Article

Research on the diffusion of evidence-based treatments within substance abuse treatment: A systematic review

Chestnut Health Systems, 448 Wylie Dr., Normal, IL 61761, USA.
Journal of substance abuse treatment (Impact Factor: 2.9). 12/2008; 36(4):376-99. DOI: 10.1016/j.jsat.2008.08.004
Source: PubMed

ABSTRACT

This article provides a comprehensive review of research studies that have examined the diffusion of evidence-based treatments (EBTs) within the field of substance abuse treatment. Sixty-five research studies were identified and were grouped into one of three major classifications: attitudes toward EBTs, adoption of EBTs, and implementation of EBTs. This review suggests significant progress has been made with regard to the advancement of the fields' knowledge about attitudes toward and the extent to which specific EBTs have been adopted in practice, as well as with regard to the identification of organizational factors related to EBT adoption. In an effort to advance the substance abuse treatment field toward evidence-based diffusion practices, recommendations are made for greater use of methodologically rigorous experimental or quasi-experimental designs, psychometrically sound instruments, and integration of quantitative and qualitative data collection.

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Available from: Bryan R Garner, Jul 28, 2014
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    • "The ''gap'' between the use of treatment practices that have been shown to be effective in the empirical literature and what is being practiced by clinicians (Arthur & Blitz, 2000) appears to be narrowing at least for some EBPs and under certain conditions. A review of the research published between 1998 and 2008 generally found more positive attitudes and support for psychosocial EBPs than pharmacological EBPs (Garner, 2009). National surveys of attitudes toward buprenorphine, which was approved by the FDA in 2002 for the treatment of opiate dependence, have changed from 81% of physicians being uncomfortable prescribing buprenorphine (West et al., 2004) and 86% of counselors not being aware of the effectiveness of buprenorphine to more positive attitudes toward and greater knowledge about the effectiveness of pharmacological EBPs following trainings and involvement in research networks (Knudsen, Ducharme, & Roman, 2007; McCarty, Rieckmann, Green, Gallon, & Knudsen, 2004). "
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    ABSTRACT: Over the past decade, substance abuse treatment professionals have begun to implement evidence-based practices (EBPs) into the treatment of substance use disorders. There is a growing body of research on the diffusion of EBP in addiction treatment; however, less is known about individual state initiatives to implement EBPs among community providers. The current study aimed to evaluate the progress of an initiative of the Mississippi Department of Mental Health (MDMH) to increase the implementation of evidence-based substance abuse treatment practices by certified providers. In addition, the study examines potential barriers to implementing these practices. To accomplish this goal, we reported the findings of two surveys of Mississippi addiction professionals conducted in 2010 and in 2013. Copyright © 2015 Elsevier Ltd. All rights reserved.
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    • "Through this initiative, the treatment planning M.A.T.R.S. guidelines (Measurable , Attainable, Time-limited, Realistic and Specific treatment objectives) were developed to promote the use of evidence-based instruments and the activation of appropriate treatment services (Condon et al., 2008;Garner, 2009;NIDA, 2012;Rossello et al., 2010;Stilen et al., 2007). The guidelines have been used to align evidence-based practices endorsed by NIDA and SAMHSA, including assessment of persons in the criminal justice system, and have also been used by the United Nations' " Treatnet " network to help disseminate evidence-based practices internationally (Garner, 2009;Rossello et al., 2010). A continuum of four core assessment practice domains (Measurement/Instrumentation, Case Plan Integration, Conveyance/Utility , Service Activation/Delivery) were identified for use in the current study as practical focal areas in which to implement the M.A.T.R.S. guidelines (Shafer et al., 2014). "
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    Full-text · Article · Apr 2015 · Drug and alcohol dependence
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    • "In contrast, use of medications in other psychiatric illnesses is common (Pincus et al., 1998; Wu, Wang, Katz, & Farley, 2013). Potential reasons for underutilization of addiction medications include patient and clinician-related barriers, such as doubts about treatment effectiveness by both clinicians and patients, clinicians' lack of knowledge or comfort in delivering the treatment, differing philosophies about the role of addiction medications in assisting addiction recovery, stigma, and patients' reluctance to take them (Friedmann & Schwartz, 2012; Garner, 2009; Roman, Abrahama, & Knudsen, 2011). Systems-related barriers for underutilization may include separate and uncoordinated systems of medical and addiction care, limitations in access to care, lack of institutional support, and inadequate administrative and personnel infrastructures (McLellan & Meyers, 2004; Samet, Friedmann, & Saitz, 2001; Walley et al., 2008). "
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