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. The parent study (DA17487), which serves as the basis for this competing continuation application, evaluated the interest of 636 practitioners in the South Carolina public mental health and drug abuse treatment systems in being trained to use an evidence-based treatment (i.e., contingency management, CM) for adolescent marijuana abuse. When provided appropriate opportunities (e.g., training at convenient times and locations) and incentives (e.g., CEU credits), 80% of therapists in both the mental health and substance abuse treatment systems pursued opportunities to be trained in CM. Moreover, after attending a CM workshop and given access to necessary resources (e.g., drug testing supplies, intervention manual, modest funding for vouchers), many of the practitioners attempted to implement CM with at least one of their substance abusing adolescent clients. Those practitioners who did not attempt to implement CM cited practical barriers to implementation (e.g., no substance abusing adolescents in their caseloads) rather than theoretical or clinical concerns (e.g., dislike of manualized treatments, incompatible treatment philosophy). Building on the results of the parent study and other recent research, the proposed study evaluates the relative effectiveness of three training protocols with increasing intensity in supporting the implementation of CM by practitioners treating adolescent substance abusers in the mental health and substance abuse service sectors. Participants will include approximately 100 therapists and supervisors across 9 provider organizations (6 in the substance abuse and 3 in the mental health treatment sector) in South Carolina.
Specific aims i nclude:
Aim 1 : Evaluate the relative effectiveness of three training interventions with increasing intensity (i.e., Workshop vs. Workshop + Computer Assisted Training [CAT] vs. Workshop + CAT + Supervisory Support [CAT/SS]) to promote therapist knowledge and implementation of CM over the course of 12 months.
Aims 2 and 3: Examine the relative capacity of the two more intensive training interventions (i.e., CAT and CAT/SS) to sustain therapist knowledge and implementation of CM through 12 months after the training ends, but CM implementation resources remain; and then through the next 12 months after the CM resources are withdrawn.
Aim 3 : Evaluate moderators of gains in therapist knowledge and implementation of CM throughout the study period. Moderator variables include demographic, professional training, organizational, and service sector (substance abuse vs. mental health) measures collected from practitioners at baseline. ? ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Research Project (R01)
Project #
5R01DA017487-05
Application #
7408612
Study Section
Human Development Research Subcommittee (NIDA)
Program Officer
Brady, Thomas M
Project Start
2003-09-30
Project End
2012-03-31
Budget Start
2008-04-01
Budget End
2009-03-31
Support Year
5
Fiscal Year
2008
Total Cost
$627,227
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