric Research Center and
Center for Technology and Behavioral Health at Dartmouth
University’s Geisel School of Medicine.
“There just aren’t enough addiction treatment specialists,”
says Marsch. “And it’s really tough for more traditional
medical settings to embrace behavioral health: They don’t have
specialists, and primary-care doctors don’t have the expertise.”
Even in specialty treatment centers, she says, clinicians can
have enormous case loads. There’s a lot of turnover. Plus, in the
more complex context of real life, evidence-based treatments
don’t always get delivered the way they were designed in a lab
environment and may be less effective.
Technology can help, says Marsch. For example, Marsch
and colleagues have found that substituting a Web-based
intervention for some of the standard counseling methadone
patients received resulted in significantly higher rates of
abstinence than standard treatment alone (Journal of Substance
Abuse Treatment, 2014).
“If you offered some of your interventions via a
computerized system, you might free up clinicians to have
more time to spend with people who are in crisis or have more
intensive care needs,” says Marsch. “Or you could see more
people with the same number of clinicians.”
To Potter, all this activity by psychologists is a positive sign.
“The number of psychologists working in addiction in direct
clinical care is relatively small,” she says. “They need more of
a role, to be honest. What’s important is that we understand
how to intervene, how to customize treatment for patients’
particular circumstances and how to provide them with the best
behavioral treatment we know that’s based on evidence.” n
Rebecca A. Clay is a journalist in Washington, D.C.
• Petry, N. M. (2011). Contingency Management for
Substance Abuse Treatment: A Guide to Implementing This
Evidence-Based Practice. New York: Routledge.
• Marsch, L., Lord, S., & Dallery, J. (eds.). (2014).
Behavioral Healthcare and Technology: Using Science-Based Innovations to Transform Practice. New York:
Oxford University Press.
• McCarty, D., Bovett, R., Burns, T., et al. (2014).
“Oregon’s strategy to confront prescription opioid
misuse: A case study.” Journal of Substance Abuse
Treatment, Vol. 48, No. 1, 91–95.
COMING FALL 2015
800.627.7271 | | PearsonClinical.com
For additional resources and to learn more, visit us online at:
Innovations bolster the new MCMI-IV with a wealth of enhancements
that help you diagnose and understand your clinical patients,
Updated norms that more closely
represent the current population
A new Turbulent scale that provides
a deeper understanding of those
patients presenting with this
unbridled personality type
DSM- 5® and ICD-10-CM alignment
New and improved narrative content
Updated test items characterizing
the evolution of Dr. Millon’s