The United States has the third highest mortality rate associated with alcohol and drug use in the world. In 2021, 16.8% of the US adult population had a diagnosis of Substance Use Disorder (SUD), yet only 13% received treatment. Community-based interventions (CBIs) is an adjunct treatment option for SUDs. They include non-clinical programs, organized within the community, for the community. The efficacy of these novel CBIs is understudied and requires elucidation prior to establishing its merit in treating SUDs. A total of 483 articles were screened by title and abstract from PubMed and SCOPUS. Twelve articles that met the eligibility criteria were selected for data extraction. Eligibility criteria required that CBIs reported outcomes measured by self-reported drug use or abstinence. Ten out of twelve CBIs showed greater success for the intervention versus the control group, indicative of the efficacy of CBIs for SUDs. Four CBIs targeted mixed SUDs and used cognitive behavioral therapy as their design framework. Two CBIs targeted alcohol use disorder and used the 12-step group therapy framework design. One intervention supported internet-based group therapy and Contingency management. Self-reporting bias and the absence of long-term relapse rates remained significant limitations across most studies. Findings from this review supported the efficacy of CBIs for SUDs. Future research on culturally inclusive CBIs that cater to marginalized populations and identifying specific framework designs targeted to specific SUDs is required.
Machado, MD, Tanya, "Understanding the Impact of Community-Based Interventions on Abstinence and Self-Reported Drug Use among Adults in the US with Substance Use Disorder" (2023). Master of Public Health Capstone Presentations. Presentation 514.