Research: One‑to‑one therapy & Drug Rehabilitation
Recent peer‑reviewed studies, showing that individual, face‑to‑face therapy and evidence‑based drug rehabilitation approaches are effective.
A) One‑to‑one, face‑to‑face psychotherapy
Psychotherapies for adult depression: network meta‑analysis (331 RCTs; N=34,285)
Cuijpers P, et al. World Psychiatry (2021). PubMed · PMC · DOI
- Compared major, commonly individually delivered, in‑person psychotherapies (CBT, IPT, BA, PST, psychodynamic, and non‑directive/supportive counselling) to each other and to control conditions.
- All therapies > care‑as‑usual / waitlist (SMD vs CAU roughly
−0.81
to−0.32
), with effects that remained significant at ~12 months. - No consistent differences in acceptability (dropout); small differences across therapy types.
Key outcome notes
- Primary outcome
- Response (≥50% symptom reduction)
- Follow‑up
- Up to 12 months (effects generally persisted)
See reference [1].
Non‑directive supportive therapy (counselling) for depression: meta‑analytic review
Cuijpers P, et al. Journal of Affective Disorders (2024). PubMed · Article
- NDST (supportive counselling) is an effective treatment for adult depression vs control conditions.
- Apparent smaller effects vs some therapies may reflect trial design (NDST often used as a control and sometimes implemented to be less potent).
- Bottom line: Counselling approaches contribute to symptom improvement and recovery.
See reference [8].
Humanistic‑experiential therapies (person‑centred, EFT) for depression (17 RCTs)
Duffy KEM, et al. Psychotherapy Research (2024). PubMed · Article
- Across RCTs, humanistic/experiential therapies showed significant improvement vs treatment‑as‑usual at post‑treatment (approx.
g≈0.41
). - Comparisons with other therapies were generally similar at post‑treatment; between‑therapy differences at follow‑up were small/uncertain.
- Supports the conclusion that counselling‑type therapies work for depression.
See reference [9].
Focused ACT (FACT) in primary care: single‑visit RCT for depressive symptoms
Arroll B, et al. Int J Psychiatry in Medicine (2022). PubMed · DOI
- Auckland primary care RCT (n=57): at 1‑week, the FACT group had lower PHQ‑8 vs control (mean 7.4 vs 10.1); NNT≈4 for PHQ‑8 ≤ 6.
- Demonstrates that brief, in‑person psychological intervention can rapidly reduce depressive symptoms.
See reference [10].
Psychotherapy recipients’ perspectives: how therapy fosters positive mental health
Vaingankar JA, et al. Current Psychology (2024). Article (OA)
- Adults in one‑to‑one therapy described gains in acceptance, resilience, purpose, social participation, and symptom management.
- Highlights “healing” aspects of counselling/therapy beyond symptom scores.
See reference [2].
Client experiences of mental health care in Aotearoa delivered via telehealth
Officer TN, et al. JMIR Formative Research (2023). PMC (OA)
- Clients and support people valued therapeutic alliance, empathy, continuity—the same factors that underpin in‑person counselling.
- Findings align with how counselling supports healing through safe, relational work.
See reference [13].
B) Drug rehabilitation
Contingency Management (CM): long‑term abstinence up to 1 year post‑treatment
Ginley MK, et al. Journal of Consulting and Clinical Psychology (2021). PubMed · PMC · DOI
- 23 randomized trials with urine‑verified drug tests after incentives ended.
- CM increased the odds of abstinence at long‑term follow‑up (OR 1.22, 95% CI 1.01–1.44); longer treatment duration improved outcomes.
- Effects held against other active treatments (e.g., CBT, 12‑step facilitation) and intensive outpatient care.
See reference [5].
Patients’ experiences of MET in a specialist addiction clinic
Ingesson‑Hammarberg S, et al. Addiction Science & Clinical Practice (2023). Article (OA) · PubMed
- Adults described a supportive therapeutic relationship, personalised feedback, and goal‑focused conversations as catalysts for change.
- Participants perceived MET as helpful for reducing use and maintaining change; several wanted more sessions.
See reference [6].
Face‑to‑face gambling interventions: CBT vs MI(+workbook+booster)
Bellringer M, Palmer du Preez K, Vandal AC, et al. (AUT) — Ministry of Health report (2022). MoH summary · Final report (PDF)
Brief telephone counselling for problem gambling: national RCT (n=462)
- Three brief counselling arms (MI; MI+workbook; MI+workbook+booster) vs standard helpline care.
- Large reductions in days gambled and dollars lost over 12 months across groups; some subgroups benefited most from the more intensive arm.
See reference [11].
Te Ara Oranga (Northland): meth harm‑reduction programme evaluation & cost–benefit
Walton D, Martin S. Ministry of Health (2021). Report (PDF) · Summary
- Analyses indicate a return of ~$3.04–$7.14 per $1 invested (cost–benefit ratio 1:3.04–1:7.14) alongside reduced harm indicators.
- Partnership model (Police + Health + iwi/NGOs) linked clients to counselling and treatment pathways tailored to whānau context.
See reference [14].
References
- Cuijpers P, et al. Psychotherapies for depression: a network meta‑analysis covering efficacy, acceptability and long‑term outcomes of all main treatment types. World Psychiatry. 2021;20(2):283‑293. DOI · PubMed · PMC
- Vaingankar JA, et al. A qualitative study exploring psychotherapy recipients’ perspectives on positive mental health. Current Psychology. 2024;43:18042–18055. Article
- Cuijpers P, et al. Cognitive behavior therapy vs. control conditions, other psychotherapies, pharmacotherapies and combined treatment for depression: a comprehensive meta‑analysis including 409 trials with 52,702 patients. World Psychiatry. 2023;22(1):105‑115. DOI · PubMed · PMC
- Kambeitz‑Ilankovic L, et al. A systematic review of digital and face‑to‑face cognitive behavioral therapy for depression. npj Digital Medicine. 2022;5:140. Article
- Ginley MK, et al. Long‑Term Efficacy of Contingency Management Treatment Based on Objective Indicators of Abstinence From Illicit Substance Use up to 1 Year Following Treatment: A Meta‑Analysis. J Consult Clin Psychol. 2021;89(6):507‑523. DOI · PubMed · PMC
- Ingesson‑Hammarberg S, et al. A qualitative interview study of patient experiences of receiving motivational enhancement therapy in a Swedish addiction specialist treatment setting. Addiction Science & Clinical Practice. 2023;18:44. Article · PubMed
- Beaulieu M, et al. A systematic review and meta‑analysis of the efficacy of the long‑term treatment and support of substance use disorders. Social Science & Medicine. 2021;285:114289. DOI · PubMed
- Cuijpers P, Miguel C, Ciharova M, Harrer M. Non‑directive supportive therapy for depression: A meta‑analytic review. J Affect Disord. 2024;349:73‑84. PubMed · Article
- Duffy KEM, Simmonds‑Buckley M, Haake R, Delgadillo J, Barkham M. The efficacy of individual humanistic‑experiential therapies for the treatment of depression: A systematic review and meta‑analysis of randomized controlled trials. Psychother Res. 2024;34(3):323‑338. PubMed · DOI
- Arroll B, Frischtak H, Roskvist R, et al. FACT effectiveness in primary care; a single visit RCT for depressive symptoms. Int J Psychiatry Med. 2022;57(2):91‑102. PubMed · DOI
- Abbott MW, Hodgins DC, Bellringer M, et al. Brief telephone interventions for problem gambling: a randomized controlled trial. Addiction. 2018;113(5):883‑895. PubMed · DOI
- Bellringer M, Palmer du Preez K, Vandal AC, et al. Effectiveness of face‑to‑face gambling interventions: A randomised controlled trial. Ministry of Health (NZ); 2022. Summary
- Vandal AC, Bellringer M, Palmer du Preez K, et al. Effectiveness of face‑to‑face gambling interventions: RCT final report (technical). Auckland University of Technology; 2021. PDF
- Officer TN, Hornblow A, Moss‑Morris R, et al. Mental Health Client Experiences of Telehealth in Aotearoa New Zealand During the COVID‑19 Pandemic. JMIR Form Res. 2023;7(1):e47008. PMC
- Walton D, Martin S. The Evaluation of Te Ara Oranga: The Path to Wellbeing. Ministry of Health (NZ); 2021. PDF · Summary
- Eriksen JW, et al. Psychological intervention for gambling disorder: a systematic review and meta‑analysis. Frontiers in Psychiatry. 2023;14:1156011. PMC
- Macfarlane VFH, et al. The Auckland alcohol detoxification outcome study. Drug Alcohol Depend. 2019;200:82‑88. PubMed
- Delgadillo J, González‑Salas Duhne P. Targeted prescription of CBT versus person‑centred counselling for depression using a machine‑learning approach. J Consult Clin Psychol. 2020;88(1):14‑24. PubMed · Preprint (OA)