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Integrating Behavioral Interventions in Substance Abuse Treatment

Principal Investigator:
Bryan Hartzler, PhD
Research Scientist
Alcohol and Drug Abuse Institute

Date: April, 2010 to March, 2015
Sponsor: National Institute on Drug Abuse (NIDA K23 DA025678A2)
Categories: Clinical and Health Services

Description: This project seeks to foster more effective provision of therapeutic services to substance-using treatment-seekers in our communities. This mentored early career development award will fund professional development activities and a sequence of three pilot research studies conducted over a 5-year period. The award’s overarching aim is development of a model of integrated clinical use of motivational interviewing and contingency management in opiate agonist treatment (OAT) settings. Professional development activities include advanced biostatistics coursework, supervised literature reviews with content experts, multi-regional site visits to community OAT clinics, attendance and provision of intervention training workshops for treatment providers, and facilitation of panel discussions among award contributors concerning model development.

Pilot research studies will: 1) examine policies, practices, and preferences of clinical directors and staff of national community OAT settings, 2) design and test a fidelity-monitoring instrument for contingency management implementation in OAT, and 3) evaluate impacts of a two-day contingency management training workshop on practitioner skillfulness and aggregate clinical outcomes at a large community OAT setting. This collective work informs an eventual RO1 grant application that will propose to test the utility of integrated vs. segregated training in MI and CM for OAT practitioners.

Award contributors are Dennis Donovan, Ph.D. (co-mentor), Don Calsyn, Ph.D. (co-mentor), John Roll, Ph.D. (CM content expert), Steve Lash, Ph.D. (CM content expert), David Rosengren, Ph.D. (MI content expert), Blair Beadnell, Ph.D. (biostatistician), and Ron Jackson, M.S.W. (OAT field expert).

Results: Hartzler B, Jackson R, Jones BE, Beadnell B, Calsyn DA. Disseminating contingency management: Impacts of staff training and implementation at an opiate treatment program. J Subst Abuse Treat 2014;46:429–438. doi: 10.1016/j.jsat.2013.12.007.

Hartzler B, Rabun C. Training addiction professionals in empirically supported treatments: perspectives from the treatment community. Subst Abuse 2014;35(1):30-6. doi: 10.1080/08897077.2013.789816.

Hartzler B, Rabun C. Community treatment adoption of contingency management: A conceptual profile of U.S. clinics based on innovativeness of executive staff. Int J Drug Policy 2013;24(4):333-41. doi: j.drugpo.2012.07.009

Hartzler B, Rabun C. Community opioid treatment perspectives on contingency management: Perceived feasibility, effectiveness, and transportability of social and financial incentives. J Subst Abuse Treat 2013;45(2):242-8. doi: 10.1016/j.jsat.2013.01.014

Hartzler B, Donovan DM, Tillotson C, Mongoue-Tchokote S, Doyle SR, McCarty D. A multilevel approach to predicting community addiction treatment attitudes about contingency management. J Subst Abuse Treat 2012;42(2):213–221. Full text PMC3268877

Hartzler B, Lash SJ, Roll JM. Contingency management in substance abuse treatment: A structured review of the evidence for its transportability. Drug Alcohol Depend 2012;122(1-2):1-10. Full text PMC3307900

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