Abstract:
:One of the unique contributions of this study is a glimpse into the process by which counselors decide to try new innovations in their clinical work. Data were collected from 421 counseling staff from 71 outpatient treatment programs in 4 U.S. regions. Using hierarchical linear modeling, results reveal that the propensity to adopt workshop-based interventions is facilitated by two important mechanisms: (a) an innovative organization with creative leadership and (b) change-oriented staff attributes (i.e., seeking professional growth, efficacy, adaptability, and influence on others). Innovative leaders and a climate receptive to change also bolster the development of these change-oriented attributes. One implication of these findings is the cascading effect of leaders' support of innovative thinking and action resulting in employees strengthening their own adaptive skills and carrying this innovative thinking into individual adoption.
journal_name
J Subst Abuse Treatjournal_title
Journal of substance abuse treatmentauthors
Becan JE,Knight DK,Flynn PMdoi
10.1016/j.jsat.2011.10.014subject
Has Abstractpub_date
2012-03-01 00:00:00pages
179-90issue
2eissn
0740-5472issn
1873-6483pii
S0740-5472(11)00217-0journal_volume
42pub_type
杂志文章abstract::Basic neuroscience research conducted over the last quarter century has provided us with much information concerning potential biobehavioral and neuromolecular mechanisms involved in the initiation and maintenance of tobacco dependence. Nicotinic-acetylcholinergic receptors (AChRs), in addition to having a primary loc...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章,评审
doi:10.1016/0740-5472(93)90041-y
更新日期:1993-03-01 00:00:00
abstract::This study examined the concurrent and predictive validity of four brief measures of readiness to change tobacco use for use with adolescents in clinical practice (Readiness Ruler, Thoughts About Abstinence, motivation to abstain, and confidence to abstain) and a single-item measure of difficulty to abstain. Participa...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章,多中心研究
doi:10.1016/j.jsat.2011.02.010
更新日期:2011-09-01 00:00:00
abstract::We determined the proportion of psychiatric treatments for disorders not due to substance use among a cohort of subjects (n = 3,114) seeking treatment for cannabis dependence. Data were retrieved from Danish treatment registers. Cases were compared with a representative sample, which was randomly selected from the gen...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章
doi:10.1016/j.jsat.2006.07.005
更新日期:2007-03-01 00:00:00
abstract::The comorbidity of substance use disorder (SUD), depression, and PTSD is common among veterans. Prior research has shown that among veterans with SUD and depression, those with PTSD did not maintain cognitive-behavioral treatment gains as well as those without PTSD. Thus, the current study was designed to evaluate whe...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章
doi:10.1016/j.jsat.2015.11.005
更新日期:2016-03-01 00:00:00
abstract::This study examined the efficacy of brief alcohol intervention in the context of community-based treatment for partner violence. In a randomized clinical trial, 228 partner-violent men with hazardous or problem drinking were recruited at three Intimate Partner Violence (IPV) treatment agencies and randomly assigned to...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jsat.2018.03.004
更新日期:2018-06-01 00:00:00
abstract::Tuberculosis is an important health issue among drug users. We sought to evaluate active drug users' (DUs) knowledge of tuberculosis (TB) and to assess the relationship between TB knowledge and attitudes and tuberculin skin test (TST) return rates at a syringe exchange program. DUs were recruited at a syringe exchange...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章
doi:10.1016/s0740-5472(98)00033-6
更新日期:1999-04-01 00:00:00
abstract::Social stressors are associated with relapse to substance use among people receiving addiction treatment and people with substance use risk behaviors. The relationship between social stressors and drug use/hazardous drinking in former prisoners has not been studied. We interviewed former prisoners at baseline, 1 to 3 ...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章
doi:10.1016/j.jsat.2014.02.002
更新日期:2014-07-01 00:00:00
abstract::This article traces the history of two clinical cases. The first case describes a substance abusing patient who enacted the part of a narcotics addict. This enactment was affirmed by both alcohol and narcotic treatment programs, leading to a misdiagnosis. The second case describes a substance using client misdiagnosed...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章
doi:10.1016/0740-5472(86)90055-3
更新日期:1986-01-01 00:00:00
abstract::This study investigates the addition of a contingency management (CM) intervention to Veterans Health Administration substance use disorders treatment on during- and post-treatment outcomes for Veterans diagnosed with alcohol dependence only (n=191) or stimulant dependence (n=139). Participants were randomly assigned ...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jsat.2013.01.006
更新日期:2013-07-01 00:00:00
abstract::Cannabis use among youth is of significant concern given the potential negative health impacts on young people. This study describes the mental health characteristics, cannabis use, and substance use profiles of youth aged 14 to 24 years seen at the Youth Addiction and Concurrent Disorders Service at the Centre for Ad...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章
doi:10.1016/j.jsat.2018.05.001
更新日期:2018-08-01 00:00:00
abstract::The clinical diagnoses of comorbid substance use and psychiatric disorders by psychiatrists in a private psychiatric inpatient setting were analyzed. Two hundred patients consecutively discharged from a private university-affiliated psychiatric service by clinical psychiatrists were examined for concomitant substance ...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章
doi:10.1016/0740-5472(94)90050-7
更新日期:1994-07-01 00:00:00
abstract::The purpose of this study was to evaluate the impact of opiate maintenance pharmacotherapy (OMP) on the biopsychosocial status of opiate-addicted patients in a cultural environment (France) that is not favorable to OMP and where methadone is not available. Buprenorphine and laudanum (opium tincture), which, to our kno...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章
doi:10.1016/0740-5472(94)90008-6
更新日期:1994-11-01 00:00:00
abstract::Recognition of valuable natural resources suggests a need to accept a degree of responsibility to preserve and nurture the commodity, and to prevent its destruction. Health care professionals generally embrace such an ethic with reference to the environment, the quality of living for clients, and the need to assume pr...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章
doi:10.1016/0740-5472(84)90032-1
更新日期:1984-01-01 00:00:00
abstract::The purpose of this study was to describe a novel approach to calculating service use costs across multiple domains of service for homeless populations. A randomly-selected sample of homeless persons was interviewed in St. Louis, MO and followed for 2 years. Service- and cost-related data were collected from homeless ...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章
doi:10.1016/j.jsat.2013.12.002
更新日期:2014-04-01 00:00:00
abstract::Given that many studies have reported that the costs of substance use disorder (SUD) treatment are more than offset by other savings (e.g., in health care, in criminal justice, in foster care), why haven't health care system managers rushed to expand treatment? This article attempts to explain this puzzling discrepanc...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章
doi:10.1016/j.jsat.2011.04.006
更新日期:2011-10-01 00:00:00
abstract::Widespread adoption of empirically-supported treatment innovations has the potential to improve effectiveness of treatment received by individuals with substance use disorders. However, the process of disseminating such innovations has been complex, slow, and difficult. We empirically describe the dissemination and ad...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章
doi:10.1016/j.jsat.2015.04.003
更新日期:2015-10-01 00:00:00
abstract::Comorbidity of substance abuse disorders (SUD) and psychiatric disorders is one of the most important areas of investigation in contemporary drug abuse treatment research. This study examined the impact of psychiatric comorbidity on the treatment of 182 adolescent drug abusers in a randomized clinical trial comparing ...
journal_title:Journal of substance abuse treatment
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/S0740-5472(03)00166-1
更新日期:2004-03-01 00:00:00
abstract::Alcohol use, both short-term intoxication and longer-term use, is a notable risk factor for suicide. Despite the strong relationship between alcohol use and suicidal thoughts and behaviors, providers typically treat these two problems independently. In particular, acute psychiatric care hospitalizations for adolescent...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jsat.2018.08.013
更新日期:2018-11-01 00:00:00
abstract:BACKGROUND:Co-use of tobacco and cannabis has been associated with greater dependence on and lower quit rates for both substances. Tobacco/cannabis co-use among individuals with substance use disorders (SUDs), a population with high rates of cigarette smoking, may hinder the effectiveness of smoking cessation intervent...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章
doi:10.1016/j.jsat.2020.108064
更新日期:2020-09-01 00:00:00
abstract::Program-level effects at 6 months are reported from meta-analysis of a nine-site quasi-experimental study of comprehensive, integrated, trauma-informed, and consumer-involved services for women who have mental health problems, substance use disorders, and who have experienced interpersonal violence. The average weight...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章
doi:10.1016/j.jsat.2004.08.010
更新日期:2005-03-01 00:00:00
abstract::Poverty is common among people who have substance use disorder. The therapeutic workplace addresses some of the interrelated and chronic problems of poverty, such as unemployment, lack of education and job skills, and drug use. A prior controlled trial showed that the therapeutic workplace was effective in promoting d...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章
doi:10.1016/j.jsat.2020.108160
更新日期:2021-01-01 00:00:00
abstract::This study examined the prevalence of exposure to violence among drug-dependent pregnant women attending a multidisciplinary perinatal substance abuse treatment program. Participants (N = 715) completed the Violence Exposure Questionnaire within 7 days after their admission to the program. Their rates of lifetime abus...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章
doi:10.1016/j.jsat.2005.09.001
更新日期:2006-01-01 00:00:00
abstract::Data from three outpatient studies of treatment of marijuana dependence were used to test whether behavior change parallels stage movement in the transtheoretical model of change (TMC). This study examined one putative assumption of the TMC: individuals remaining in the preaction stages of change (i.e., precontemplati...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章
doi:10.1016/j.jsat.2008.03.004
更新日期:2008-12-01 00:00:00
abstract::Recovery coaches, trained peers with a history of substance use disorder (SUD) who are formally embedded in the health care team, may be a cost-effective approach to support outpatient management of SUD treatment. Although recovery coach programs are scaling nationwide, limited data exist to support their impact on co...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章
doi:10.1016/j.jsat.2020.108248
更新日期:2021-03-01 00:00:00
abstract:AIMS:Methadone and buprenorphine diversion by patients in opioid substitution treatment (OST) is a poorly understood phenomenon. We study the norms and attitudes on diversion among OST patients, including the role these norms and attitudes play as diversion risk factors. We also study whether perceived quality of care,...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章
doi:10.1016/j.jsat.2015.01.013
更新日期:2015-07-01 00:00:00
abstract::Premature termination from outpatient cocaine treatment predicts a number of poor outcomes, including higher rates of relapse and unemployment. This study attempted to predict dropouts from outpatient cocaine treatment, as well as those unable to achieve initial abstinence from cocaine, using two baseline variables th...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章
doi:10.1016/s0740-5472(98)00017-8
更新日期:1999-03-01 00:00:00
abstract::This study aims to psychometrically validate the Chilean version of the treatment outcomes profile (TOP), an instrument that can be used by treatment centers to monitor the results of drug and alcohol treatments. Specifically, this study is interested in evaluating the inter-rater reliability, concurrent validity, cha...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章
doi:10.1016/j.jsat.2015.03.002
更新日期:2015-09-01 00:00:00
abstract::The COVID-19 pandemic resulted in stay-at-home orders, which presented a significant challenge to the design and operation of an essential harm-reduction strategy in the opioid epidemic: community-based, take-home naloxone (THN) programs. This commentary describes how four rural and/or Appalachian communities quickly ...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章
doi:10.1016/j.jsat.2020.108220
更新日期:2021-03-01 00:00:00
abstract::The purpose of this study was to test an integrated cognitive behavioral and contingency management (CBT/CM) intervention for young people living with HIV (YPLH) with an alcohol and/or cannabis use disorder in an open pilot trial. Seventeen participants (ages 18-24) were recruited from three HIV community clinics. Ass...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章,多中心研究
doi:10.1016/j.jsat.2013.07.008
更新日期:2014-02-01 00:00:00
abstract::Contingency Management is an evidence-based treatment for substance use disorders with strong potential for measurement-based customization. Previous work has examined individual difference factors in Contingency Management treatment response of potential relevance to treatment targeting and adaptive implementation; h...
journal_title:Journal of substance abuse treatment
pub_type: 杂志文章
doi:10.1016/j.jsat.2019.03.001
更新日期:2019-05-01 00:00:00