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1 Evidence-Based Model Interventio ntionsns T Psycho- Family & Friends Skills Simpson, 01 (Addiction) Personal Health Services Support Services Research & : A Process-Based and Dependency, th Annual Idaho Conference on Alcohol and Dependency (May 19, 04; Boise) Research & : A Process-Based IBR HOME PAGE WHAT S NEW ABOUT IBR RESOURCE COLLECTIONS STAFF PROJECTS NEWSLETTERS PUBLICATIONS PRESENTATIONS MANUALS FORMS OTHER LINKS SITE GUIDES: Search Contents Site map Institute of Research at Texas Christian University A National Research Center addiction treatment studies in community and correctional settings Spotlight The IBR Website has been redesigned to streamline access and highlight integrated sets of materials manuals, ms, findings on selected topics listed in the new Resource Collections CJ-DATS & TCOM Projects funded by NIDA Studies on transferring research to practice were recently published in a special issue of Journal of Substance Abuse Newest releases of Research Summaries, Newsletters, & Data Collection Instruments Handoutsfrom conference presentations listed IBR Resource Collections Overview National Correctional Process Counseling Manuals Organizational Functioning Assessment Systems Core Forms& Research Summaries available Kevin Knight, Ph.D. TCU Institute of Research Latest Publication Abstracts PowerPoint Presentations Key Issues How does treatment work? How do programs change? Services and : The Way it SHOULD Be! Housing & Transportation Child Care Financial Core Intake Assessment Plans Family Medical Group/Individual Counseling Abstinence Based Pharmacotherapy Self-Help (AA/NA) AIDS / HIV Risks Mental Health Urine Monitoring Case Management Continuing Care Legal Etheridge, Hubbard, Anderson, Craddock, & Flynn, 1997 (PAB) Vocational Educational Evidence-Based Model Family & Friends Psycho- Skills Simpson, 01 (Addiction) Personal Health Services / Support Services 04 TCU Institute of Research, IBR Web site: Page 1 of 7

2 Abuse Outcome Studies NIDA s Third National Evaluation of Effectiveness (Adults) 11 Cities 96 s ~,000 Adults All treatment types (1 & 5 Year FUs) (Youth) 4 Cities 23 s 1,167 Adolescents All treatment types (1 Year FUs) 70 Studies Published (Special Issues) Psychology of Addictive Behaviors (Dec 97) and Alcohol Dependence (Dec 99) Journal of Adolescent Research (Dec 01 -A) A) Journal of Substance Abuse (pending) Archives of General Psychiatry (99, 01, & in press) Research & : A Process-Based and Dependency, Abuse Outcome Studies NIDA s Third National Evaluation of Effectiveness,000 Adults 96 s 11 Cities 1,0 Adolescents 23 s 4 Cities 85 Studies Published (Special Issues) Psychology of Addictive Behaviors (Dec 97) and Alcohol Dependence (Dec 99) Journal of Adolescent Research (Dec 01 -A) Journal of Substance Abuse (in press) Archives of General Psychiatry (99, 01, & 02) Abuse Outcome Studies HOME PABE ABAOUT BACKGROUND (DARP/TOPS) ADULTS Introduction Services 1-Yr Outcomes History Effects Cocaine Cost benefits 5-Yr Outcomes ADOLESCENTS Introduction Services 1-Yr Outcomes Special Populations PUBLICATIONS PRESEENTATIONS WHAT S NEW CONTENTS Collaborating Centers TCU NDRI UCLA NIDA Spotlight Archives of General Psychiatry publishes new 5- year outcome study based on adults treated cocaine dependence Adolescent treatment follow-up outcome studies based on 1167 youth treated in 23 programs from 4 cities are released in -- Archives of General Psychiatry Journal of Adolescent Research New Activities The Website is redesigned to streamline access and highlight studies focused on Adolescents versus Adults Funding the project is ending, but a concluding set of 5-year outcome studies are being prepared, expected to bring the total publications from this project to 75 by mid-02 Summary PowerPoint Presentations: 1. 1-Year Outcomes Cocaine 5-Year Outcomes Cocaine Sample s from Bee to After Cocaine (Weekly)* Intake Year 1 Year 5 6 Heroin (Weekly)* Alcohol (Daily)* 16 Illegal Activity* % of Sample (N=708) Simpson, Joe, & Broome, 01 (Arch Gen Psychiatry) Any Arrests* *p< Weekly Cocaine (in Year After ) Low Medium High Problem at Intake (p<.001) X 17 <90 Days 90+ Days Length of (p<.001) Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999 (Arch Gen Psychiatry) Weekly Cocaine (Adjusted) in Year After LTR (90+ Days) 58 ODF (90+ Days) 76 STI (21+ Days) HIGH Problem s (p<.001) Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999 (Arch Gen Psychiatry) Rates s (beyond minimum thresholds ) Best 65% Poorest 3+ Mos in Long-Term Residential (n=17) 75% 76% 21% 16% 15% 3+ Mos in Outpatient -Free (n=14) 12+ Mos in Outpatient Methadone (n=) Simpson, Joe, Broome, Hiller, Knight, & Rowan-Szal, 1997 (PAB) 04 TCU Institute of Research, IBR Web site: Page 2 of 7

3 Research & : A Process-Based and Dependency, Black Box of Process Factors Psychological Functioning of Problems s in? Psychological functioning Integrate & Strengthen? Problem Recognition Desire Help 2-4 Weeks : : Psycho- Simpson, 01 (Addiction) / Stages of Process Induction to ( ) Trt / Adequate Stay in Trt Targeted Problem Recognition Desire Help Trt Psycho- / Joe & Simpson, in review Simpson & Joe, 1993 (Pt); Blankenship et al.,1999 (PJ); Sia, Dansereau, & Czuchry, 00 (JSAT) Contingency Management (Token Rewards) Counseling Enhancements ( Mapping ) Psycho- / Psycho- / Rowan-Szal et al., 1994 (JSAT); 1997 (JMA); Griffith, Rowan-Szal et al., 00 (DAD) Dansereau et al., 1993 (JCP), 1995 (PAB); Joe et al., 1997 (JNMD); Pitre et al., 1998 (JSAT) 04 TCU Institute of Research, IBR Web site: Page 3 of 7

4 Research & : A Process-Based and Dependency, Specialized (Skills-Based Counseling Manuals) Evidence-Based Skills Motiv Attributes at Intake Psycho- / NIDA/NIAAA Categorized Conceptually by a Theoretical Model Psycho- Skills Bartholomew et al., 1994 (JPD); 00 (JSAT); Hiller et al., 1996 (SUM) TCU Counseling Manuals /Induction Mapping s (women & men) HIV/AIDS Education Parenting Skills Cocaine Skills (to Aftercare) NIDA List of Scientifically Based es Psycho- Principles of Addiction : A Research Based Guide (NIDA, 00) Key Issues How does treatment work? How do programs change? : : Psycho- / 04 TCU Institute of Research, IBR Web site: Page 4 of 7

5 DH Motiv TR SE Psych DP AX DM PM HS RT SC TN TS TR TP PS SS DH Motiv TR SE Psych DP AX DM PM HS RT SC TN TS TR TP PS SS Research & : A Process-Based and Dependency, Time & Place Model Institutional & Personal Stages of Transfer 1-Exposure () Lecture Self Study Workshop Consultant Attributes Organizational Dynamics 2-Adoption (Leadership decision) 4-Practice (Routine use) Reception & Utility 3-Implementation (Exploratory use) Institutional Supports Simpson, 02 (J Substance Abuse ) Counselor Rating Mission Cohesion Communication Autonomy Open to change Levels Client Rating Rapport Satisfaction : : Psycho- / Lehman, Greener, & Simpson, 02 (J Substance Abuse ) Clinical Permance Indicators : : Psycho- / SITE: CLIENT ID: DATE: TCU BRIEF INTAKE /6/99 AGE 41 EDUCATION 09 LEGAL STATUS GENDER Male LEGALLY MANDATED RACE/ETHNICITY Mexican American HI NEED FOR TREATMENT MARITAL STATUS Separated HI PRESSURE FOR TREATMENT CLIENT PROBLEM PROFILE NO YES COCAINE HEROIN/OPIATES MARIJUANA OTHER ILLEGAL DRUGS ALCOHOL MULTIPLE (3+) DRUG USE NEEDLE USE RISKS SEX RISKS PEERS/FRIENDS FAMILY PSYCHOLOGICAL HEALTH UNEMPLOYMENT CRIMINAL INVOLVEMENT NO YES Low Mod High Extreme Client PROBLEM INDEX (Range 0-14) TCU Assessments Computer scored Client profiles planning profiles Yes No Yes Yes Heroin Cocaine Alcohol Needle Risks Peer/Friends Family Psychological Crimal Involv Problem at Intake ( Client & ) % of Clients Client Functioning Profile During Trt (Compared to Averages Other Clients) Percentile Scores /Psycho Problems & Scales 0% 90% 80% 70% 60% Client XX 50% % % % % Average Scores 0% All Clients Scales TCU Client Evaluation of Self & (CEST) Scales TCU Assessments Computer scored Client profiles profiles Normed comparisons 0% 90% 80% 70% 60% 50% % % % % 0% Client & Functioning in ( Client & ) Functioning Profile During Trt (Compared to Averages Other s) % of Clients with /Psycho Problems & High Total (n=797) Ag 50 (n=29) Scales TCU Client Evaluation of Self & (CEST) Scales Joe, Broome, Rowan-Szal, & Simpson, 02 (J Substance Abuse ) Client Evaluation of Self & (CEST) Psychosocial A. al B. Psychological C. 6-8 item scales Scores = -50 (5-pt Agree-Disagree) α = Validity evidence A. B. Satisfaction C. Counseling Rapport D. Peer Support (Clients) E. Support (Family/Friends) NEW CJ Criminal Thinking Scales Joe, Broome, Rowan-Szal, & Simpson, 02 (J Substance Abuse ) 04 TCU Institute of Research, IBR Web site: Page 5 of 7

6 Evidence-Based Model Interventio ntionsns T Psycho- Family & Friends Skills Simpson, 01 (Addiction) Personal Health Services Support Services Research & : A Process-Based and Dependency, Trt Permance Measures Client Functioning Profiles (During- Progress in CJ ) : : Psycho- / Psychological Progress Progress Progress c Needs Indx S Esteem Dec Mak S Efficacy Depress- Anxiety- Hostility- Risk Tak- Soc Consc Satisfac Rapport Particip Peer Supp Fam Supp TCU Client Evaluation of Self & (CEST) Scores : Mission Cohesion Autonomy Communication Stress Offices/ing Equipment : Growth Efficacy Influence Adaptability Orientation Simpson, 02 (J Substance Abuse ) Needs Needs Pressures Lowest Highest Org. : Cohesion (Average scores range -50) Mid-point on Scale TCU/NF-ATTC Survey (April 01) programs at TCU Workshop Comparison of 2 CBT s Attributes Total (n=191) Prog 311-1L (n= 7) Prog 333-1L (n= 8) PrgNeeds TrtNeeds Pressure Offices Trn $ PCs Internet Growth Efficacy Influence Adapt Mission Cohesion Autonomy Comm Stress - TCU Organizational (ORC) Scores IBR HOME PAGE WHAT S NEW ABOUT IBR RESOURCE COLLECTIONS STAFF PROJECTS NEWSLETTERS PUBLICATIONS PRESENTATIONS MANUALS FORMS OTHER LINKS SITE GUIDES: Search Contents Site map Institute of Research at Texas Christian University A National Research Center addiction treatment studies in community and correctional settings Spotlight The IBR Website has been redesigned to streamline access and highlight integrated sets of materials manuals, ms, findings on selected topics listed in the new Resource Collections CJ-DATS & TCOM Projects funded by NIDA Studies on transferring research to practice were recently published in a special issue of Journal of Substance Abuse Newest releases of Research Summaries, Newsletters, & Data Collection Instruments Handoutsfrom conference presentations listed Core Forms& Research Summaries available Latest Publication Abstracts IBR Resource Collections Overview National Correctional Process Counseling Manuals Organizational Functioning Assessment Systems PowerPoint Presentations 04 TCU Institute of Research, IBR Web site: Page 6 of 7

7 Research & : A Process-Based and Dependency, Evidence-Based Model Skills Support Services Skills : : Psycho- / : : Psycho- / Skills Personal Health Services Skills Simpson, 01 (Addiction) Skills / / AA/NA/CA Psycho- Psycho- Aftercare Skills / Psycho- 3-7 Day Slice (Detoxification) 04 TCU Institute of Research, IBR Web site: Page 7 of 7

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