title: Precision in Addiction Care: Does It Make a Difference?
abstract: This perspective article explores the possibilities of precision in addiction care -- even better individually fitted or tailor-made care -- and examines what changes we need to make in order to realize sensible progress in epidemiological key figures. The first part gives a short review on the development of addiction care and tries to answer the question of where we stand now and what has been achieved in addiction science through the development and evaluation of interventions in the past decades. Following this analysis, attention will be paid to what lies ahead. This second part focuses on the question of how addiction care can deal with the consequences of the emerging paradigm of personalized or precision medicine, which is based on the fundamental assumption that individual differences matter. Finally, some limitations and conditions as well as tasks and goals for progress are raised. In conclusion, it is argued that integration of addiction care in (mental) health care in the future is desirable.
authors.affiliation: Professor of Mental Health, University of Applied Sciences in Leiden; Senior Researcher at GGZ inGeest, Amsterdam; and Strategic Advisor at Brijder-Parnassia, The Netherlands.
authors.forename: Jaap
authors.initials: J
authors.lastname: van der Stel
mesh_terms: D005544:Forecasting; D006801:Humans; D007206:Individuality; D057285:Precision Medicine / Q000379:methods*; D011613:Psychotherapy; D019966:Substance-Related Disorders / Q000188:drug therapy / Q000628:therapy*
keywords: addiction; addiction care; personalized medicine; precision