Readiness and barriers to adopt evidence-based practices for substance abuse treatment in Mexico

Horigian, Viviana E.; Espinal, Paula S; Alonso, Elizabeth; Verdeja, Rosa E.; Duan, Rui; Usaga, I.; Pérez-López, Alejandro; Marín-Navarrete, Rodrigo; Feaster, Daniel J.

doi:10.17711/sm.0185-3325.2016.004

Cited by 9 publications

(7 citation statements)

References 24 publications

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“…This RCT was the first trial implemented in the Mexican Clinical Trials Network ( Horigian et al, 2016 , Horigian et al, 2015 , Marín-Navarrete et al, 2014 ). Considering the need to improve mental health research in low and middle-Income countries ( Collins et al, 2011 ), the network was the result of a technology transfer process between the Mexican National Institute of Psychiatry Ramón de la Fuente Muñiz (INPRFM) in Mexico and the University of Miami in the United States to develop research infrastructure and capacity to conduct rigorous RCTs in community-based addiction and mental health treatment centers in Mexico ( Horigian et al, 2015 ).…”

Section: Methodsmentioning

confidence: 99%

Motivational enhancement treatment in outpatient addiction centers: A multisite randomized trial

Marín-Navarrete

Horigian

Medina‐Mora

et al. 2017

International Journal of Clinical and Health Psychology

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Background/Objectives: Motivational Enhancement Treatment in Spanish (METS) is a brief intervention aimed at resolving patient ambivalence towards behavior change that has demonstrated efficacy in substance use disorder treatment to reduce use and increase treatment engagement in different populations. In order to have evidence for its implementation in Mexico, a multi-site, randomized, two-arm, controlled clinical trial was conducted at three outpatient addiction treatment centers in the country to compare the effect of METS with Counseling as Usual (CAU). Method: One hundred and twenty patients were randomized to receive three sessions of METS (n = 54) or CAU (n = 66) during the first four weeks of treatment and were assessed during the following 12 weeks. Primary outcome measures were self-reported days of substance use and of treatment services utilization, which were tested using Generalized Estimating Equations. Results: Results associated both conditions with significant changes in substance use over, whereas there were no differences between conditions in substance use or in service utilization. Conclusions: Findings do not support the hypothesis that METS is more effective than CAU, but suggest that brief interventions at treatment initiation may improve patient outcomes.

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Section: Methodsmentioning

confidence: 99%

Motivational enhancement treatment in outpatient addiction centers: A multisite randomized trial

Marín-Navarrete

Horigian

Medina‐Mora

et al. 2017

International Journal of Clinical and Health Psychology

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“…In terms of treatment, more interventions are required to reduce illicit substance use (Rojas, Real, García-Silberman, & Medina-Mora, 2011) and barriers have been found for the adoption of evidence-based practices such as the lack of sufficient trained clinical staff and the need for multidisciplinary teams (Horigian et al, 2016). Likewise, in some detention centers, violations of users' rights and low service quality have been identified (Marín-Navarrete et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Barriers to addiction prevention and treatment in communities with organized crime: the perspective of health providers

Luis

Avendaño

2018

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Introduction. The presence of organized crime may encourage an increase in the supply of illicit substances, the incorporation of young people into crime, the promotion of substance-oriented lifestyles, and the use of violent tactics to control territories that generate insecurity and loss of social capital are generated. Objective. The purpose of this study is to determine the barriers related to the presence of organized crime for the prevention and treatment of addictions from the perspective of health staff. Method. Based on a grounded theory study, eight semi-structured focused interviews were conducted with the staff of a primary addiction care center. In the interviews, the characteristics of the center, type of services, user profiles, the most successful treatments and barriers to care were explored, emphasizing those related to the presence of organized crime in the community. The data obtained were subjected to a thematic analysis with the help of MAXQDA software version 12. Results. Thematic analysis shows that criminal organizations determine which substances are used, encourage distribution within educational contexts, establish control processes in communities, limit preventive actions and treatments, and promote lifestyles associated with consumption, which especially affect vulnerable young people at the familial, social, and economic level. Discussion and conclusion. Membership of organized crime is also linked to substance use, so those affected seek treatment in spaces where there are insufficient safety conditions and health providers to create personal strategies for their protection. The article concludes that addiction prevention implies the recovery of communities and educational spaces by state institutions, while care requires better safety conditions for users and health staff.

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“…One of the first studies completed in Mexico about technology transfer (Horigian et al, 2016), evaluated the willingness to adopt evidence-based practices (EBP) from therapists specializing in substance abuse within the recent Mexican Network of Clinical Trials constituted by seven ambulatory treatment centers. In this paper, the author also analyzed the work characteristics, current practices and frequency of use of technologies for diagnosis and treatment of substance abuse, as well as the attitudes and barriers towards the technology's implementation.…”

Section: Introductionmentioning

confidence: 99%

“…In this paper, the author also analyzed the work characteristics, current practices and frequency of use of technologies for diagnosis and treatment of substance abuse, as well as the attitudes and barriers towards the technology's implementation. The results demonstrated that healthcare personnel are more willing to adopt Cognitive Behavioral Therapy (83.3%) and that the main barriers identified were not having enough clinic practitioners, the lack of resources to pay highly trained personnel and insufficient psychiatric and medical support (Horigian et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Impact of a brief intervention programs in clinical practice: Barriers and adaptations.

Martínez

Perez

Romero

et al. 2018

Int. j. psychol. res.

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Introduction: The present study analyzes the main barriers and adaptations to brief interventions that focus on addictive behavior treatments carried out in clinical settings by 756 health professionals during their adoption process in 350 Primary Attention Units in Mexico. Method: A descriptive cross-sectional study was conducted and consisted in the application of an instrument that explored diverse aspects, such as knowledge about evidence based brief intervention (BI) programs, barriers during the execution, and adaptations of the BI. Results: the main barriers were related to the implementation of sessions and the user’s characteristics such as educational level. As a consequence, the main adaptations were related to the increase in the number of sessions, modifying their length and changing the sequence as well as the proposed material in the manuals. Conclusions: We discuss the possibility of systematizing the adaptations made by health professionals in order to evaluate their effectiveness.

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Readiness and barriers to adopt evidence-based practices for substance abuse treatment in Mexico

Abstract: IntroductionEvidence shows a lag in adoption of evidence-based practices (EBPs) for substance abuse treatment and supports the need for studying the factors involved in this worldwide problem.

Cited by 9 publications

References 24 publications

Motivational enhancement treatment in outpatient addiction centers: A multisite randomized trial

Motivational enhancement treatment in outpatient addiction centers: A multisite randomized trial

Barriers to addiction prevention and treatment in communities with organized crime: the perspective of health providers

Impact of a brief intervention programs in clinical practice: Barriers and adaptations.

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