Treatment planning M.A.T.R.S. utilizing the Addiction Severity Index (ASI) to make required data collection useful.

The materials listed here were developed by blending the resources and talent of researchers and community treatment providers from US-based NIDA's Clinical Trials Network and staff from SAMHSA/CSAT's ATTC Network. These materials promote the understanding and adoption of evidence based treatment interventions by professionals in the treatment field. The Addiction Severity Index (ASI) is one of the most universally used instruments for the assessment of substance abuse and related problems. This Blending Team has completed products that include a 6-hour continuing education curriculum package addressing how to transform required "paperwork" into clinically useful information. These products also address the key tenets of treatment objectives and interventions (Measurable, Attainable, Time-limited, Realistic and Specific) referred to as Treatment Planning "M.A.T.R.S." Blending Team products include: 6-hour classroom training program Trainer script and trainer notes PowerPoint slides and handouts including: - an ASI narrative, report, case examples and reference lis

Attitudes about Addiction: A National Study of Addiction Educators

The following study, funded by the National Institute of Drug Abuse (NIDA), utilized the Addiction Belief Inventory (ABI; Luke, Ribisl, Walton, & Davidson, 2002) to examine addiction attitudes in a national sample of U.S. college/university faculty teaching addiction-specific courses (n = 215). Results suggest that addiction educators view substance abuse as a coping mechanism rather than a moral failure, and are ambivalent about calling substance abuse or addiction a disease. Most do not support individual efficacy toward recovery, the ability to control use, or social use after treatment. Modifiers of addiction educator attitudes include level of college education; teaching experience; licensure/certification, and whether the educator is an addiction researcher. Study implications, limitations, and directions for future research are discussed

A randomized control trial examining the effect of acceptance and commitment training on clinician willingness to use evidence-based pharmacotherapy

This study evaluated the effectiveness of acceptance and commitment training (ACT) for increasing drug and alcohol counselors' willingness to use evidence-based agonist and antagonist pharmacotherapy. Fifty-nine drug and alcohol counselors were randomly assigned to either a 1-day ACT workshop or a 1-day educational control workshop. Both groups then attended a 2-day workshop on empirically supported treatments for substance abuse. Measures were taken at pre- and posttraining and 3-month follow-up on reported use of pharmacotherapy, willingness to use pharmacotherapy, perceived barriers to implementing new treatments, and general acceptance. As compared with those in the education alone condition, participants in the ACT condition showed significantly higher rates of referrals to pharmacotherapy at follow-up, rated barriers to learning new treatments as less believable at posttraining and follow-up, and showed greater psychological flexibility at posttraining and follow-up. Mediational analyses indicated that reduced believability of barriers and greater psychological flexibility mediated the impact of the intervention. Results support the idea that acceptance-based interventions may be helpful in addressing the psychological factors related to poor adoption of evidence-based treatments

Clinical supervision of court-referred juvenile offenders: Are juvenile referrals the least among equals?

In the counseling field, clinical supervisors operate between the line-level counselor and the organizational administration. They are responsible for both the efficient operation of the therapeutic aspect of the organization, and the supervision, training, and management of the therapists. The quality of the treatment offered by an institution can be assessed by a number of measures, including the ratio of clinical supervisors to counselors, the training and experience of the clinical supervisor, and the number of different tasks the clinical supervisor is asked to perform. Through a survey of clinical supervisors in five western states we compared the differences among clinical supervisors who had large versus small numbers of court-referred juveniles in their programs. Data indicate that therapeutic programming and clinical supervision are different in programs with a high proportion of court ordered juvenile offenders relative to those with a high proportion of private referrals. This programming, however, may be superior to the programming and clinical supervision received in programs with fewer court-ordered juvenile offenders.Clinical supervision Court referred juveniles Juvenile treatment

Encyclopedia of Substance Abuse Prevention, Treatment, and Recovery

This comprehensive resource makes a great companion to works such as Edith M. Freeman\u27s Substance Abuse Treatment (Sage, 1993), Gary L. Fisher and Thomas C. Harrison\u27s Substance Abuse (4th ed., Allyn & Bacon, 2008), and most of the works in Guilford\u27s Substance Abuse series. Highly recommended for research and academic libraries. —John R.M. Lawrence—Reflecting the recent explosion in the knowledge base of all aspects of the alcohol and drug abuse field, the presents state-of-the-art research and evidence-based applications. The Encyclopedia\u27s approximately 350 A-to-Z signed entries focus on the information that addiction treatment and prevention professionals and allied health professionals need to effectively work with clients. Features Provides comprehensive and authoritative coverage of such areas as the neurobiology of addiction, models of addiction, sociocultural perspectives on drug use, family and community factors, prevention theories and techniques, professional issues, the criminal justice system and substance abuse, assessment and diagnosis, and more Focuses on concepts of addiction and treatment practices, but also addresses commonly used and abused drugs, including recreational, prescription, and over-the-counter Offers a Reader\u27s Guide that lists topic categories with specific entries Presents cross-references at the end of each entry to help readers locate related information in other entries, as well as Further Readings for those who wish to pursue topics in more depth Includes an appendix listing of58 different drugs and substances with corresponding relevant entries The Encyclopedia of Substance Abuse Prevention, Treatment, and Recovery is intended for use by pre-service and in-service addiction prevention and treatment providers and allied professionals in the fields of criminal justice, counseling, social work, public health, nursing, medicine, other health care professions, education, and family studies.https://digitalcommons.unomaha.edu/criminaljusticefacbooks/1033/thumbnail.jp

An investigation of stigma in individuals receiving treatment for substance abuse

This study examined the impact of stigma on patients in substance abuse treatment. Patients (N= 197) from fifteen residential and outpatient substance abuse treatment facilities completed a survey focused on their experiences with stigma as well as other measures of drug use and functioning. Participants reported experiencing fairly high levels of enacted, perceived, and self-stigma. Data supported the idea that the current treatment system may actually stigmatize people in recovery in that people with more prior episodes of treatment reported a greater frequency of stigma-related rejection, even after controlling for current functioning and demographic variables. Intravenous drug users, compared to non-IV users, reported more perceived stigma as well as more often using secrecy as a method of coping. Those who were involved with the legal system reported less stigma than those without legal troubles. Higher levels of secrecy coping were associated with a number of indicators of poor functioning as well as recent employment problems. Finally, the patterns of findings supported the idea that perceived stigma, enacted stigma, and self-stigma are conceptually distinct dimensions. (C) 2006 Elsevier Ltd. All rights reserved

Augmenting continuing education with psychologically focused group consultation: Effects on adoption of group drug counseling

This study examines whether adding psychologically focused group consultation to a standard 1-day continuing education workshop on Group Drug Counseling (GDC), a group therapy with evidence of eftectiveness in the treatment of substance abuse problems, improves GDC adoption. Counselors who had taken a 1-day workshop were randomly assigned to an 8-week course of group consultation that met for 1.5 hr per session (n = 16) or to no additional contact (n = 14). The group consultation used Relapse Prevention and Acceptance and Commitment Therapy principles to help participants overcome psychological barriers to the adoption of GDC. Results showed that the 1-day workshop resulted in attempts by trainees to implement the new therapy, but that the consultation condition maintained significantly higher levels of adoption and 2- and 4-month followups. Additionally, those in the group consultation condition reported a higher sense of personal accomplishment at the 4-month followup. These findings suggest that empirically supported psychotherapy models can be used to decrease clinicians' psychological barriers to adoption of evidence-based psychotherapy methods

An examination of the Motivational Interviewing Treatment Integrity Code

This study examines the reliability of the Motivational Inter-viewing Treatment Integrity (MITI) code, a brief scale designed to evaluate the integrity of the use of motivational interviewing (MI). Interactions between substance abuse counselors with one person role-playing a client were audiotaped and scored by trained teams of graduate and undergraduate students. Segments of 10 minutes and 20 minutes were compared and found to yield the same reliability and integrity results. Interrater reliability showed good-to-excellent results for each MITI item even with undergraduate raters. Correlations between items showed a coherent pattern of interitem correlations. The MITI is a good measure of treatment integrity for MI and seems superior to existing measures when indicators of client behavior are not needed. (c) 2007 Elsevier Inc. All rights reserved