Moving innovations into treatment: A stage-based approach to program change

Abstract

Treatment programs are expected to change their clients. To adopt evidence-based practices to improve their therapeutic effectiveness in dealing with drug-related problems of clients, they also are expected to change themselves. The process of innovation adoption and implementation is the focus of studies included in this special journal issue. Collectively, this volume examines staff perceptions of program needs, organizational readiness for change (based on pressures, resources, staff attributes, and organizational climate), quality of workshop training, subsequent utilization of training materials, and client self-report of treatment engagement. Approximately 800 treatment programs nationwide contributed data for these studies. A standardized assessment of organizational functioning captured attributes that describe environments, settings, and staffs, and the findings are interpreted in the context of a stage-based approach to program changes. A conceptual model is used to help organize and summarize longitudinal results within the organizational context and according to implementation influences related to qualities of the innovations.

Readiness and barriers to adopt evidence-based practices for substance abuse treatment in Mexico

“…This is re- markable as 54.1% (n = 26) staff from sites that participated in this survey had received thorough training in the use of the ASI at the time when the network was established. While the association between level of training and adoption has been well established; 19 this fact continues to demonstrate there are other factors involved in the process of adoption, implementation and sustainability [20][21][22][23] and point towards training being critical but not sufficient. In terms of EBPs for substance abuse treatment, providers reported frequent use of MET and CBT, and that they are either ready to implement and/or sustain these interventions.…”

Improving the Transportability of CBT for Internalizing Disorders in Children

“…Given heterogeneity of service provision settings and demographic and cultural diversity of patient populations, the adaptability of an innovation-or how readily it can be modified while still maintaining the key components of treatment-is often a key variable impacting the intervention's compatibility (see Rogers 2003;Simpson and Flynn 2007). A treatment is hypothesized as more likely to be adopted by a service provider if it has the potential to be modified (Backer 2001).…”

The opinions of ambulance personnel regarding using a heated mattress for patients being cared for in a cold climate – An intervention study in ambulance care

“…There is also often a lack of support from management [25] and it has become apparent that it is important to have a manager who can cooperate and manage personnel in how changes should be implemented [26]. A new procedure should be functional in operation, function as expected and satisfy those involved [27]. It is, therefore, important to investigate what ambulance personnel perceive of using a heated mattress on the stretcher, compared with a standard stretcher mattress.…”