Psychosocial interventions for amphetamine-type stimulants use disorder to reduce risk behaviours

Summary of the evidence

Rating: 
  • Likely to be beneficial

Psychosocial interventions for Amphetamine-type stimulants (ATS - meth/amphetamine and ecstasy) use were found in review of reviews with meta-analysis (Tran et al., 2021) that:

  • patients in psychological interventions used injectables substantially less (odds ratio (OR) 0.35, 95% CI: 0.24 to 0.49, low quality evidence)
  • the risk of unsafe sex in the psychosocial intervention group was lower than in the control group (RR 0.49, 95% CI: 0.34 to 0.71, moderate quality evidence)

 Psychosocial interventions considered in the analysis were:

1. Cognitive behaviour therapy (CBT)/ Cognitive Behaviour Therapy combined with Text messages/ Computer-based Cognitive Behaviour Therapy intervention; 2. Contingency management (CM); 3. Psychosocial therapies (combined CBT+ MI+ CM+BI + others); Matrix; 4. Motivational interviewing (MI);  5. Brief intervention (BI); 6. Case management;  7. Community-based management, therapeutic community; harm reduction group therapy;  8. Mindfulness;  9. 12 steps facilitation;  10. Family therapy.

Details

Note: this evidence summary is only valid for the outcomes, target groups, settings and substances/patterns of use described below.

Top