Implementing evidence-based practices in community treatment programs: initial feasibility of a counselor "toolkit".

Abstract:

:Community substance abuse treatment programs face many barriers to adopting "evidence-based" therapies. Training budgets are inadequate to permit acquisition of complex skills, there is little clinical supervision available, and almost all counseling is done in group sessions. The authors adopted an approach widely used in the teaching field-developing a resource "toolkit" for a specific topic, in this case, a Decisional Balance exercise often used in the evidence-based treatment approach of Motivational Interviewing. This trial toolkit was comprised of a DVD (televised during group to illustrate the clinical concept), a laminated counselor guide (to provide guidance and talking points for the counselor during group), and some worksheets and wallet cards for patients to retain key points (see Table 1). A feasibility trial assessed the acceptability, and sustainability of the "Decisional Balance" concept toolkit among 26 counselors and 210 of their patients, from 6 community-based substance abuse treatment programs. The great majority of patients (97%) and all counselors (100%) reported they were satisfied with the toolkit session; 84% of patients said they would like more groups like the toolkit session. Almost all counselors (96%) were still using at least one component of the toolkit 3 months after their initial exposure with no prompting. The toolkit curriculum-based approach may be a viable and attractive way of translating core concepts from sophisticated evidence-based therapies into use by counselors within contemporary, community-based treatment programs with minimal training.

journal_name

Subst Abus

journal_title

Substance abuse

authors

Carise D,Brooks A,Alterman A,McLellan AT,Hoover V,Forman R

doi

10.1080/08897070903041194

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

239-43

issue

3

eissn

0889-7077

issn

1547-0164

pii

913052976

journal_volume

30

pub_type

杂志文章
  • Country-wide distance training for delivery of screening and brief intervention for problematic substance use: A pilot evaluation of participant experiences and patient outcomes.

    abstract:BACKGROUND:In this study, the authors evaluated if the 120-hour distance learning (DL) course SUPERA (an acronym in Portuguese meaning "System for detection of excessive use or dependence on psychoactive substances: brief Intervention, social reinsertion and follow-up") was an effective way to train health professional...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2017.1365801

    authors: Carneiro APL,Souza-Formigoni MLO

    更新日期:2018-01-02 00:00:00

  • Retraction: Editorial Removal.

    abstract::This article was withdrawn by the authors before final publication on October 1, 2009. ...

    journal_title:Substance abuse

    pub_type: 撤回出版物

    doi:10.1080/08897077.2015.1059109

    authors:

    更新日期:2015-01-01 00:00:00

  • Feasibility of collaborative care treatment of opioid use disorders with buprenorphine during pregnancy.

    abstract:BACKGROUND:Medication-assisted treatment with buprenorphine or methadone is recommended for pregnant patients with opioid use disorders (OUDs) to minimize adverse maternal and neonatal outcomes. Collaborative care approaches have been successfully utilized with office-based opioid treatment with buprenorphine in primar...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2015.1129525

    authors: Mittal L,Suzuki J

    更新日期:2017-07-01 00:00:00

  • The associated press stylebook changes and the use of addiction-related stigmatizing terms in news media.

    abstract::Background: The May 2017 publication of the updated Associated Press (AP) Stylebook offered guidance that advised against stigmatizing. The objective of this study was to assess the frequency of stigmatizing terms describing substance use and disorder in news articles before and after the update of the AP Stylebook.Me...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2020.1748167

    authors: Bessette LG,Hauc SC,Danckers H,Atayde A,Saitz R

    更新日期:2020-04-29 00:00:00

  • Implementing alcohol screening and intervention in a family medicine residency clinic.

    abstract::The purpose of this study was to evaluate the impact of simultaneous systems interventions and clinician training on management of hazardous and harmful drinking in a residency clinic. Systems interventions included forming a multi-disciplinary implementation team, training registration clerks to distribute health ris...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1300/j465v26n01_03

    authors: Seale JP,Shellenberger S,Tillery WK,Boltri J,Vogel R,Barton B,McCauley M

    更新日期:2005-03-01 00:00:00

  • "Alcoholic" or "Person with alcohol use disorder"? Applying person-first diagnostic terminology in the clinical domain.

    abstract::A recent publication by Broyles et al. has recommended extending the use of diagnostically accurate, person-first language (e.g., "person with alcohol use disorder") as an alternative to non-diagnostic, idiosyncratic terms (e.g., "addict", "alcoholic") when describing individuals with substance use disorders (SUDs) in...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2016.1268239

    authors: Robinson SM

    更新日期:2017-01-01 00:00:00

  • Feasibility of emergency department bilingual computerized alcohol screening, brief intervention, and referral to treatment.

    abstract::The purpose of this study was to assess the feasibility of utilizing a computerized alcohol screening and intervention (CASI) kiosk in an emergency department (ED). An interactive English and Spanish audiographical computer program, developed for used on a mobile computer cart, was administered to 5103 patients. Patie...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2010.514245

    authors: Vaca F,Winn D,Anderson C,Kim D,Arcila M

    更新日期:2010-10-01 00:00:00

  • Do changes in selfishness explain 12-step benefit? A prospective lagged analysis.

    abstract::12-Step attendance is associated with increased abstinence. A strong claim made in 12-step literature is that alcoholics are pathologically selfish and that working the 12 steps reduces this selfishness, which, in turn, leads to sustained alcohol abstinence. This study tested this assumption by investigating the linka...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2012.691453

    authors: Tonigan JS,Rynes K,Toscova R,Hagler K

    更新日期:2013-01-01 00:00:00

  • The efficacy of contingency management for adolescent cannabis use disorder: a controlled study.

    abstract:BACKGROUND:This study was performed to investigate the efficacy of a voucher-based reinforcement therapy (VBRT) rewarding drug-free urine for adolescents with cannabis use disorder. METHODS:A controlled 10-week study where 59 adolescents aged 14-18 years were assigned by cohorts into groups of either an integrated cog...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2014.933724

    authors: Kaminer Y,Burleson JA,Burke R,Litt MD

    更新日期:2014-01-01 00:00:00

  • Acceptability of a computerized brief intervention for alcohol among abstinent but at-risk pregnant women.

    abstract:BACKGROUND:Limitations in time and training have hindered widespread implementation of alcohol-based interventions in prenatal clinics. Also, despite the possibility of underreporting or relapse, many at-risk women report that they quit drinking after pregnancy confirmation so that interventions focusing on current dri...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2013.857631

    authors: Pollick SA,Beatty JR,Sokol RJ,Strickler RC,Chang G,Svikis DS,Tzilos GK,Ondersma SJ

    更新日期:2015-01-01 00:00:00

  • Exploring the formation of treatment program director perceptions on entry-level social workers' substance use treatment capacities in New York.

    abstract:BACKGROUND:This article examines how program directors of substance use treatment providers in New York state form their perceptions on the overall substance use treatment service delivery capacities of newly graduated, entry-level social workers. Methods: The study discussed consisted of a cross-sectional, quantitativ...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2020.1803181

    authors: Minnick D,Park D

    更新日期:2020-08-19 00:00:00

  • The relationship between patient-centered care and outcomes in specialist drug and alcohol treatment: A systematic literature review.

    abstract::Background: Patient-centered care is strongly advocated as a key for improving the quality of healthcare. Research examining the impact of patient-centered care in healthcare has concluded that there are demonstrable albeit inconsistent relationships between patient experience, quality of care, and healthcare outcomes...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2019.1671940

    authors: Davis EL,Kelly PJ,Deane FP,Baker AL,Buckingham M,Degan T,Adams S

    更新日期:2020-01-01 00:00:00

  • Why are recovering substance abuse counselors paid less?

    abstract::The goal of this study is to determine why recovering substance abuse counselors are paid less, on average and controlling for other factors, than nonrecovering substance abuse counselors. The data come from the 2002-2003 wave of the National Treatment Center Study and consist of 1,487 full-time counselors from nation...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1300/J465v28n01_05

    authors: Olmstead TA,Johnson JA,Roman PM,Sindelar JL

    更新日期:2007-03-01 00:00:00

  • Consideration of opioid agonist treatment in a pregnant adolescent: A case report and literature review.

    abstract::Background: Opioid use greatly increases the risk of overdose death, as well as contracting human immunodeficiency virus (HIV) and hepatitis. Opioid agonist treatment is recommended for pregnant women who are dependent on opioids. However, there is a dearth of studies on the use of opioid agonist treatment in pregnant...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2019.1635970

    authors: Spada M,Kmiec J,Glance JB,Gopalan P

    更新日期:2020-01-01 00:00:00

  • The contribution of mindfulness practice to a multicomponent behavioral sleep intervention following substance abuse treatment in adolescents: a treatment-development study.

    abstract::Poor sleep is common in substance use disorders (SUDs) and is a risk factor for relapse. Within the context of a multicomponent, mindfulness-based sleep intervention that included mindfulness meditation (MM) for adolescent outpatients with SUDs (n = 55), this analysis assessed the contributions of MM practice intensit...

    journal_title:Substance abuse

    pub_type: 临床试验,杂志文章

    doi:10.1080/08897071003641297

    authors: Britton WB,Bootzin RR,Cousins JC,Hasler BP,Peck T,Shapiro SL

    更新日期:2010-04-01 00:00:00

  • Using standardized patients in continuing medical education courses on proper prescribing of controlled substances.

    abstract::Controlled prescription drug (CPD) abuse is an increasing threat to patient safety and health care providers (HCPs) are not adequately prepared nor do they routinely employ proper screening techniques. Using standardized patients (SPs) as an instructional strategy, the trained physicians on proper prescribing practice...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2011.640217

    authors: Swiggart WH,Ghulyan MV,Dewey CM

    更新日期:2012-01-01 00:00:00

  • Harm Reduction Agencies as a Potential Site for Buprenorphine Treatment.

    abstract:BACKGROUND:Harm reduction agencies complement addiction treatment by providing diverse services that improve the health of people who use drugs. Buprenorphine maintenance treatment (BMT) is an effective opioid addiction treatment that may be provided from flexible settings, potentially including harm reduction agencies...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2015.1011820

    authors: Fox AD,Chamberlain A,Frost T,Cunningham CO

    更新日期:2015-01-01 00:00:00

  • The Effects on Facilitators of a Substance Abuse Education Program.

    abstract::This retrospective-anecdotal study was conducted to determine if involvement in a learner-centered continuing education program in substance abuse prevention would influence the careers and work-related activities of thefacilitators. A questionnaire was sent to 33 individuals who served as facilitators of a large subs...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897070109511460

    authors: Rhodes SB,Blondell RD,Pfeifer J,Graham AV

    更新日期:2001-09-01 00:00:00

  • Self-regulating profession? Administrative discipline of "pill mill" physicians in Florida.

    abstract:BACKGROUND:A relatively large number of "pill mills," in which physicians prescribed and sometimes dispensed controlled substances without medical justification, operated in Florida beginning in the mid-2000s. Investigations into these operations have resulted in the arrest and conviction of dozens of physicians for ac...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2017.1316812

    authors: Davis CS,Carr DH

    更新日期:2017-07-01 00:00:00

  • Stepped Care for Opioid Use Disorder Train the Trainer (SCOUTT) initiative: Expanding access to medication treatment for opioid use disorder within Veterans Health Administration facilities.

    abstract::The US is confronted with a rise in opioid use disorder (OUD), opioid misuse, and opioid-associated harms. Medication treatment for opioid use disorder (MOUD)-including methadone, buprenorphine and naltrexone-is the gold standard treatment for OUD. MOUD reduces illicit opioid use, mortality, criminal activity, healthc...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2020.1787299

    authors: Gordon AJ,Drexler K,Hawkins EJ,Burden J,Codell NK,Mhatre-Owens A,Dungan MT,Hagedorn H

    更新日期:2020-01-01 00:00:00

  • High-intensity and simultaneous alcohol and marijuana use among high school seniors in the United States.

    abstract:BACKGROUND:Simultaneous alcohol and marijuana (SAM) use poses threats to health, particularly among adolescents. These risks would be exacerbated to the extent that high-intensity drinking (e.g., 10+ drinks in a row) and marijuana use (e.g., 1+ joints per day) are associated with a higher likelihood of SAM use. The cur...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2017.1356421

    authors: Patrick ME,Veliz PT,Terry-McElrath YM

    更新日期:2017-10-01 00:00:00

  • Abstracts presented at the International Society of Addiction Medicine (ISAM) 19th Annual Meeting, Abu Dhabi, United Arab Emirates, October 2017.

    abstract::The 19th Annual Meeting of the International Society of Addiction Medicine (ISAM) was held in Abu Dhabi, United Arab Emirates, in October 2017. Contained in this paper are the abstracts of scientific work presented at the conference. ...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2018.1441946

    authors: Gordon AJ

    更新日期:2018-01-02 00:00:00

  • Impact of a multicomponent screening, brief intervention, and referral to treatment (SBIRT) training curriculum on a medical residency program.

    abstract:BACKGROUND:Substance-related disorders are a growing problem in the United States. The patient-provider setting can serve as a crucial environment to detect and prevent at-risk substance use. Screening, brief intervention, and referral to treatment (SBIRT) is an integrated approach to deliver early intervention and tre...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2015.1035841

    authors: Kalu N,Cain G,McLaurin-Jones T,Scott D,Kwagyan J,Fassassi C,Greene W,Taylor RE

    更新日期:2016-01-01 00:00:00

  • Trainees' knowledge, attitudes, and practices towards caring for the substance-exposed mother-infant dyad.

    abstract:BACKGROUND:As rates of substance use disorder during pregnancy rise, pediatric trainees are increasingly caring for infants with neonatal abstinence syndrome (NAS). This study evaluated the knowledge, attitudes, and practices of trainees caring for substance-exposed newborns and their families, comparing differences by...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2017.1356423

    authors: Schiff DM,Zuckerman B,Wachman EM,Bair-Merritt M

    更新日期:2017-10-01 00:00:00

  • The prevalence of unhealthy alcohol and drug use among inpatients in a general hospital.

    abstract::Background: Unhealthy substance use is a growing public health issue. Intersections with the health care system offer an opportunity for intervention; however, recent estimates of prevalence for unhealthy substance use among all types of hospital inpatients are unknown. Methods: Universal screening for unhealthy alcoh...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2019.1635961

    authors: Wakeman SE,Herman G,Wilens TE,Regan S

    更新日期:2020-01-01 00:00:00

  • Randomized pilot trial measuring knowledge acquisition of opioid education in emergency department patients using a novel media platform.

    abstract:BACKGROUND:The number of active opioid analgesic prescriptions has risen steadily, causing increases in nonmedical opioid use, addiction, and overdose. Insufficient focus on patient discharge instructions has contributed to lack of patient awareness regarding dangers of opioids. This study examines whether an education...

    journal_title:Substance abuse

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/08897077.2017.1375061

    authors: Chakravarthy B,Somasundaram S,Mogi J,Burns R,Hoonpongsimanont W,Wiechmann W,Lotfipour S

    更新日期:2018-01-02 00:00:00

  • Predictors of substance use treatment initiation and engagement among adult and adolescent Medicaid recipients.

    abstract::Background: It is important to understand patterns and predictors of initiation and engagement in treatment for Medicaid-covered individuals with substance use disorders because Medicaid is a major source of payment for addiction treatment in the United States. Our analysis examined similarities and differences in pre...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2018.1550467

    authors: Lind BK , PhD,McCarty D , PhD,Gu Y , MS,Baker R , PhD,John McConnell K , PhD

    更新日期:2019-01-01 00:00:00

  • Characterization of substance use among underrepresented sexual and gender minority participants in The Population Research in Identity and Disparities for Equality (PRIDE) Study.

    abstract:BACKGROUND:Profiles of substance use among less commonly described subgroups of sexual and gender minority (SGM) people (e.g., queer, genderqueer) remain largely unknown. Objective(s): To identify substance use differences among less commonly described SGM identity-based subgroups. Methods: The PRIDE Study is a nationa...

    journal_title:Substance abuse

    pub_type: 杂志文章

    doi:10.1080/08897077.2019.1702610

    authors: Barger BT,Obedin-Maliver J,Capriotti MR,Lunn MR,Flentje A

    更新日期:2021-01-01 00:00:00

  • Web-based alcohol intervention for nightclub patrons: Opposite effects according to baseline alcohol use disorder classification.

    abstract:BACKGROUND:This study aimed to test the effectiveness of a Web-based intervention in preventing alcohol abuse among nightclub patrons. METHODS:A probabilistic sample of the patrons of 31 nightclubs in São Paulo, Brazil, was invited to participate in an online screening using the Alcohol Use Disorders Identification Te...

    journal_title:Substance abuse

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/08897077.2018.1437586

    authors: Sanchez ZM,Sanudo A

    更新日期:2018-01-01 00:00:00

  • Mechanisms of change in adolescent substance use treatment: how does treatment work?

    abstract:BACKGROUND:Adolescent substance use treatment outcome research generally shows small to moderate effects in reducing substance use, with no specific "brand" of treatment emerging as clearly superior to any other, and treatment gains that fade over time. The relatively weak and temporary effects of treatment call for im...

    journal_title:Substance abuse

    pub_type: 杂志文章,评审

    doi:10.1080/08897077.2014.925029

    authors: Black JJ,Chung T

    更新日期:2014-01-01 00:00:00