Given their prevalence, substance use disorders (SUDs) should be treated in mainstream medical and behavioral health care, and not only in specialist settings. This presentation is designed to provide health professionals with an up-to-date research-based perspective on the treatment of SUDs. Important findings in addiction research, including Dr. Miller’s own, have often been unexpected, and even contrary to prevalent beliefs. Among the topics to be discussed are “success” rates, evidence-based treatment, waiting lists, brief intervention, medication, intake, treatment matching, therapist effects, relapse, diagnostic labels, manual-guided treatment, abstinence and moderation, motivation for change, and spirituality. Concluding that there are ample reasons for humility about our professional expertise, Dr. Miller will offer some recommendations for improving the care of people with substance use disorders.
Dr. William R. Miller is Emeritus Distinguished Professor of Psychology and Psychiatry at the University of New Mexico where he served as Director of Clinical Training for the doctoral program in clinical psychology and as a Founder and Co-Director of the Center on Alcoholism, Substance Abuse and Addictions (CASAA). Dr. Miller's publications include over 60 books and 400 articles and chapters. Fundamentally interested in the psychology of change, he has focused in particular on the development, testing, and dissemination of behavioral treatments for addictions. With 45 years of experience in addiction research and treatment, he has served as principal investigator for numerous research grants and contracts, founded a private practice group, directed a large public treatment program, and served as a consultant to many organizations including the United States Senate, the World Health Organization, the National Academy of Sciences, and the National Institutes of Health. In recognition of his research contributions, Dr. Miller is a recipient of the international Jellinek Memorial Award, two career achievement awards from the American Psychological Association, and an Innovators in Combating Substance Abuse award from the Robert Wood Johnson Foundation. He maintains an active interest in the interface of spirituality and psychology. His books have been translated into 28 languages, and the Institute for Scientific Information has listed him as one of the world's most cited scientists.