Despite dramatic progress in treatment research, most alcoholics are treated """"""""with tools and techniques developed over 50 years ago"""""""" (Gordis, 1991 pg.-173). The task of increasing knowledge transfer has been given high priority by NIAAA, but efforts have met with mixed success, at least as regards directly influencing real-world treatment practices. Controlled clinical trials have demonstrated the effectiveness of several treatments for alcohol problems. However, the overwhelming majority of alcohol treatment delivered in this country continues to use intervention strategies with limited evidence of effectiveness. Technology transfer is an important strategy for bridging the gap between research and practice and for translating treatments with established effectiveness for use in the field. No study has evaluated the feasibility and effectiveness of applying methods for training therapists in clinical trials (manuals and therapist training procedures) in order to broaden the repertoire of alcoholism counselors or increase their effectiveness. Few studies have examined whether implementing research based alcohol treatments in real world settings can improve outcome. This proposed study attempts to address these questions. """"""""Front-line"""""""" counselors from two alcohol treatment programs will be randomly assigned to receive Cognitive Behavioral Coping Skills Treatment (CBCST) training or an attention placebo control training. Cognitively trained counselors will then be assigned to deliver CBCST under conditions of high or low treatment standardization. Patients will be randomly assigned to one of three conditions: Manualized CBCST (high standardization), Real World CBCST (low standardization), or Traditional Treatment. The content of treatment delivered will be monitored using videotaping of sessions. Patients will be assessed at intake, at the end of treatment and six and 12 months following treatment. Differences on outcome and process variables will be assessed for the two groups of patients receiving CBCST versus those receiving traditional treatment.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
5R01AA010268-03
Application #
2516822
Study Section
Special Emphasis Panel (SRCA (84))
Project Start
1995-09-30
Project End
2000-08-31
Budget Start
1997-09-01
Budget End
1998-08-31
Support Year
3
Fiscal Year
1997
Total Cost
Indirect Cost
Name
Mount Sinai School of Medicine
Department
Psychiatry
Type
Schools of Medicine
DUNS #
114400633
City
New York
State
NY
Country
United States
Zip Code
10029
Muench, Frederick; Morgenstern, Jon (2007) Reducing past harm appraisals during treatment predicts worse substance use outcome. Alcohol Clin Exp Res 31:67s-70s
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Morgan, Thomas J; Morgenstern, Jon; Blanchard, Kimberly A et al. (2004) Development of the OCDS--revised: a measure of alcohol and drug urges with outpatient substance abuse clients. Psychol Addict Behav 18:316-21
Blanchard, Kimberly A; Morgenstern, Jon; Morgan, Thomas J et al. (2003) Motivational subtypes and continuous measures of readiness for change: concurrent and predictive validity. Psychol Addict Behav 17:56-65
Blanchard, Kimberly A; Morgenstern, Jon; Morgan, Thomas J et al. (2003) Assessing consequences of substance use: psychometric properties of the inventory of drug use consequences. Psychol Addict Behav 17:328-31
Morgan, Thomas J; Morgenstern, Jon; Blanchard, Kimberly A et al. (2003) Health-related quality of life for adults participating in outpatient substance abuse treatment. Am J Addict 12:198-210
Morgenstern, Jon; Bux, Donald A; Labouvie, Erich et al. (2003) Examining mechanisms of action in 12-Step community outpatient treatment. Drug Alcohol Depend 72:237-47
Morgenstern, Jon; Bux, Donald; Labouvie, Erich et al. (2002) Examining mechanisms of action in 12-step treatment: the role of 12-step cognitions. J Stud Alcohol 63:665-72
Morgenstern, J; Blanchard, K A; Morgan, T J et al. (2001) Testing the effectiveness of cognitive-behavioral treatment for substance abuse in a community setting: within treatment and posttreatment findings. J Consult Clin Psychol 69:1007-17
Morgenstern, J; Longabaugh, R (2000) Cognitive-behavioral treatment for alcohol dependence: a review of evidence for its hypothesized mechanisms of action. Addiction 95:1475-90

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