This K23 application requests support for education, training and an investigation of mechanisms that influence adoption of new practices in substance abuse treatment. The research plan hypothesizes that counselor and organizational dimensions directly impact implementation of evidence-based treatment strategies. Three unified studies use a mixed-methods (quantitative and qualitative) approach to explore counselor and organizational characteristics influences on the implementation of empirically supported strategies within community based programs.
Specific Aim 1 : Use qualitative interviews and focus groups to identify and describe core counselor attributes and organizational dimensions that influence implementation of evidence-based practices in substance abuse treatment. Interviews will be completed with agency directors, clinical supervisors, and financial administrators (n=36) and focus groups will be held with counselors (n = 72) from 12 outpatient programs participating in the NIDA Clinical Trials Network and the National Treatment Center Study (NTCS) in Oregon and California.
Specific Aim 2 : Systematic observation and chart review will document and describe fidelity efforts and overall adoption of evidence-based practices in community-based treatment programs. During site visits, fidelity and adoption of specific practices will be assessed through documentation and summary of training hours, supervision, use of practical fidelity tools, performance feedback, availability of manuals, and use of rating scales. Findings from this aim will enhance identification of core components and full practice implementation by providing more detailed evidence of specific mechanism within core components Specific Aim 3: Conduct secondary analysis of the NTCS longitudinal data to identify core attributes (counselor and organizational) that predict acceptance of evidence-based practice. Counselor (n = 362) data from 69 publicly funded outpatient treatment programs will be analyzed using multilevel mixed model regression analyses. Results will document and operationalize attributes that influence implementation and illuminate common factors across programs. This career development application enhances the investigator's skills, explores variables that facilitate or inhibit the use of science-based therapies for alcohol and drug disorders, and ultimately promotes more effective and efficient treatment services.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
5K23DA021225-03
Application #
7753838
Study Section
Human Development Research Subcommittee (NIDA)
Program Officer
Hilton, Thomas
Project Start
2008-02-12
Project End
2012-01-31
Budget Start
2010-02-01
Budget End
2011-01-31
Support Year
3
Fiscal Year
2010
Total Cost
$156,389
Indirect Cost
Name
Oregon Health and Science University
Department
Public Health & Prev Medicine
Type
Schools of Medicine
DUNS #
096997515
City
Portland
State
OR
Country
United States
Zip Code
97239
Rieckmann, Traci; Moore, Laurie A; Croy, Calvin D et al. (2016) A National Study of American Indian and Alaska Native Substance Abuse Treatment: Provider and Program Characteristics. J Subst Abuse Treat 68:46-56
Rieckmann, Traci R; Abraham, Amanda J; Kovas, Anne E et al. (2014) Impact of research network participation on the adoption of buprenorphine for substance abuse treatment. Addict Behav 39:889-96
Rieckmann, Traci; McCarty, Dennis; Kovas, Anne et al. (2012) American Indians with substance use disorders: treatment needs and comorbid conditions. Am J Drug Alcohol Abuse 38:498-504
Novins, Douglas K; Moore, Laurie A; Beals, Janette et al. (2012) A framework for conducting a national study of substance abuse treatment programs serving American Indian and Alaska native communities. Am J Drug Alcohol Abuse 38:518-22
Rieckmann, Traci; Bergmann, Luke; Rasplica, Caitlin (2011) Legislating clinical practice: counselor responses to an evidence-based practice mandate. J Psychoactive Drugs Suppl 7:27-39
Rieckmann, Traci; Fussell, Holly; Doyle, Kevin et al. (2011) Adolescent substance abuse treatment: Organizational change and quality of care. J Addict Offender Couns 31:80-93
Rieckmann, Traci; Farentinos, Christiane; Tillotson, Carrie J et al. (2011) The substance abuse counseling workforce: education, preparation, and certification. Subst Abus 32:180-90
Rieckmann, Traci R; Kovas, Anne E; Cassidy, Elaine F et al. (2011) Employing policy and purchasing levers to increase the use of evidence-based practices in community-based substance abuse treatment settings: reports from single state authorities. Eval Program Plann 34:366-74
Rieckmann, Traci R; Kovas, Anne E; McFarland, Bentson H et al. (2011) A multi-level analysis of counselor attitudes toward the use of buprenorphine in substance abuse treatment. J Subst Abuse Treat 41:374-85
Rieckmann, Traci; Fuller, Bret E; Saedi, Goal Auzeen et al. (2010) Adoption of practice guidelines and assessment tools in substance abuse treatment. Subst Abuse Treat Prev Policy 5:4

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