Based on previous reviews and recent empirical findings a number of as
sertions can be made as to what constitutes the active ingredients for
the effective treatment of addictive disorders. These key ingredients
include the following: easy accessibility of care, treatment flexibil
ity, the involvement of collaterals, good therapists, motivated client
s, matching treatment to salient client variables, client accountabili
ty for their sobriety, focused treatment approaches, and the follow-up
of drop-outs and program graduates. A program developed based on thes
e key ingredients showed a 64% abstinence rate among clients in the Ac
tion stage of recovery and a 56% abstinence rate for clients in the Co
ntemplation stage. It is proposed that these key ingredients are gener
ic to all effective substance abuse treatment programs and apply at bo
th a programmatic level and an individual practitioner level.