Evidence
"motivational interviewing (mi)"
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)
module 2
module 4
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
Reaching out: the psychology of assertive outreach.
This book is a collection of chapters that all aim to examine psychological processes involved in assertive outreach. The introduction provides definitions and the evolution of assertive outreach. “Assertive outreach is a flexible and creative client-centred approach to engaging service users in a practical delivery of a wide range of services to meet the complex health and social needs and wants. It is a strategy that requires service providers to take an active role, working with service users, to secure resources and choices in treatment, rehabilitation, psychosocial support, functional and practical help, and advocacy...in equal priorities. (Joint Statement by SCMH, CMHSD, IMPACT, TULIP, North Birmingham AO Service, Kush Housing Association, The Working Together in London Initiative, 1999). It includes the origins of assertive outreach from Training and Community Living (TCL) to Assertive Community Treatment (ACT) and the Programme for Assertive Community Treatment (PACT), as well as differentiates psychological skills and psychological therapy in assertive outreach. It emphasizes the neglect of psychological therapies within ACT and how this neglect has caused ACT to drift from its original psychosocial philosophy of care and to be perceived to promote the medical model. The first half of the book outlines a psychological approach to the task of assertive outreach, beginning with the primary task of engaging service users. The second half of the book is devoted to the task of delivering psychological therapies.
Keywords:
psychotherapy
family systems
intervention
psychological therapy
community services
mental disorders
cognitive-behavioural therapy (cbt)
motivational interviewing (mi)
module 4
Cupitt, C. (2010). Reaching out: the psychology of assertive outreach. Routledge.