Adoption and Implementation of Adolescent EBT State-Wide

描述（由申请人提供）： 本研究的主要目的是检查全州范围内采用和实施的循证青少年药物滥用治疗的国家药物滥用治疗系统（南卡罗来纳州酒精和其他药物滥用服务部，DAODAS）和国家精神卫生系统（南卡罗来纳州精神卫生部，DMH）内工作的从业人员。该项目的动力来自于提供和运输有效（即，在真实的世界实践环境中对青少年进行药物滥用治疗（IOM，1998年）。 鉴于这些挑战，似乎有理由考虑为青少年提供有效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，是通过现有的和更广泛的精神卫生提供者网络提供药物滥用治疗。心理健康提供者可能相对容易接受基于证据的做法，原因有很多。然而，当获得实施循证实践所需的资源时，药物滥用咨询师可能同样顺从（例如，培训、资源、持续协商）。 因此，与DAODAS和DMH合作，本研究将为治疗大麻滥用青少年的DAODAS和DMH从业人员提供平等和自愿的全州机会，以接受应急管理培训，并获得促进实施这种循证实践的资源。主要目标包括： 目标1：根据人口统计、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）的措施，从从业者收集在33 DAODAS提供组织和17 DMH社区精神卫生中心之前，接受机会接受培训，在这种基于证据的治疗青少年大麻滥用。 目标二：根据人口统计学、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）的措施。 目标3：进行探索性分析，以评估参加研讨会的障碍和从业人员在参加研讨会后实施CM是否会导致上述变量的方差。

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.