Adoption and Implementation of Adolescent EBT State-Wide

全州范围内青少年 EBT 的采用和实施

• 批准号: 6806541
• 负责人: Scott W Henggeler
• 金额: $ 48.57万
• 依托单位: MEDICAL UNIVERSITY OF SOUTH CAROLINA
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-30 至 2006-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6806541
• 关键词: adolescence (12-20); clinical research; drug abuse therapy; health care personnel education; human subject; marijuana abuse; questionnaires; substance abuse related disorder; training; workshop

DESCRIPTION (provided by applicant): The overriding purpose of this study is to examine the statewide adoption and implementation of an evidence-based adolescent substance abuse treatment by practitioners working within the state substance abuse treatment system (South Carolina Department of Alcohol and Other Drug Abuse Services, DAODAS) and the state mental health system (South Carolina Department of Mental Health, DMH). Impetus for this project comes from several significant challenges in providing and transporting effective (i.e., evidence-based) substance abuse treatments to adolescents in real world practice settings (IOM, 1998). In light of these challenges, it seems reasonable to consider the viability of additional strategies for providing effective substance abuse treatment to adolescents. One possibility, and the focus of the present study, is to provide substance abuse treatment through the existing and more extensive network of mental health providers. Mental health providers might be relatively amenable to the adoption of evidence-based practices for a number of reasons. Substance abuse counselors, however, might be equally amenable when given access to the resources needed to implement an evidence-based practice (e.g., training, resources, ongoing consultation). Therefore, in collaboration with DAODAS and DMH, this study will provide an equal and voluntary statewide opportunity for DAODAS and DMH practitioners who treat marijuana abusing adolescents to receive training in contingency management as well as to have access to resources that facilitate the implementation of this evidence-based practice. Primary aims include: Aim 1: Evaluate the predictors of voluntary attendance at a contingency management (CM) workshop, based on demographic, professional training, organizational (e.g., culture, climate, structure), and service sector (substance abuse vs. mental health) measures collected from practitioners at the 33 DAODAS provider organizations and the 17 DMH community mental health centers prior to receiving an opportunity to be trained in this evidence-based treatment of adolescent marijuana abuse. Aim 2: Determine the predictors of CM implementation during the 6 months following CM training among those practitioners who attended the CM workshop, based on demographic, professional training, organizational (e.g., culture, climate, structure), and service sector (substance abuse vs. mental health) measures. Aim 3: Conduct exploratory analyses to assess whether barriers to workshop attendance and practitioner implementation of CM following such attendance contribute variance above that of the aforementioned variables.

描述(由申请人提供)： 这项研究的首要目的是检查在州药物滥用治疗系统(南卡罗来纳州酒精和其他药物滥用服务部，DAODAS)和州精神卫生系统(南卡罗来纳州精神卫生部，DMH)工作的从业者在全州范围内采用和实施循证青少年药物滥用治疗的情况。该项目的动力来自在向现实世界实践环境中的青少年提供和运送有效的(即，基于证据的)药物滥用治疗方面的几个重大挑战(国际移民组织，1998年)。 鉴于这些挑战，似乎有理由考虑为青少年提供有效的药物滥用治疗的其他战略的可行性。一种可能性，也是本研究的重点，是通过现有的更广泛的精神健康提供者网络提供药物滥用治疗。出于一些原因，精神卫生提供者可能相对容易接受采用循证做法。然而，当获得实施循证做法所需的资源(例如，培训、资源、持续咨询)时，药物滥用顾问可能同样负有责任。 因此，本研究将与毒品和犯罪问题办公室和毒品和犯罪问题办公室合作，在全州范围内为毒品和犯罪问题办公室和毒品和犯罪问题办公室的从业人员提供一个平等和自愿的机会，让他们接受应急管理方面的培训，并获得资源，以促进这一循证做法的实施。主要目标包括： 目标1：根据从33个DAODAS提供者组织和17个DMH社区精神健康中心的从业人员收集的人口、专业培训、组织(例如，文化、气候、结构)和服务部门(药物滥用与精神健康)措施，评估自愿参加应急管理(CM)研讨会的预测因素，然后才有机会接受青少年大麻滥用的循证治疗培训。 目标2：根据人口统计、专业培训、组织(如文化、气候、结构)和服务部门(药物滥用与心理健康)措施，在参加CM研讨会的从业者中确定CM培训后6个月内CM实施的预测因素。 目标3：进行探索性分析，以评估参加研讨会的障碍和实践者在此类出席后实施CM的障碍是否导致上述变量之外的差异。