The overriding purpose of this study is to examine the statewide adoption and implementation of an evidence-based adolescent substance abuse treatment by practitioners working within the state substance abuse treatment system (South Carolina Department of Alcohol and Other Drug Abuse Services, DAODAS) and the state mental health system (South Carolina Department of Mental Health, DMH). Impetus for this project comes from several significant challenges in providing and transporting effective (i.e., evidence-based) substance abuse treatments to adolescents in real world practice settings (IOM, 1998). In light of these challenges, it seems reasonable to consider the viability of additional strategies for providing effective substance abuse treatment to adolescents. One possibility, and the focus of the present study, is to provide substance abuse treatment through the existing and more extensive network of mental health providers. Mental health providers might be relatively amenable to the adoption of evidence-based practices for a number of reasons. Substance abuse counselors, however, might be equally amenable when given access to the resources needed to implement an evidence-based practice (e.g., training, resources, ongoing consultation). Therefore, in collaboration with DAODAS and DMH, this study will provide an equal and voluntary statewide opportunity for DAODAS and DMH practitioners who treat marijuana abusing adolescents to receive training in contingency management as well as to have access to resources that facilitate the implementation of this evidence-based practice. Primary aims include:
Aim 1 : Evaluate the predictors of voluntary attendance at a contingency management (CM) workshop, based on demographic, professional training, organizational (e.g., culture, climate, structure), and service sector (substance abuse vs. mental health) measures collected from practitioners at the 33 DAODAS provider organizations and the 17 DMH community mental health centers prior to receiving an opportunity to be trained in this evidence-based treatment of adolescent marijuana abuse.
Aim 2 : Determine the predictors of CM implementation during the 6 months following CM training among those practitioners who attended the CM workshop, based on demographic, professional training, organizational (e.g., culture, climate, structure), and service sector (substance abuse vs. mental health) measures.
Aim 3 : Conduct exploratory analyses to assess whether barriers to workshop attendance and practitioner implementation of CM following such attendance contribute variance above that of the aforementioned variables.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Research Project (R01)
Project #
5R01DA017487-03
Application #
6929083
Study Section
Special Emphasis Panel (ZDA1-MXV-P (26))
Program Officer
Flanzer, Jerry
Project Start
2003-09-30
Project End
2007-04-16
Budget Start
2005-09-01
Budget End
2007-04-16
Support Year
3
Fiscal Year
2005
Total Cost
$468,658
Indirect Cost
Name
Medical University of South Carolina
Department
Psychiatry
Type
Schools of Medicine
DUNS #
183710748
City
Charleston
State
SC
Country
United States
Zip Code
29425
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Henggeler, Scott W; Sheidow, Ashli J (2012) Empirically supported family-based treatments for conduct disorder and delinquency in adolescents. J Marital Fam Ther 38:30-58
Tuerk, Elena Hontoria; McCart, Michael R; Henggeler, Scott W (2012) Collaboration in family therapy. J Clin Psychol 68:168-78
Henggeler, Scott W (2011) Efficacy studies to large-scale transport: the development and validation of multisystemic therapy programs. Annu Rev Clin Psychol 7:351-81
Henggeler, Scott W; Chapman, Jason E; Rowland, Melisa D et al. (2008) Statewide adoption and initial implementation of contingency management for substance-abusing adolescents. J Consult Clin Psychol 76:556-67
Chapman, Jason E; Sheidow, Ashli J; Henggeler, Scott W et al. (2008) Developing a Measure of Therapist Adherence to Contingency Management: An Application of the Many-Facet Rasch Model. J Child Adolesc Subst Abuse 17:47-68
Henggeler, Scott W; Chapman, Jason E; Rowland, Melisa D et al. (2007) If you build it, they will come: statewide practitioner interest in contingency management for youths. J Subst Abuse Treat 32:121-31
Weisz, John R; Weersing, V Robin; Henggeler, Scott W (2005) Jousting with straw men: comment on Westen, Novotny, and Thompson-Brenner (2004). Psychol Bull 131:418-26, discussion 427-33
Henggeler, Scott W (2004) Decreasing effect sizes for effectiveness studies- implications for the transport of evidence-based treatments: comment on curtis, ronan, and borduin (2004). J Fam Psychol 18:420-3