The following are the State Infrastructure Grants currently part of the NNP. These abstracts are derived from the NIH CRISP query system. More information is available through CRISP at http://crisp.cit.nih.gov/ and through the Principal Investigator. Promoting Adoption of EBPs in Addiction Treatment Connecticut Dept. of Mental Health & Addiction Services University of Connecticut Dept. of Psychology 406 Babbidge Road, U-1020 P.O. Box 341431 Storrs, CT 06269-1020 Linda K. Frisman, Ph.D.
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| | Connecticut's Single State Agency for mental health and substance abuse has undertaken this project to: (1) test a model for introduction of evidence-based practices (EBPs) to community-based agencies; (2) adapt the strategy now used to disseminate mental health EBPs to transfer addictions technology; and (3) develop an instrument and process for monitoring on-going use of EBPs. Specifically, the state will select a community agency to undertake a Motivational Enhancement Therapy - Cognitive Behavioral Therapy (MET-CBT); assist the agency with training, implementation, and monitoring the fidelity to the model, and compare the outcomes of target agency clients (n=250) to those in the control agency (n=250). Keywords: Behavior modification, cognitive behavior therapy, drug abuse therapy, drug addiction, motivation, information dissemination, mental health, behavioral /social science research, clinical research, interview | Statewide Science-Based Concurrent Recovery Monitor Delaware Dept. of Health & Social Services Division of Substance Abuse & Mental Health Services 1901 N. DuPont Highway, Main Building New Castle, DE 19720 Jack Kemp, M.S.
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| | Delaware's Division of Substance Abuse and Mental Health (DSAMH) proposes to implement a Concurrent Recovery Monitoring system in all state-contracted adult, outpatient substance abuse (SA) treatment programs. The “Delaware Team” [composed of staff from the DSAMH, Treatment Research Institute, and state-funded treatment programs) propose to: 1) Streamline data collection requirements by evaluating systematically the data collection demands currently affecting the state-funded programs, 2) Collaboratively select performance indicators for regular collection within the existing outpatient performance monitoring/contracting system, 3) Pilot test the ongoing data collection and use, and 4) Prepare a submission for further funding based on this initial, exploratory study. Keywords: Drug abuse therapy, health care quality, health care service evaluation, outpatient care, data collection methodology /evaluation, health care cost /financing, health care service utilization, organized financing, clinical research, health services research | Enhancing Adoption of Science-Based Practices Maryland Dept. of Health & Human Services Maryland Alcohol & Drug Abuse Administration 55 Wade Avenue Catonsville, MD 21228-4663 Peter Luongo, Ph.D.
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| | To improve delivery of substance abuse treatment services in Maryland, the state Alcohol and Drug Abuse Administration's (ADAA) has proposed to: 1: Develop substance abuse treatment program self-evaluation protocol that can be adopted and implemented throughout Maryland. 2: Using the protocol, develop a treatment practice improvement protocol that can be readily employed by programs. 3: Implement a self-evaluation and treatment practice improvement system and pilot test its impacts on evidence-based practice implementation. 4: Promote systemic implementation of the self-evaluation and practice improvement protocol in Maryland and assess its replicability for use in other states. Keywords: Drug abuse therapy, health care quality, health care service evaluation, mental health service, substance abuse related disorder, information dissemination , behavioral /social science research tag, clinical research, health services research | A Case Study of NY’s Infrastructure to Improve Practice New York Office of Alcoholism & Substance Abuse 501 Seventh Avenue New York, NY 10018-5013 Francis A. McCorry, Ph.D.
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| | This case study will examine the implementation of an evidence-based practice (EBP), contingency management, in three methadone treatment programs (MTPs) licensed by the State of New York, to improve the retention and employment rates for identified clients. This study will collect quantitative and qualitative data at the organizational, staff and client level to provide a comprehensive description of the adoption process and the factors that influence its success or failure. A second goal is the investigation of adoption measurement tools that the State and providers may employ to monitor the EBP adoption process, and to measure the effects of implementation on client-level outcomes. Keywords: Behavior modification, drug abuse therapy, health care professional practice, health care quality, health care service evaluation, methadone, behavioral /social science research, clinical research, health services research, interview, questionnaire | Texas Process & Practice Improvement Initiative Texas Commission on Alcohol & Drug Abuse Texas Dept. of State Health Services P.O. Box 80529 Austin, TX 78708-0529 Dave Wanser, Ph.D.
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| | The Texas Process and Practice Improvement (PPI) study will examine utilization of science-based practices and improved proximal client outcomes through these aims: 1. Measure the effects of strategic graphic outcome and management feedback as it may influence utilization of science-based practices and improved during-treatment outcomes, and 2. Determine whether there is an additional benefit of adding a change process enhancement protocol. The two interventions include: 1) Providing graphic feedback on program trends on a few key during-treatment proximal-outcome measures, and 2) An organizational change process protocol with a workshop and team consultation. Keywords: Counseling, drug abuse therapy, health care quality, health care service evaluation, cost effectiveness, health care model, outcomes research, training, behavioral /social science research, clinical research, focus group, health services research, questionnaire | Measuring & Tracking Statewide Model Program Fidelity Washington State Dept. of Social & Health Services Division of Alcohol & Substance Abuse MS 45330 Olympia, WA 98504-5330 Linda Gail Becker, Ph.D.
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| | The proposed project will expand Washington State's capacity to monitor fidelity and outcomes in the dissemination of a science-based, prevention program, Strengthening Families Program for Parents and Youth 10-14 (SFP). This research will identify deviations or adaptations across SFP implementation settings, learn why they occur, and begin to learn how they affect program outcomes. The study will use data from the state management information system (MIS), which tracks science-based prevention programming, and the Extension system of Washington State University (WSU), which has trained people on SFP, and conducted implementation research among those trainees. Keywords: Alcoholism /alcohol abuse prevention, alcoholism /alcohol abuse therapy, drug abuse prevention, drug abuse therapy, human therapy evaluation, adolescence (12-20), family structure /dynamics, health behavior, health care service utilization, parent, data collection | Adopting Prevention & Treatment Science-based Practices North Carolina Dept. of Health & Human Services 325 N. Salisbury Street, P3007 Mail Service Center Raleigh, NC 27699-3007 Flo A. Stein, M.P.H.
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| | The goal of the project is to assess readiness and capacity to implement, modify, and sustain a process of continuous practice improvement in publicly supported drug abuse prevention and treatment programs. Specifically, the proposed exploratory study will build fidelity ratings and outcome measures into the overall system for quality improvement. Using evidence-based practices (EBPs) in prevention (i.e., Project Towards No Drugs or TND) and treatment (i.e., motivational interviewing or Ml), the investigators will use existing fidelity and outcome measures to assess provider performance and adherence to prevention and treatment guidelines during the process of adopting EBPs in rural communities. In both studies, qualitative case studies will be conducted. Keywords: Counseling, drug abuse prevention, drug abuse therapy, health care quality, health care service evaluation, motivation, data collection methodology /evaluation, drug abuse education, behavioral /social science research, health services research, interview |
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