Transporting a research-based adolescent drug treatment into practice

Liddle, Howard A.; Rowe, Cynthia L.; Quille, Tanya J.; Dakof, Gayle A.; Mills, Dana Scott; Sakran, Eve; Biaggi, Hector

doi:10.1016/s0740-5472(02)00239-8

Cited by 108 publications

(97 citation statements)

References 15 publications

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“…Assessment tools for studying client-level functioning within programs (Joe, Broome, RowanSzal, & Simpson, 2002) and staff perceptions of organizational functioning were presented as pertinent research strategies. Three other studies examined field factors related to the adoption of new technologies across different settings (Dansereau & Dees, 2002;Liddle et al, 2002;Roman & Johnson, 2002). Finally, Brown and Flynn (2002) discussed the role of federal agencies in moving evidence-based treatment into practice.…”

Section: Purpose Of This "Special Issue"mentioning

confidence: 99%

“…Fixsen et al also note the common difficulty of finding sufficient release time (and sometimes financial resources) for staff training as well as the need for staff to readily see the relevance and benefits the innovation offers recipients. Practical experiences and recommendations for meeting these training challenges in using a cognitive intervention technique (for visual communication mapping, Dansereau & Dees, 2002) and a family therapy program for adolescents (for Multidimensional Family Therapy, Liddle et al, 2002) emphasize the need for hands-on practice, and feedback and rewards for progress. These should be accompanied by realistic views of skill requirements and limitations, team building and peer support, and empirical evaluations of results.…”

Section: Trainingmentioning

confidence: 99%

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

Simpson

Flynn

2007

Journal of Substance Abuse Treatment

170

169

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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.

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Section: Purpose Of This "Special Issue"mentioning

confidence: 99%

Section: Trainingmentioning

confidence: 99%

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

Simpson

Flynn

2007

Journal of Substance Abuse Treatment

170

169

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“…The technology transfer approach is detailed in a previous publication. 11 The same key principles of the MDFT treatment provided the foundation for training the providers to implement the interventions in their setting. These principles, which guide both the MDFT treatment system and dissemination strategy, include a multisystems approach to assessment and intervention; assessing and identifying each team members' contribution to the process; preparing individuals for change; an epigenetic stage model of change, maintaining that development occurs through a series of steps in which new behaviors serve as a necessary platform for more advanced maturation; establishing priorities for intervention; and facilitating positive developmental processes.…”

Section: Technology Transfer Interventionmentioning

confidence: 99%

Changing Provider Practices, Program Environment, and Improving Outcomes by Transporting Multidimensional Family Therapy to an Adolescent Drug Treatment Setting

et al. 2006

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Effective interventions for drug abusing adolescents are underutilized. Using an interrupted time series design, this study tested a multicomponent, multi-level technology transfer intervention developed to train clinical staff within an existing day treatment program to implement multidimensional family therapy (MDFT), an evidence-based adolescent substance abuse treatment. The sample included 10 program staff and 104 clients. MDFT was incorporated into the program and changes were noted in the program environment, therapist behavior, and in most (e.g., drug abstinence, and out of home placements) but not all (e.g., drug use frequency) client outcomes. These changes remained after MDFT supervision was withdrawn. (Am J Addict 2006;15:102-112) Science-based, effective therapies have been developed to treat adolescent drug abuse, 1 but the practice of these treatments in community drug treatment clinics remains the exception rather than the rule. 2 This continuation of the research-practice divide is particularly troubling given what we are learning about the standard treatment that is available for most drug involved adolescents. Most adolescent treatment programs in standard community-based programs are plagued by high drop out rates, service fragmentation, and failure to address youths' multiple problems. For instance, a national multi-site evaluation of teen drug abuse treatment programs, found only 27% of youth completing outpatient therapy, and, according to these data the use of hard drugs increased over the course of treatment.3 Providers are unable to meet the needs of substance abusing youth with multiple problems, including those with comorbid disorders and legal involvement. These circumstances have commanded the attention of policy makers, managed care organizations, third-party payers, and local, state, and federal funding agencies to expedite the movement of research-based adolescent drug treatments to community settings. 4 But dire need does not mean that the task is simple. Transporting research-based therapies to non-research environments is complex and difficult. 5 We have learned a great deal about the challenges of this kind of work. Although effective, characteristics of the models themselves and provider factors interact to create formidable obstacles to adoption of science-based treatments. Treatments developed for research purposes are not generally designed to accommodate to the features of community clinics. Therapists in community clinics typically handle large caseloads, and do not receive clinical supervision that addresses their clinical development. Although interested in new therapies that could enhance their skill and effectiveness, community clinicians feel overburdened, and have few incentives or opportunities to learn manual-guided treatments. Systemic factors are at play as well. Community-based treatment programs rarely have an organizational structure, the financial resources and=or reimbursement system to implement new treatments.Still, solutions, or at least recommenda...

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“…Provision of these interventions requires specialized training and ongoing supervision, and many campuses do not have staffing and resources needed to implement researched approaches (Larimer, Kilmer, & Lee, 2005;Liddle et al, 2002;Simpson, 2002). In addition, many students are not interested in seeking in-person alcohol prevention services (Gries, Black, & Coster, 1995).…”

Section: Introductionmentioning

confidence: 99%

Personalized mailed feedback for college drinking prevention: A randomized clinical trial.

Larimer¹,

Lee²,

Kilmer³

et al. 2007

Journal of Consulting and Clinical Psychology

272

258

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The current study was designed to evaluate the efficacy of a mailed feedback and tips intervention as a universal prevention strategy for college drinking. Participants (N = 1,488) were randomly assigned to feedback or assessment-only control conditions. Results indicated that the mailed feedback intervention had a preventive effect on drinking rates overall, with participants in the feedback condition consuming less alcohol at follow-up in comparison with controls. In addition, abstainers in the feedback condition were twice as likely to remain abstinent from alcohol at follow-up in comparison with control participants (odds ratio = 2.02), and feedback participants were significantly more likely to refrain from heavy episodic drinking (odds ratio = 1.43). Neither

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Transporting a research-based adolescent drug treatment into practice

Cited by 108 publications

References 15 publications

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

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

Changing Provider Practices, Program Environment, and Improving Outcomes by Transporting Multidimensional Family Therapy to an Adolescent Drug Treatment Setting

Personalized mailed feedback for college drinking prevention: A randomized clinical trial.

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