TRANSFERRING DRUG ABUSE TREATMENT AND ASSESSMENT RESOURC

我们为DATAR扩展阶段制定了三个总体目标。首先，我们打算完善我们的研究， the conceptual概念model模型of program程序change更改.它们将使用长期的数据收集基础设施- 包括TCU评估工具，用于计划培训需求（PTN）、客户自我评估和 治疗（CEST）和组织变革准备（ORC）-以测试假设的记录是 得克萨斯州和路易斯安那州的治疗提供者。这项工作将强调 变革的“过程”，继续关注组织结构和职能的作用。二是 有一个管理信息系统的目标，以提供相关的反馈辅导员和程序 在机构一级监测客户进展情况的领导作用，并评价使用这些成果的影响。 TCU与客户绩效和计划运作相关的评估报告。通过同步TCADA 训练以允许匹配的“延迟训练”比较组（例如，与地理效率相关 在全国各地的培训），采用率和变化的程序性能有关的使用 通过MIS的战略反馈将被分析。（该目标的一个子任务是一个技术目标， 从操作扫描转向通过互联网进行数据和反馈协议的电子报告， 更广泛的评估）。第三，我们有一个基于战略阶段的干预目标， 将TCU咨询手册转化为一系列治疗系统模块，这些模块相互连接，以支持客户 通过主要治疗参与和早期恢复阶段取得进展。TCU治疗手册 在DATAR的前几个阶段中开发的一种方法，已被证明能有效地改善中期业绩 代表治疗参与过程每个阶段的措施，但其系统性和综合性 与客户业绩评估相结合的应用程序尚未明确建立。 因此，这一目标的实现将取决于第二个目标的进展， MIS/绩效反馈。评估将遵循相同类型的匹配“延迟培训” 上述比较组，分析重点是如何以及培训影响方案在真实的- 世界银行将利用客户业绩记录来选择和实施适当的干预措施。

We have three general goals for the DATAR extension phase. First, we intend to refine our studies for testing the conceptualmodel of program change. These will uselongitudinal data collection infrastructure - including TCU assessment instruments for Program Training Needs (PTN), Client Evaluation ofSelf& Treatment (CEST), andOrganizational Readiness for Change (ORC) - to test hypotheses with records being obtained from state-fiinded treatment providers in Texas and Louisiana. This work will emphasize the "process" of change, continuingour focus on the role of organizational structure and functioning. Second, we have a management information system goal to provide relevant feedbackto counselors and program leadership on client progress for monitoring at the agency level and to evaluate the impact of the use of these TCU assessment-linked reports on client performance and program functioning. By synchronizing TCADA training to allow matched "delayed-training" comparison groups (e.g., associated with geographic efficiencies in rotatingtraining around the state), adoption rates and changes in program performance related to the use on strategic feedback via MIS will be analyzed. (Included as a subtask of this goal is a technological aim to move from op-scan to electronic reporting of data and feedback protocols via the Internet, and making TCU assessments more widely accessible.) Third, we have a strategic stage-based intervention goal for integrating the TCU counseling manualsinto a sequence of treatment system modules that link together to sustain client progress through major treatment engagement and early recovery stages. The TCU treatmentmanuals developed in previous phases of DATAR have been shown to be effective in improving interim performance measures representing each stage of treatment engagement process, but their systematic and integrated applications in combination with client performanceassessments is yet to be clearly established. Implementation of this goal therefore will be contingent on progress with the second goal involving MIS/performance feedback. Evaluationswill follow the same type of matched "delayed-training" comparison groups described above, with analyses focused on how well training impacts programs in the real- world to use client performance records to select and implement appropriate interventions.