Abstract

The use of Evidence-Based Practice approaches has become the industry standard for the treatment of co-occurring disorders; however, there are many factors for clinicians to consider when selecting and adapting these approaches for effective clinical use. The author of this article reviews briefly the history of the Evidence-Based Practice movement and how both substance use treatment and mental health field approached this topic. Finally, recommendations are made suggesting that cultural adaptations of evidence-based practice approaches should consider the following four factors:

1. The culture of the client

2. The clinician’s culture and competency

3. The culture of the theory being used and

4. The culture of the treatment setting

Keywords: Evidence-based practice; Substance use treatment; Co-Occurring disorders; Empirically supported treatment; Cultural adaptations