Process Evaluation of a Community Outpatient Program Treating Substance Use Disorders

Overview

Journal J Community Psychol

Publisher Wiley

Specialties Health Services
Psychology

Date 2018 Sep 11

PMID 30197457

Authors

James L Sorensen

Jasmin D Llamas

Affiliations

Soon will be listed here.

Abstract

Addiction treatment can improve its impact by providing evidence-based care for the variety of problems that accompany substance use disorders. We conducted a retrospective evaluation of a new treatment program in California that aimed at providing multifaceted services through affiliated licensed and certified outpatient providers. The process evaluation used a logic model, focusing on program inputs, activities, and outputs, to understand the services received by the initial 18 clients who entered treatment. Outcomes for these patients were not assessed. Results indicated that clients received a variety of services: On average clients contracted for 118 treatment sessions and received 143 sessions. Among the many types of services provided, the most frequently received were integrative healthcare (averaging 42 sessions), group therapy (32 sessions), and individual therapy (32 sessions). This logic-model process evaluation indicated that a range of services were provided. The comprehensive approach may have promise for extending addiction treatment beyond its usual boundaries.

References

Jordan J . Acupuncture treatment for opiate addiction: a systematic review. J Subst Abuse Treat. 2006; 30(4):309-14. DOI: 10.1016/j.jsat.2006.02.005. View

Simpatico T . Vermont responds to its opioid crisis. Prev Med. 2015; 80:10-1. DOI: 10.1016/j.ypmed.2015.04.002. View

McLellan A, Meyers K . Contemporary addiction treatment: a review of systems problems for adults and adolescents. Biol Psychiatry. 2004; 56(10):764-70. DOI: 10.1016/j.biopsych.2004.06.018. View

Roman P, Ducharme L, Knudsen H . Patterns of organization and management in private and public substance abuse treatment programs. J Subst Abuse Treat. 2006; 31(3):235-43. DOI: 10.1016/j.jsat.2006.06.017. View

Altman E, Hedeker D, Peterson J, Davis J . The Altman Self-Rating Mania Scale. Biol Psychiatry. 1997; 42(10):948-55. DOI: 10.1016/S0006-3223(96)00548-3. View

Herbeck D, Hser Y, Teruya C . Empirically supported substance abuse treatment approaches: a survey of treatment providers' perspectives and practices. Addict Behav. 2008; 33(5):699-712. PMC: 2373985. DOI: 10.1016/j.addbeh.2007.12.003. View

Margolin A, Kleber H, Avants S, Konefal J, Gawin F, Stark E . Acupuncture for the treatment of cocaine addiction: a randomized controlled trial. JAMA. 2002; 287(1):55-63. DOI: 10.1001/jama.287.1.55. View

Benishek L, Kirby K, Dugosh K, Padovano A . Beliefs about the empirical support of drug abuse treatment interventions: a survey of outpatient treatment providers. Drug Alcohol Depend. 2009; 107(2-3):202-8. DOI: 10.1016/j.drugalcdep.2009.10.013. View

Komaromy M, Duhigg D, Metcalf A, Carlson C, Kalishman S, Hayes L . Project ECHO (Extension for Community Healthcare Outcomes): A new model for educating primary care providers about treatment of substance use disorders. Subst Abus. 2016; 37(1):20-4. PMC: 4873719. DOI: 10.1080/08897077.2015.1129388. View

10.

Lee M, Ernst E . Acupuncture for pain: an overview of Cochrane reviews. Chin J Integr Med. 2011; 17(3):187-9. DOI: 10.1007/s11655-011-0665-7. View

11.

Kroenke K, Spitzer R, Williams J . The PHQ-15: validity of a new measure for evaluating the severity of somatic symptoms. Psychosom Med. 2002; 64(2):258-66. DOI: 10.1097/00006842-200203000-00008. View

12.

Manuel J, Hagedorn H, Finney J . Implementing evidence-based psychosocial treatment in specialty substance use disorder care. Psychol Addict Behav. 2011; 25(2):225-37. PMC: 3119356. DOI: 10.1037/a0022398. View

13.

Storch E, Kaufman D, Bagner D, Merlo L, Shapira N, Geffken G . Florida Obsessive-Compulsive Inventory: development, reliability, and validity. J Clin Psychol. 2007; 63(9):851-9. DOI: 10.1002/jclp.20382. View

14.

Grant S, Kandrack R, Motala A, Shanman R, Booth M, Miles J . Acupuncture for substance use disorders: A systematic review and meta-analysis. Drug Alcohol Depend. 2016; 163:1-15. DOI: 10.1016/j.drugalcdep.2016.02.034. View

15.

Asher G, Jonas D, Coeytaux R, Reilly A, Loh Y, Motsinger-Reif A . Auriculotherapy for pain management: a systematic review and meta-analysis of randomized controlled trials. J Altern Complement Med. 2010; 16(10):1097-108. PMC: 3110838. DOI: 10.1089/acm.2009.0451. View

16.

Harachi T, Abbott R, Catalano R, Haggerty K, Fleming C . Opening the black box: using process evaluation measures to assess implementation and theory building. Am J Community Psychol. 2000; 27(5):711-31. DOI: 10.1023/A:1022194005511. View

17.

Mohlman M, Tanzman B, Finison K, Pinette M, Jones C . Impact of Medication-Assisted Treatment for Opioid Addiction on Medicaid Expenditures and Health Services Utilization Rates in Vermont. J Subst Abuse Treat. 2016; 67:9-14. DOI: 10.1016/j.jsat.2016.05.002. View

18.

Miller W, Sorensen J, Selzer J, Brigham G . Disseminating evidence-based practices in substance abuse treatment: a review with suggestions. J Subst Abuse Treat. 2006; 31(1):25-39. DOI: 10.1016/j.jsat.2006.03.005. View

19.

Brooklyn J, Sigmon S . Vermont Hub-and-Spoke Model of Care for Opioid Use Disorder: Development, Implementation, and Impact. J Addict Med. 2017; 11(4):286-292. PMC: 5537005. DOI: 10.1097/ADM.0000000000000310. View

20.

Garin O, Ayuso-Mateos J, Almansa J, Nieto M, Chatterji S, Vilagut G . Validation of the "World Health Organization Disability Assessment Schedule, WHODAS-2" in patients with chronic diseases. Health Qual Life Outcomes. 2010; 8:51. PMC: 2893517. DOI: 10.1186/1477-7525-8-51. View