Barriers to implementing evidence-based practices in addiction treatment programs: comparing staff reports on Motivational Interviewing, Adolescent Community Reinforcement Approach, Assertive Community Treatment, and Cognitive-behavioral Therapy

Autor: Lena Lundgren, Alexander Cohen, D Rose, Maryann Amodeo, Deborah Chassler, Melinda D'Ippolito, Clelia Beltrame
Rok vydání: 2011
Předmět:
Psychotherapist
Evidence-based practice
Social Psychology
Adolescent
Assertive community treatment
Substance-Related Disorders
Strategy and Management
medicine.medical_treatment
media_common.quotation_subject
Geography
Planning and Development
Motivational interviewing
Resistance (psychoanalysis)
Pilot Projects
Health Services Accessibility
Interview
Psychological
medicine
Humans
Business and International Management
Qualitative Research
media_common
Medical education
Health Services Needs and Demand
Motivation
Evidence-Based Medicine
Cognitive Behavioral Therapy
National Institute on Drug Abuse (U.S.)
Addiction
Health Policy
Public Health
Environmental and Occupational Health
Evidence-based medicine
Health Status Disparities
United States Substance Abuse and Mental Health Services Administration
Community Mental Health Services
United States
Adolescent Behavior
Assertiveness
Tape Recording
Cognitive therapy
Substance Abuse Treatment Centers
Psychology
Qualitative research
Zdroj: Evaluation and program planning. 34(4)
ISSN: 1873-7870
Popis: Purpose This qualitative study explored barriers to implementing evidence-based practices (EBPs) in community-based addiction treatment organizations (CBOs) by comparing staff descriptions of barriers for four EBPs: Motivational Interviewing (MI), Adolescent Community Reinforcement Approach (A-CRA), Assertive Community Treatment (ACT), and Cognitive-behavioral Therapy (CBT). Methods The CBOs received CSAT/SAMHSA funding from 2003 to 2008 to deliver services using EBPs. Phone interview responses from 172 CBO staff directly involved in EBP implementation were analyzed using content analysis, a method for making inferences and developing themes from the systematic review of participant narratives ( Berelson, 1952 ). Results Staff described different types of barriers to implementing each EBP. For MI, the majority of barriers involved staff resistance or organizational setting. For A-CRA, the majority of barriers involved specific characteristics of the EBP or client resistance. For CBT, the majority of barriers were associated with client resistance, and for ACT, the majority of barriers were associated with resources. Discussion EBP designers, policy makers who support EBP dissemination and funders should include explicit strategies to address such barriers. Addiction programs proposing to use specific EBPs must consider whether their programs have the organizational capacity and community capacity to meet the demands of the EBP selected.
Databáze: OpenAIRE
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