Routes to recovery. Part 2. The ITEP manual: delivering psychosocial interventions

Document type
Corporate author(s)
NHS National Treatment Agency for Substance Misuse
NHS National Treatment Agency for Substance Misuse
Date of publication
1 March 2009
Substance Misuse
Social welfare
Material type

Download (3.9MB )

The treatment effectiveness strategy of the National Treatment Agency (NTA) was launched in June 2005. It incorporates mechanisms and initiatives to improve the effectiveness of drug treatment, in line with the drug strategy objectives of the Government. The strategy identifies treatment engagement and delivery as areas where the quality of interventions could be improved. ITEP (International Treatment Effectiveness Project) is a mechanism by which drug treatment quality may be both improved and measured. The project is a collaboration between the NTA, The Institute of Behavioral Research at the Texas Christian University (IBR at TCU) and a series of service providers in north-west England. ITEP builds on an internationally evaluated model of service improvement and adapts the model for use in England. One mechanism used in the ITEP Project to improve service effectiveness and the treatment of clients is the use of evaluated psychosocial interventions. Practitioners are trained in the delivery of these interventions according to the protocol described in this manual. Following the training and implementation of these interventions, the services and their clients are re-evaluated and the results represented. Evaluations at the pilot sites showed that substance misuse service staff were extremely positive about the psychosocial interventions and the training programme. Lack of time was cited as the main barrier to use. The implementation of the interventions was found to have had a positive effect in several areas. Services that implemented mapping found that clients had better rapport with their key workers, there were improved levels of client participation in treatment, and clients benefited from better peer support, compared to clients in those services that received little or no mapping interventions. Engagement with treatment was found to be higher in those services where mapping was used, compared to services where mapping was either not implemented, or used to only a small degree. The ideas and material presented here are products of extensive research in treatment evaluation and cognitive psychology and were developed as part of the Drug Abuse Treatment of AIDS-Risk Reduction (DATAR) project and other work undertaken by the IBR at TCU. The manual is designed to support the ITEP training programme for delivery of psychosocial interventions at participating sites. It is intended to help UK substance misuse treatment services to implement two types of effective psychosocial intervention, developed in the US for working with drug and alcohol using clients. Node-link mapping (referred to as mapping) is presented first, with the Changing your thinking patterns intervention presented in the second half of this manual.

Related to Substance Misuse

Drug misuse and dependence: UK guidelines on clinical management

Downloadable guidelines on treating people with drug misuse and drug dependence problems

Family drug and alcohol court national unit: independent evaluation: research report

The family drug and alcohol court (FDAC) offers an alternative form of care proceedings for children put at risk of significant…

Fourth addendum to ACMD’s report on synthetic cannabinoids

This addendum recommends revisions to the regulations regarding the scheduling of synthetic cannabinoids. Specifically, they…

More items related to this subject