Evidence
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Barriers to implementing evidence-based practices in addiction treatment programs: comparing staff
This qualitative study explores 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). The results show that front-line staff describes different types of barriers to implementing each EBP. For MI, the majority of barriers involved staff resistance or organizational setting. For CBT, the majority of barriers were associated with client resistance, and for ACT, the majority of barriers were associated with resources. The authors conclude that addiction programs proposing to use specific EBPs must consider whether they have the organizational capacity, as well as the community capacity, to meet the demands of that practice. EBP dissemination to programs should include explicit strategies to address such barriers.
Keywords:
psychotherapy
evidence-based practice
community-based substance abuse
treatment
motivational interviewing (mi)
adolescent community reinforcement approach (a-cra)
cognitive-behavioral therapy (cbt)
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Amodeo, M., Lundgren, L., Cohen, A., Rose, D., Chassler, D., Beltrame, C., & D’Ippolito, M. (2011). 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. Evaluation and program planning, 34(4), 382-389
Client perspectives on helpful ingredients of assertive community treatment.
This is the first published article on the helpful ingredients of ACT from the client perspective. This study had ACT clients from six assertive community treatment (ACT) programs describe features they liked best about ACT. Clients mentioned non-specific ingredients most frequently (e.g., relationships with case managers); somewhat less frequently they mentioned ingredients considered by experts as integral to the ACT model (e.g, staff availability, home visits). Although ACT services differ in many ways from traditional counseling or psychotherapy, client-identified best aspects of ACT focused more strongly on features of the helping relationship that have been found to be important for counseling in general.
Keywords:
psychotherapy
client satisfaction
community mental health services
mental disorders
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McGrew, J.H., Wilson, R.G., & Bond, G.R. (1996). Client perspectives on helpful ingredients of assertive community treatment. Psychiatric Rehabilitation Journal, 19(3), 13-21.