Behavioral Health Solutions: An Online Training Program for Evidence-Based Treatm

描述（由申请人提供）：成瘾治疗领域在实施基于科学证据的治疗方面继续滞后。治疗系统现在被要求对提供循证治疗负责。因此，心理咨询师面临越来越大的压力，需要采用和实施经验支持的治疗方法，如动机增强、认知行为治疗和十二步促进。目前的努力主要依赖于下载、在线课程和培训公告——所有这些都是静态方法。这些方法并不适合辅导员的教育需求或客户案件量。因此，我们建议发展行为健康解决方案，它将为药物滥用顾问提供量身定制的、实时的、基于证据的治疗建议。这些建议将基于EBT的核心要素，并为客户提供逐步的EBT交付指导、教学视频和讲义。该产品的目标是增加对循证实践的理解和有效使用，以便辅导员可以更灵活地对滥用药物的客户使用这些实践。行为健康解决方案将在移动设备上提供，使咨询师能够轻松访问与当前客户需求相关的重要干预措施。这一创新产品代表了当前培训方法的重大进步，目前的培训方法与治疗交付不同步，操作繁琐，而且在日常临床工作中使用成本往往太高。该产品的其他优点包括：(1)在接近治疗时进行培训，从而增加实施的可能性；(2)链接到相关客户资源的内容；(3)标准的内容审查和更新（通过Hazelden的大规模编辑操作）；(4)易于标记和推送的内容，以及(5)跟踪辅导员实施电子商务考试的能力。这个第二阶段体现了在成瘾和行为健康领域具有丰富经验的两个组织之间的合作。Hazelden Publishing （Center City， MN）是提供基于证据的完整连续护理方案的领导者，从预防和干预到治疗和康复管理。inflexion （Newton， MA）在过去的17年里对成瘾进行了互动健康研究。第二阶段的目标是证明行为健康解决方案将显著改善辅导员EBT的实施。现场测试将检验主要假设，相对于控制条件（照常使用在线EBT材料进行治疗），分配到实验组的咨询师将证明：(1)EBT自我效能，(2)对使用EBT的积极态度，(3)自我报告使用EBT。

DESCRIPTION (provided by applicant): The addiction treatment field continues to lag in implementing treatments based on scientific evidence. Treatment systems are now being held accountable for providing evidence-based treatments (EBTs). As a result, there is increasing pressure on counselors to adopt and implement empirically-supported treatments such as motivational enhancement, cognitive behavioral treatment, and twelve-step facilitation. Current efforts rely primarily on downloads, online courses, and training announcements - all of which are static methods. These methods are not tailored to counselors' educational needs or client caseloads. We are therefore proposing the development of Behavioral Health Solutions, which will provide tailored, real-time, evidence- based treatment recommendations to substance abuse counselors. These recommendations will be based on core elements of EBTs and provide step-by-step EBT delivery directions, instructional videos, and handouts for clients. The goal of this product is to increase the understanding and effective use of evidence-based practices so that counselors can more flexibly use these practices with their substance-abusing clients. Behavioral Health Solutions will be available on mobile devices, allowing counselors to easily access important interventions that are relevant to current client needs. This innovative product represents a major advancement over current training methods, which are asynchronous with treatment delivery, cumbersome, and often too costly to use in day-to-day clinical work. Other advantages of this product include: (1) training that occurs in proximity to treatment, thereby increasing the potential for implementation; (2) content that is linked to pertinent client resources; (3) standard content review and updates (via Hazelden's large editorial operation); (4) content that is easily tagged and pushed, and (5) the ability to track counselor implementation of EBTs. This Phase II embodies a collaboration between two organizations with extensive experience in the addictions and behavioral health fields. Hazelden Publishing (Center City, MN) is a leader in providing evidence-based programs for the full continuum of care, ranging from prevention and intervention to treatment and recovery management. Inflexxion (Newton, MA) has conducted interactive health research in the addictions for the past 17 years. The goal of Phase II is to demonstrate that Behavioral Health Solutions will significantly improve counselor EBT implementation. The field test will examine the primary hypotheses that, relative to a control condition (treatment as usual with access to online EBT materials), counselors assigned to the Experimental group will evidence significantly greater: (1) EBT self-efficacy, (2) positive attitudes about the use of EBTs, and (3) self- reported use of EBTs.