Evidence-Based Practice

Evidence-based practice (EBP) as it relates to addiction treatment is a multi-disciplinary approach to healthcare practice that has been gaining ground since one of our staff members launched the first residential, partial hospitalization (PHP), intensive outpatient (IOP) and full-year aftercare rehab program in 1984, well before medicine’s EBP formal introduction in 1992.

It started in as evidence-based addiction Treatment (EBAT), then became evidence-based medicine (EBM) and spread to related health professions, educational fields, and their associates.

EBP is defined in terms of a “three plate balance scale” integrating three basic principles: (1) research evidence indicating if and why a treatment has favorable outcomes, (2) a treatment has been “road-tested,” in the case of EBAT, by clinical researchers specializing in addictions neuropsychiatry, and (3) patient feedback, experience, insights, preferences and values.

Evidence-Based Addiction Treatment Principles

While today’s thoroughly road-tested EBAT principles remain essentially the same as in 1984 because our addiction treatment methods still work well, today’s EBP principles have been updated from those in 1992 and extended to many groups, including public policy, social work and youth.
For example, EBP is applied for occupational safety research by amending the traditional “three plate balance scale” which covers: (1) the review of pertinent research evidence from peer-reviewed journals; (2) evidence collected from court and safety officers; and (3) employee or workers’ perceptions.

Paradoxically, and insightfully, EBP studies have been showing serious flaws in scientific research, there has been a silent-rebellious movement to try EBP as it relates to scientific research itself. Investigations into the EBP of healthcare research is called metascience.

Metascience research is not as essential regarding our substance abuse treatment model, recovery-sensitive cognitive behavioral therapy with a side of medication-assisted treatment, because the National Institute of Drug Abuse (NIDA) and Drug Enforcement Agency (DEA) have made this EBAT-recipe law.

Metascience in Action

One of the main reasons that people in the USA are dying younger and with more dementia than their foreign counterparts, is that EBP has been derailed and hijacked by politicians, lobbyists, special interest groups and the media.
With the exception of EBAT, EBP continues to be replaced by partisan pundit opinion where there once was a pretty well balanced “three plate balance scale.”

It’s no wonder that outside of EBAT, EBP in medicine is, in many cases, in shambles.

For example, the following EBP of medical research itself, or metascience investigations, are just the tip of the healthcare disaster “iceberg”:

  1. Millions of children, adolescents, women and men go undiagnosed because the non-evidence-based diagnostic criteria for Attention Deficit Hyperactivity Disorder (ADHD) are bogus and should be renamed Attention Deficit Disorder (ADD), with or without hyperactivity
  2. The drug wars will continue unharnessed partly because one of the cardinal symptoms associated with first time experimentation with a drug (i.e. nicotine or alcohol) is ADD because most drugs of abuse convert confusion to mind-clarity.
  3. There is no EBP data to prove that Canola and related vegetable oils contain “0 Trans-fat”, while there is EBP laboratory instrument data that Canola and related vegetable oil contain large amounts of heart-stopping and stroke-causing Trans fats.
  4. There is no cardiology EBP data that chicken and fish raise deadly-bad cholesterols less than eggs, cheese, lamb and beef, while cardiovascular disease is the top killer worldwide
  5. There is no cardiology EBP data that statins help live longer while cardiovascular disease is the top killer worldwide
  6. There is no cardiology EBP data that high-blood pressure medicines help you live longer while cardiovascular disease is the top killer worldwide
  7. There is substantial EBP data that oxidized food addiction, nicotine addiction and drug addiction are the causes of world’s top killers: ischemic heart disease, pulmonary conditions, cancer, stroke or atrial fibrillation, diabetes type 2, Alzheimer’s and mood disorders.
  8. There is substantial EBP data that oxidized food addiction, nicotine addiction and drug addiction should be the top 3 listed causes of death worldwide because ischemic heart disease, pulmonary conditions, cancer, stroke or atrial fibrillation, diabetes type 2, Alzheimer’s and mood disorders are symptoms associated with addictions.
  9. There is substantial EBP data that keto, Atkins and other fad-diets are likely to get you an early grave inside an overweight coffin or urn.

It’s no wonder that today, 100-year-olds, and older, walk briskly up mountains in certain foreign countries while the majority of Americans are dying at age 79, many of whom are not ambulatory, miserable, can’t recognize their own relatives and are on a bunch of meds they cannot pronounce.

Be that as it may, rest assured that Royal Life Centers is an EBP that you can trust because it’s been field-tested for thirty-five years.

Reach Out

If you or someone you know is struggling with substance abuse problem, please reach out to our addiction specialists for guidance and support, at (877)-RECOVERY or (877)-732-6837. Our addiction specialists make themselves available to take your call 24 hours a day, 7 days a week. Because We Care.