Medications in recovery: re-orientating drug dependence treatment

1.2 The distinctive aspect of this review of evidence is that it seeks to integrate, as far as is possible, the discourse of evidence-based practice (built on observation and measurement), with the humanitarian, recovery-based discourse based on values (such as responsibility, choice, and empowerment). The review identifies where the optimism which is central to recovery discourse needs to be tempered with evidence, and where the energy and focus on self-improvement associated with recovery can enhance the effectiveness of evidence-based practice. The approach taken has been to identify the broadly-agreed objectives of treatment, and to review the empirical evidence as to the effectiveness of OST. The paper then reviews the factors associated with variations in treatment effectiveness, and explores where the insights and dynamism of recovery can enhance the effectiveness of treatment.