Similarly, one of the most common approaches to alcoholism treatment involves having counselors and fellow alcoholics confront patients and force them to identify themselves as alcoholics. But research finds that the more a counselor confronts, the more a patient drinks and the more likely he is to drop out of treatment. And no association between accepting the label alcoholic and quitting drinking has been found. Counselor empathynot confrontationis connected with recovery.
According to a review by the Institute of Medicine in 2006, only 10.5 percent of alcoholics received care consistent with scientific knowledge of the disorder; similarly, 43 percent of children in psychiatric hospitals are given antipsychotic medication despite not suffering from psychosis. Tough boot camps for troubled teenagerswhich have been proven to be ineffective and potentially harmfulthrive, while multisystemic family therapy, which effectively treats teenagers at home, is available only through the juvenile justice system.
If we want to provide genuine help for the 33 million Americans with mental health and drug problems, giving more no strings attached money to providers via insurance mandates is not the answer. It is dangerous to blindly bolster useless and even harmful treatments while failing to support proven therapies. Coverage must be tied to outcomes and evidence. And payment should be dependent, at least in part, on health improvements, not just services received. We need parity in evidence based treatment, not just in coverage.
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