Naltrexone for Alcoholism: Factors Influencing the Use of a New Pharmacotherapy

Integrating science-based practices into clinical care has become an increasingly important theme in the substance abuse field. The authors describe various factors that have traditionally kept researchers and practitioners from collaborating with one another and outline steps being taken to encourage a partnership between these two groups. Strategies for continuing to close the gap between research and practice are provided, including the incorporation of policy makers and consumers and their families into the process. The implementation of science-based treatment strategies into mainstream substance abuse care will depend partly on the new relationships that are built on the communication and cooperation between researchers and practitioners.

The scientific knowledge gained from research has not been extensively integrated into the U.S. substance abuse treatment system. A clear call to arms has been issued by the U.S. federal treatment and research agencies to bring research and practice together to create a better treatment system and a more responsive research agenda. The current federally sponsored initiatives to "close the gap" between research and practice are large and well funded. The field appears ready to change and realize the mutual benefits that can be achieved from the increased "blending" of research and practice. However, while the music has started and the partners seem willing, there are still many obstacles to a successful dance.

In this preface the authors briefly discuss ways to improve the practices of addiction treatment professionals by increasing their use of scientifically supported treatment techniques. Additionally, they discuss ways to bring "real-world" methods, questions, and problems under scientific analysis. This journal highlights the blending of clinical practice and research to enhance drug addiction treatment.