Talking Point: Better collaboration and outcomes: case formulation and measurement-based care for substance use disorders, presented by Professor John Marsden on 12th of July 2022


In this presentation, I will discuss and advocate for an evidence-based and collaborative clinical case formulation and measurement-based care approach for substance use disorders (SUD).  The aim of these methods is to improve treatment planning, patient engagement, collaboration, adherence, and outcomes. Case formulation – longstanding practice in CBT - produces a testable hypothesis of SUD complexity and severity, with interventions adapted from established methods. Measurement-based care (MBC)- standard practice in the treatment of depressive disorders - informs ongoing cate by clinically actionable measurement of symptoms. Case formulation and MBC are relatively underused in SUD treatment. Two practice examples will be described to describe how these techniques can be used: a trial for patients with treatment-resistant opioid use disorder; and a new study of psychedelic-assisted relapse-prevention CBT for patients with alcohol use disorders.

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About the presenter

John Marsden is professor of addiction psychology at the Institute of Psychiatry, Psychology and Neuroscience, King’s College London, UK. He is Deputy Head of the Addictions Departments at the School of Academic Psychiatry. John is a  research and practitioner psychologist, board certified with the British Psychological Society and the British Association of Behavioural and Cognitive Psychotherapies. His research focus centres on the development of novel medication and psychological therapies for substance use disorders and population and health service epidemiology. John is senior academic advisor for the Office for Health Improvement and Disparities and a clinical advisor for the Centre for the Clinical Trials Network at the US National Institute for Drug Abuse.