Evidence-based Treatment for Substance Use Disorders in Community Mental Health Centers: the ACCESS Program.
J Behav Health Serv Res
; 50(3): 333-347, 2023 07.
Article
in En
| MEDLINE
| ID: mdl-36859743
A significant gap remains in the availability and accessibility of evidence-based treatments (EBTs) in community substance use disorder (SUD) treatment. This study describes a 2-year statewide training initiative that sought to address this gap by training community-based therapists in motivational enhancement/cognitive behavioral therapy (MET/CBT). Therapists (N = 93) participated in a 2-day MET/CBT workshop followed by bi-weekly clinical consultation, fidelity monitoring, guided readings, and online resources. Therapists completed pre-training and follow-up assessments measuring knowledge, attitudes, confidence, and implementation barriers. Most therapists attended 10 or more consultation calls. Submission of session recordings for feedback was the least utilized training element. Therapists reported increased confidence in their ability to implement MET/CBT for SUD and demonstrated improvement in MI and CBT knowledge. Therapists reported several implementation barriers, including lack of time and opportunity to treat patients with MET/CBT. Recommendations for future training initiatives and addressing the barriers identified in this study are discussed.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Cognitive Behavioral Therapy
/
Substance-Related Disorders
Type of study:
Guideline
Limits:
Humans
Language:
En
Journal:
J Behav Health Serv Res
Journal subject:
CIENCIAS DO COMPORTAMENTO
/
PESQUISA EM SERVICOS DE SAUDE
/
SERVICOS DE SAUDE
Year:
2023
Document type:
Article
Affiliation country:
United States
Country of publication:
United States