Beliefs about evidence-based practices in addiction treatment: A survey of Veterans Administration program leaders

Empirically supported substance abuse treatment approaches: A survey of treatment providers' perspectives and practices

“…While four of the six psychosocial interventions were used in more than half of the programs, only one-third of the programs used any of the pharmacotherapies examined in this study. This finding follows the same trend found in Willenbring, et al (2004), in which 61% of program leaders reported a high level of current implementation of cognitive behavioral relapse prevention, but few (less than 10%) reported a high level of implementation of naltrexone or disulfiram for alcohol dependence.…”

“…Similar to previous findings (Roy-Byrne et al, 2003;Willenbring, et al, 2004), most of the empirically supported psychosocial treatment approaches were perceived to be efficacious. However, these approaches were not routinely used in many community-based programs in California.…”

“…A study of substance abuse treatment in the Veterans Administration investigated attitudes and familiarity with evidence-based practices, and concluded that although treatment providers identified several treatments (e.g., smoking cessation treatment, naltrexone, and methadone dosing >60 mg/day) as having a strong evidence base, these treatments were not widely implemented (Willenbring et al, 2004). Program leaders commonly reported the lack of belief in their usefulness was a somewhat important barrier, while the lack of administrative support, time, and staff knowledge were more commonly perceived as significant obstacles to implementation.…”

Pratiques et directives evidence-based dans l’aide proposée aux toxicomanes : recommandations pour leur mise en application en Belgique

“…Lors de l'implémentation des directives evidence-based, des moyens pourraient donc être investis dans un soutien administratif ainsi que dans le coaching/accompagnement. Vu le manque de temps, l'information et le soutien doivent nécessairement être programmés de manière flexible, en fonction de l'organisation de travail du personnel [30]. Si effectivement plus de moyens sont nécessaires pour pouvoir implémenter une directive evidence-based, ceux-ci ne M a n u s c r i p t 10 peuvent pas être dérivés du budget de la recherche scientifique.…”

Organizational characteristics of drug abuse treatment programs for offenders

“…Only recently has there been increasing focus on the organizational characteristics of programs as an important domain for understanding treatment processes and outcomes (Lehman, Greener, & Simpson, 2002). Recent national surveys have provided new information on the organizational characteristics of both public and private drug abuse treatment providers (Carise, McLellan, & Gifford, 2000;Greenlick & McCarty, 2001;McCarty, 2004;Roman, Johnson, Walker, & Knudsen, 2003;Roman & Johnson, 2002;Knudsen, Johnson, Roman, & Oser., 2003;Tinney, Oser, Johnson, & Roman, 2004), as well as programs within the Department of Veteran's Affairs treatment system (Swindle, Peterson, Paradise, & Moos, 1995;Swindle, Phibbs, Paradise, Recine, & Moos, 1995;Timko, Dixon, & Moos, 2005;Willenbring et al, 2004). Thus far, however, there has been limited research on the structure and characteristics of treatment providers that focus on offenders with substance abuse disorders.…”