ABSTRACT

Technology-based interventions, including telephone applications and web-based programs targeting hazardous alcohol and substance use, have the potential to provide alternative intervention options to millions of individuals in need and to reduce the public health burden associated with hazardous alcohol and substance use. Addiction—Comprehensive Health Enhancement Support System is a smartphone-based recovery support system designed originally to function in the traditional addiction treatment system with patients leaving residential treatment for alcohol use disorder. Relapse is so prevalent that some theorists believe it should be considered a normal or expected aspect of treatment for substance use disorders. Cognitive-Behavioral Therapy (CBT) is widely recognized as an empirically supported treatment for substance use disorders, but it has proven challenging to move CBT to clinical practice with high levels of fidelity. Many individuals appear to have difficulty admitting to others, even in a treatment context, that they have a substance problem.