This is a revision of a competing continuation application to collect additional longitudinal data from a panel of privately funded addiction treatment facilities throughout the U.S. At a national level, considerable resources are being devoted to bridging the """"""""research to practice gap"""""""" in substance abuse treatment. There have been important recent developments in both pharmacological and behavioral therapies for addiction treatment, but relatively low levels of adoption by the field. Additional treatment technologies are in the development pipeline. The effectiveness of these development efforts is limited by the effectiveness with which these technologies are diffused to the field, widely implemented, and appropriately used. There are a number of organizational, environmental, and human factors that may facilitate or impede the adoption of evidence-based practices in substance abuse treatment. This study proposes to continue data collection from a nationally-representative sample of N=400 privately funded (for-profit and non-profit) treatment centers. Data obtained from both organizations and counselors in 1999-2004 indicate that the private treatment system is dynamic, and that program behavior is particularly subject to both internal (resources, philosophy, counselor turnover) and external (payor demands, competition) factors that constrain decisions to adopt new treatment approaches. We propose two additional waves of on-site data collection with these centers, complemented by two waves of questionnaire surveys of the centers'addiction counseling staff. These interviews and surveys will measure adoption and implementation of a host of evidence-based treatment practices, including pharmacotherapies and numerous behavioral therapies endorsed by NIDA. An additional focus will be to measure continued change in the organizational structure, staffing, and management of these facilities. While continuing to measure adoption of behavioral and pharmacological therapies assessed at previous waves, we include newly emerging treatment approaches as well as established """"""""best practices"""""""" for program management. Interviews and questionnaires will assess reasons for resistance to adoption of these techniques, the extent to which various techniques are actually used, and the fidelity with which a specified set of behavioral therapies are implemented. With prior data, the proposed study would provide a total of 10 years'data on the adoption and implementation of evidence-based treatment practices in a substantial segment of the treatment system, and 15 total years of data on organizational transformation.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Research Project (R01)
Project #
5R01DA013110-10
Application #
7806361
Study Section
Special Emphasis Panel (ZDA1-RXL-E (28))
Program Officer
Kahana, Shoshana Y
Project Start
1999-09-30
Project End
2011-03-31
Budget Start
2010-04-01
Budget End
2011-03-31
Support Year
10
Fiscal Year
2010
Total Cost
$527,460
Indirect Cost
Name
University of Georgia
Department
Psychology
Type
Organized Research Units
DUNS #
004315578
City
Athens
State
GA
Country
United States
Zip Code
30602
Fields, Dail; Knudsen, Hannah K; Roman, Paul M (2016) Implementation of Network for the Improvement of Addiction Treatment (NIATx) Processes in Substance Use Disorder Treatment Centers. J Behav Health Serv Res 43:354-65
Fields, Dail; Riesenmy, Kelly; Blum, Terry C et al. (2015) Implementation of Electronic Health Records and Entrepreneurial Strategic Orientation in Substance Use Disorder Treatment Organizations. J Stud Alcohol Drugs 76:942-51
Bond Edmond, Mary; Aletraris, Lydia; Roman, Paul M (2015) Rural substance use treatment centers in the United States: an assessment of treatment quality by location. Am J Drug Alcohol Abuse 41:449-57
Blum, Terry C; Davis, Carolyn D; Roman, Paul M (2014) Adopting evidence-based medically assisted treatments in substance abuse treatment organizations: roles of leadership socialization and funding streams. J Health Hum Serv Adm 37:37-75
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
Knudsen, Hannah K; Muilenburg, Jessica; Eby, Lillian T (2013) Sustainment of smoking cessation programs in substance use disorder treatment organizations. Nicotine Tob Res 15:1060-8
Abraham, Amanda J; O'Brien, Lauren A; Knudsen, Hannah K et al. (2013) Patient characteristics and availability of onsite non-rapid and rapid HIV testing in US substance use disorder treatment programs. J Subst Abuse Treat 44:120-5
Bride, Brian E; Abraham, Amanda J; Kintzle, Sara et al. (2013) Social workers' knowledge and perceptions of effectiveness and acceptability of medication assisted treatment of substance use disorders. Soc Work Health Care 52:43-58
Abraham, Amanda J; Knudsen, Hannah K; Rieckmann, Traci et al. (2013) Disparities in access to physicians and medications for the treatment of substance use disorders between publicly and privately funded treatment programs in the United States. J Stud Alcohol Drugs 74:258-65
Savage, Sarah A; Abraham, Amanda J; Knudsen, Hannah K et al. (2012) Timing of buprenorphine adoption by privately funded substance abuse treatment programs: the role of institutional and resource-based interorganizational linkages. J Subst Abuse Treat 42:16-24

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