Promoting Adoption of EBPs in Addiction Treatment

促进 EBP 在成瘾治疗中的采用

• 批准号: 6941542
• 负责人: LINDA K FRISMAN
• 金额: $ 14.61万
• 依托单位: CONNECTICUT ST DEPT OF MH/ADDICTION SRVS
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-08-01 至 2007-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6941542
• 关键词: behavior modification; behavioral /social science research tag; clinical research; cognitive behavior therapy; combination therapy; drug abuse therapy; drug addiction; focus groups; human subject; information dissemination; interview; mental health; motivation; therapy design /development

DESCRIPTION (provided by applicant): The disparity between science and actual practice in addiction services is well established. Connecticut's Single State Agency for both mental health and substance abuse, the Department of Mental Health and Addiction Services (DMHAS), has already begun a process of using science to inform mental health services among behavioral health providers. The process involves community-level steering committees representing multiple stakeholders in the change process; reconsideration of policies and procedures as well as clinical practice; training with expert consultants; and enhancement of capacity to perform ongoing clinical supervision. Simultaneously, the agency is developing its own capacity for on going monitoring of quality of care including the use of evidence-based practices (EBPs). DMHAS currently lacks needed tools such as client-level instrumentation to monitor appropriate use of EBPs and associated outcomes. The proposed project would: (1) test a model for introduction of EBPs to community-based agencies that includes bidding by the agencies and assessment of readiness to change; (2) adapt the technology transfer strategy now used to disseminate mental health EBPs for use in transferring addictions technology; and (3) develop an instrument and process for monitoring on-going use of EBPs with good fidelity, and with linkage to outcome data. Specifically, DMHAS will select a community agency through a process of information and marketing of a particular model treatment (Motivational Enhancement Therapy - Cognitive Behavioral Therapy, MET-CBT); assist the selected agency to develop an advisory board; provide training in both MET-CBT and in clinical supervision; will monitor fidelity to MET-CBT through standard clinician-level mechanisms of supervisor observation and self-rating; and will compare these ratings with the findings of client-level measures delivered to active clients in the target agency (n=250), as well as a control agency (n=250) in order to validate a client-level monitoring scale. A process evaluation will track successes and problems with the entire transfer process, and a cost calculation will be used to establish resources needed for the model. Potential improvements in outcomes following use of MET-CBT will be estimated through use of administrative data.

描述（由申请人提供）： 戒毒服务的科学和实际做法之间的差距是众所周知的。康涅狄格州负责心理健康和药物滥用的单一国家机构，心理健康和成瘾服务部（DMHAS），已经开始了一个利用科学为行为健康提供者提供心理健康服务的过程。这一进程涉及社区一级的指导委员会，代表变革进程中的多个利益攸关方;重新考虑政策和程序以及临床实践;与专家顾问一起进行培训;以及加强进行持续临床监督的能力。同时，该机构正在发展自己的能力，以持续监测护理质量，包括使用循证实践。DMHAS目前缺乏所需的工具，如客户级仪器，以监测EBP的适当使用和相关结果。拟议项目将：（1）测试一个将EBP引入社区机构的模式，包括机构的投标和对变革准备的评估;（2）调整目前用于传播精神卫生EBP的技术转让战略，以用于转让成瘾技术;（3）开发一种工具和程序，用于监测EBP的持续使用，并与结果数据挂钩。具体来说，DMHAS将通过一个特定治疗模式的信息和营销过程来选择一个社区机构（动机增强疗法----认知行为疗法）;协助选定的机构建立一个咨询委员会;提供关于动机增强疗法----认知行为疗法和临床监督的培训;将通过监督员观察和自我评定的标准临床医生一级机制，监测对动机增强疗法----认知行为疗法的忠实程度;并将这些评级与向目标机构（n=250）和一个控制机构（n = 250）的积极客户提供的客户一级的衡量结果进行比较，以验证客户一级的监测尺度。过程评估将跟踪整个转移过程的成功和问题，并使用成本计算来确定模型所需的资源。使用MET-CBT后结局的潜在改善将通过使用管理数据进行估计。