Evidence Base

Evidence Base

The authority layer. Every claim traces to peer-reviewed research or federal-agency guidance. Written for people who want to understand the clinical science behind their options.

Evidence Base · Flagship

The ASAM Criteria (3rd Edition), Explained for Families

The 2013 edition still used by many payers mid-transition. The companion guide for families navigating 3rd Edition terminology.

Evidence Base · Flagship

The ASAM 4th Edition Criteria, Explained for Families

The current clinical standard (2023). Six dimensions, the new levels of care, and how to use the Criteria to advocate for the right placement.

Evidence Base

CBT for Substance Use: What Outpatient Therapy Actually Looks Like

Cognitive behavioral therapy for substance use disorders: what outpatient treatment actually looks like and what the research supports.

Evidence Base

Contingency Management: The Strongest Evidence Nobody Covers

The best evidence nobody covers. What contingency management is, what it treats, and why it is not more widely used.

Evidence Base

How to Use Contingency Management at Home to Help a Loved One

Clinical contingency management is the strongest behavioral intervention for stimulant use disorder, but very few clinics offer it. How families can adapt the principles at home.

Evidence Base · Family

CRAFT: The Family Method That Works (and Why It Replaces the Intervention)

Community Reinforcement and Family Training: the family approach that produces 3x the treatment engagement of Al-Anon.

Evidence Base

The Harm Reduction Evidence Base

What harm reduction actually means clinically, what the evidence supports, and why it is not the opposite of recovery.

Evidence Base · Medications

Medications for Alcohol Use Disorder

Naltrexone, acamprosate, gabapentin, and topiramate for alcohol use disorder, an honest, prescriber-grade look at who each one fits.

Evidence Base

Motivational Interviewing: What It Is and Why It Works

How motivational interviewing works, what the research shows, and why it is the foundation of most outpatient treatment.

Evidence Base · Medications

Medications for Opioid Use Disorder: Buprenorphine, Methadone, Naltrexone

Buprenorphine, methadone, and extended-release naltrexone: what they are, who they fit, and what the evidence actually shows.

Evidence Base · Flagship

Ways to Avoid Rehab: The Evidence-Based Guide

A complete map of every evidence-based alternative, outpatient levels of care, medications, harm reduction, digital therapeutics, and family approaches.

Evidence Base · Medication guide

The Sinclair Method: What the Evidence Says

Naltrexone taken before drinking to weaken the craving loop: the real evidence, how to ask a prescriber, and what the first 90 days look like.

Evidence Base · Safety guide

Supervised Ambulatory Alcohol Withdrawal, Explained

Clinician-led withdrawal at home is a real medical service. Who qualifies, how monitoring works, and the red flags that mean call 911.

Evidence Base · Harm reduction

Fentanyl Test Strips: How to Use Them, Where to Get Them

How the strips work, how to use them correctly, state legality in 2026, the xylazine gap, and what a negative result does and does not mean.

Evidence Base · Harm reduction

Naloxone: Who Should Carry It and How to Use It

The overdose reversal medication is now over the counter. Who should keep it on hand, the five response steps, and where to get it free.

Evidence Base · Mutual help

SMART Recovery: A Practical Guide

The free, secular alternative to 12-step: the 4-Point Program, how it differs from AA, what the evidence shows, and what a first meeting is like.

Evidence Base · Medication guide

Starting Naltrexone or Acamprosate While Working

Side-effect timing, dosing logistics, the happy hour problem, and the first 90 days of alcohol medication on a full work schedule.

Evidence Base · Clinical guide

Polysubstance Use Involving Alcohol: Outpatient Pathways

Alcohol plus benzodiazepines, opioids, or stimulants: how each combination changes withdrawal risk, medications, and the right level of care.

Evidence Base

Why Residential Care Isn't Always the Best First Step

Research comparing residential to intensive outpatient finds equivalent outcomes for most people. What the evidence actually says, and when residential is the right call.

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