Archive for December, 2011

Preliminary Outcomes from STAGE-12 Presented at AAAP

December 16, 2011

This presentation at the recent American Academy of Addiction Psychiatry (AAAP) conference, by Dennis Donovan of the Pacific Northwest Node and Dennis Daley of the Appalachian Tri-State Node, describes the National Drug Abuse Treatment Clinical Trials Network study CTN-0031, which compared a manual-guided 12-Step Facilitation therapy with usual treatment in a large sample of patients entering treatment for substance problems in community-based treatment programs (including Evergreen Manor and RCKC here in the Pacific Northwest Node).

This protocol was developed to help address the substantial gaps in our knowledge about 12-Step programs such as AA and NA as effective therapeutic options. Preliminary results from the protocol suggest that STAGE-12 increases the probability of abstinence from stimulants during and in the last 30 days of the active treatment phase, and is also associated with greater numbers of days of 12-step self-help meeting attendance. Discussions of the implications for clinical practice are included.

Citation: Donovan DM, Daley DC. 12-Step Facilitation: New Evidence from the National Drug Abuse Clinical Trials Network. Presented at the American Academy of Addiction Psychiatry (AAAP) annual meeting, Scottsdale, AZ, December 8-11, 2011.



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Predicting Community Addiction Treatment Attitudes About Contingency Management

December 6, 2011

This in-press article at Journal of Substance Abuse Treatment, by Pacific Northwest Node researchers Bryan Hartzler, Dennis Donovan, and Suzanne Doyle, along with colleagues from the Western Node, reports on an ancillary investigation of data from protocol CTN-0008.  Researchers examined systemic and idiographic staff predictors of contingency management (CM) adoption attitudes using multilevel modeling analyses of organizational, treatment unit, and workforce surveys.

The evaluation found three systemic predictors (clinic provision of opiate agonist services, national accreditation, and lesser shared perception of workplace stress) and five idiopathic predictors (staff with a graduate degree, longer service tenure, managerial position, e-communication facility, and openness to change).

Findings are discussed as they relate to extant literature on CM attitudes, established implementation science constructs, and practical implications.

Citation:  Hartzler B, Donovan DM, Tillotson CJ, et al.  A Multilevel Approach to Predicting Community Addiction Treatment Attitudes About Contingency Management.  Journal of Substance Abuse Treatment2012 (in press).



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