Behavioral couple therapy (BCT) is an evidence-based, manualized treatment that has been primarily developed to treat alcohol use disorder. The treatment model leverages the intimate partner relationship to support recovery. Although the efficacy of BCT is well-supported in randomized controlled trials, little attention has been given to the translation of BCT to everyday practice settings. This article presents recommendations for implementing BCT in such settings. We describe a stepwise approach for getting a couple into BCT and determining whether it is an appropriate treatment for the couple. In addition, we provide recommendations for broadening inclusion criteria for everyday practice settings, including the use of BCT with couples who have drug use disorders with couples where both members exhibit substance use disorders and with couples who choose controlled drinking or drug use versus abstinence. Whereas BCT has mostly been researched in speciality substance use disorder settings, we provide recommendations for its use in general couple therapy settings. Based upon the extant research, we suggest implementing BCT as a standalone treatment or as an add-on to individual counseling for substance use disorders. We provide guidance for delivering BCT through telehealth and encourage future research to investigate this delivery modality. Future research should prioritize investigating the effectiveness of various BCT dissemination strategies and seek to determine what dosage and components of BCT will result in the best outcomes.

中文翻译：

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在现实世界的临床实践中对物质使用障碍实施行为伴侣治疗

行为伴侣疗法 (BCT) 是一种基于证据的手动治疗，主要用于治疗酒精使用障碍。治疗模式利用亲密伴侣关系来支持康复。尽管 BCT 的功效在随机对照试验中得到了很好的支持，但很少有人关注 BCT 到日常实践环境的转化。本文提出了在此类环境中实施 BCT 的建议。我们描述了一种逐步方法让一对夫妇进入 BCT 并确定它是否适合这对夫妇。此外，我们为扩大日常实践环境的纳入标准提供了建议，包括对患有药物使用障碍的夫妇与双方都表现出药物使用障碍的夫妇以及选择控制饮酒或吸毒与禁欲的夫妇一起使用 BCT。尽管 BCT 主要在特殊物质使用障碍环境中进行了研究，但我们为其在一般夫妻治疗环境中的使用提供了建议。根据现有研究，我们建议将 BCT 作为独立治疗或作为物质使用障碍个人咨询的补充。我们为通过远程医疗提供 BCT 提供指导，并鼓励未来研究调查这种提供方式。未来的研究应优先调查各种 BCT 传播策略的有效性，并寻求确定 BCT 的哪些剂量和成分将产生最佳结果。