ASI-MV Counselor Solutions: An Online Program for Evidence Based Treatment

药物滥用是一个全国性的健康问题，继续对社会产生相当大的社会和经济影响。药物滥用者的治疗已经变得复杂，因为客户越来越多地面临着广泛的医疗，心理和精神问题，可能会阻碍恢复。不幸的是，药物滥用咨询师，分配给这些客户的主要工作人员，往往缺乏提供循证治疗（EBT），可以解决这些问题的培训和资源。如果要采用新的治疗做法，就必须不断宣传有效的治疗创新，但技术转让工作利用了被认为无效的方法（讲习班、印刷材料），并已发展到更有希望的方法（监督、后续行动、研究人员和临床医生之间的联盟）。互联网的使用为满足这些需要提供了很大的希望，即，让人们一起工作，提供反馈，分享有效的治疗经验，并从在线导师那里学习。不幸的是，目前的努力往往主要依赖于下载、在线课程和培训公告--所有这些都是静态方法。很明显，互联网的全部潜力还没有发挥出来。这可以通过使用社交网络技术来加强，这是该应用程序的重点。 我们建议制定ASI-MV咨询解决方案，为药物滥用咨询师提供量身定制的真实的时间治疗建议和技能建设课程。定制将由客户对ASI-MV的反应驱动，ASI-MV是广泛使用的、自我管理的、多媒体版本的ASI，已在NIDA的支持下由Inflexxion广泛验证。ASI-MV顾问解决方案将提供顾问支持，以确定干预措施，并为客户提供适当的转介。实际上，ASI-MV顾问解决方案将ASI-MV从评估工具扩展为真正的治疗计划，干预和培训系统。这种系统的成功部署可以通过向药物滥用者提供有效治疗而产生重大的公共卫生效益。 在第一阶段，我们试图通过实现以下目标来证明这一创新的可行性：（1）与药物滥用咨询师进行电话访谈，以确定计划的内容和特点;（2）与药物滥用培训专业人员进行概念映射，以确定方案内容，（3）内容，设计，和技术计划（4）快速Flash原型开发（5）接受和可用性测试与药物滥用顾问（6）接受测试与药物滥用培训专业人员。 公共卫生相关性：药物滥用客户的治疗变得复杂，因为他们越来越多地面临着广泛的医疗，心理和精神问题。我们建议开发ASI-MV辅导员解决方案，为药物滥用辅导员提供循证治疗建议和技能建设课程。通过在更一致的基础上实现循证治疗，该计划可以通过改善药物滥用者的治疗来产生重大的公共卫生影响。

DESCRIPTION (provided by applicant): Substance abuse is a nationwide health problem that continues to have a considerable social and economic impact on society. The treatment of substance abusers has become complicated because clients have been increasingly confronted with a wide range of medical, psychosocial, and psychiatric issues that may impede recovery. Unfortunately, substance abuse counselors, the primary staff assigned to these clients, are often lack the training and resources for delivering evidence-based treatments (EBTs) that can address these problems. Ongoing dissemination about effective treatment innovations is critical if adoption of new treatment practices is to take place, but technology transfer efforts have utilized methods which have been considered ineffective (workshops, print materials) and have progressed to methods that offer more promise (supervision, follow-up, alliances between researchers and clinicians). The use of the Internet offers much promise in addressing these needs, i.e., allowing people to work together, provide feedback, share effective treatment experiences, and learn from online mentors. Unfortunately, current efforts tend to rely primarily on downloads, online courses, and training announcements - all static methods. It is clear that the full potential of the Internet has not been realized. This could be enhanced through the use of social networking technologies, and that is the focus of this application. We are proposing the development of ASI-MV Counselor Solutions, which will provide tailored, real time treatment recommendations and skill-building lessons to substance abuse counselors. The tailoring will be driven by client responses on the ASI-MV, a widely used, self-administered, multimedia version of the ASI that has been extensively validated by Inflexxion with support from NIDA. ASI-MV Counselor Solutions will provide counselor support in identifying interventions and providing appropriate referrals for clients. In effect, ASI-MV Counselor Solutions expands the ASI-MV from an assessment tool into a true treatment planning, intervention, and training system. The successful deployment of such a system can have significant public health benefits through provision of effective treatments to substance abuse clients. In Phase I, we are seeking to demonstrate the feasibility of this innovation by achieving the following objectives: (1) telephone interviews with substance abuse counselors to determine program content and features; (2) concept mapping with substance abuse training professionals to determine program content, (3) content, design, and technology plan (4) Rapid Flash Prototype development (5) acceptance and usability testing with substance abuse counselors (6) acceptance testing with substance abuse training professionals. PUBLIC HEALTH RELEVANCE: The treatment of substance abuser clients has become complicated because they have been increasingly confronted with a wide range of medical, psychosocial, and psychiatric issues. We propose to develop ASI-MV Counselor Solutions, which will provide evidence-based treatment recommendations and skill-building lessons to substance abuse counselors. By enabling evidence-based treatment on a more consistent basis, this program can have significant public health impact through improved treatment of substance abusers.