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Subst Abuse Treat Prev Policy. 2010 Mar 26;5:4. doi: 10.1186/1747-597X-5-4.

Adoption of practice guidelines and assessment tools in substance abuse treatment.

Author information

  • 1Department of Public Health and Preventive Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, Mailcode CB669, Portland, OR 97239, USA. rieckman@ohsu.edu

Abstract

BACKGROUND:

The gap between research and practice limits utilization of relevant, progressive and empirically validated strategies in substance abuse treatment.

METHODS:

Participants included substance abuse treatment programs from the Northeastern United States. Structural equation models were constructed with agency level data to explore two outcome variables: adoption of practice guidelines and assessment tools at two points in time; models also included organizational, staffing and service variables.

RESULTS:

In 1997, managed care involvement and provision of primary care services had the strongest association with increased use of assessment tools, which, along with provision of counseling services, were associated with a greater use of practice guidelines. In 2001, managed care involvement, counseling services and being a stand-alone drug treatment agency were associated with a greater use of assessment tools, which was in turn related to an increase in the use of practice guidelines.

CONCLUSIONS:

This study provides managers, clinicians and policy-makers with a framework for understanding factors related to the adoption of new technologies in substance abuse treatment.

PMID:
20346158
[PubMed - indexed for MEDLINE]
PMCID:
PMC2859359
Free PMC Article

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