• Mieke Autrique, Wouter Vanderplasschen, Eric Broekaert, and Bernard Sabbe.
• Association for Alcohol and Other Drug Use (VAD), Brussels, Belgium. mieke.autrique@vad.be
• Eur Addict Res. 2009 Jan 1; 15 (1): 47-55.

Background/AimEvidence-based guidelines for substance abuse treatment are available in many European countries. In Belgium, no such guidelines have been developed yet at a national level although their need has repeatedly been emphasized. This study aims to assess Belgian practitioners' attitudes concerning evidence-based guidelines for substance abuse treatment.MethodsA survey was conducted with clinical coordinators in a representative sample of 60 agencies dispensing specialized treatment to alcohol and drug abusers.ResultsThe study revealed that evidence-based guidelines are rarely used in substance abuse treatment in Belgium, but that many agencies use self-developed guidelines. The attitude concerning evidence-based guidelines is mainly positive. Practitioners' concerns mostly relate to the risk of disregarding their clients' needs and the constraining character of using evidence-based guidelines. The study also reveals some barriers concerning the implementation of evidence-based guidelines and suggests some strategies to overcome them.ConclusionPractitioners appear to be prepared to work with evidence-based guidelines. When developing, adapting and implementing evidence-based guidelines for substance abuse treatment, it is important for policy makers to take into account the state of the art in clinical practice as well as practitioners' needs and requirements.Copyright 2008 S. Karger AG, Basel.

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