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This brochure, intended for clinicians participating in the CTN-0013 clinical trial (MET to Improve Treatment Utilization and Outcome in Pregnant Substance Users), provides an overview of Motivational Enhancement Therapy (MET) and answers to questions participants might have about being involved in the research project.This Blending Team Product combines a CME course and Patient Simulation to create a unique forum to provide practical guidance for physicians and other clinicians in effective Motivational Interviewing techniques that will facilitate conversations with patients to address health risk behaviors. The CME course, “Talking to Patients about Health Risk Behaviors,” guides physicians, nurses, and other clinicians through practical skills building and technique development using videos to model effective communication, while the interactive Patient Simulation allows for real time testing and reinforcement of these skills in the clinical setting.
Physicians can earn a maximum of 1.5 AMA PRA Category 1 Credits via the CME course; Nurses can earn 1.5 ANCC Contact Hours. There is also an unaccredited module for other providers to use to enrich their clinical best practices.
This NIDA/SAMHSA Blending Team Product is an online resource hub providing information and tools related to a variety of technology-assisted care for substance use disorders. Technology-assisted care is a rapidly evolving field focused on adding technology-based elements to a practitioner’s “toolkit” as a supplement and complement to their treatment repertoire. These elements take many forms and formats, including audio, video, animations, and/or other forms of multimedia. It also may use information from medical records or physiological data capture devices, and may be interactively customized or tailored to an individual user’s needs. Treatment practices administered via technology-based interventions include: Cognitive Behavioral Therapy; Community Reinforcement Approach (CRA); Contingency Management; Motivational Enhancement; Motivational Interviewing; and Screening, Brief Intervention and Relapse Prevention.
The SUDTECH site is a collaborative product providing information, videos, training, and other resource information for implementing technology assisted treatments/care to improve the quality and reach of treatment services for persons with substance use disorders. It includes curricula, research studies and links, video interviews with practitioners who use technology-assisted care, information on administrative and other considerations for implementing this type of approach, program models, and much more.
SUDTECH focuses primarily on two technology-assisted care models: Therapeutic Education System (TES) and Computer-Based Training for Cognitive Behavioral Therapy (CBT4CBT). A National Drug Abuse Treatment Clinical Trials Network protocol evaluated the effectiveness of TES (CTN-0044), a web-based psychosocial intervention for substance use disorder, and found that it doubled the odds of abstinence among clients who tested positive for substances, improved retention, and suggested that TES could be effectively substituted for a portion of face-to-face counseling and produce better outcomes. CBT4CBT is a web-based program that teaches a variety of skills to help people reduce their substance use. While not studied in the CTN, a randomized controlled trial of 77 individuals seeking outpatient treatment found that participants assigned to CBT4CBT submitted significantly more urine specimens testing negative for any type of drugs, especially cocaine, and tended to have longer continuous periods of abstinence during treatment.
Related protocols: CTN-0044
The NIDA Clinical Trials Network conducted the multisite “HIV Rapid Testing and Counseling” study (protocol CTN-0032) to examine the efficacy of on-site rapid testing and risk-reduction counseling in increasing the receipt of results and reducing HIV risk behaviors of patients in substance abuse treatment programs. Research showed that offering this testing in substance abuse treatment centers substantially increased receipt of HIV test results and identified persons who were unaware of their HIV infection. Testing may be implemented for less than $40 per rapid HIV test and is cost-effective. Substance use treatment patients are receptive to on-site testing and are more likely to get tested than if they are referred to another agency for testing.
The National Institute on Drug Abuse (NIDA) and the Substance Abuse Mental Health Services Administration’s Addiction Technology Transfer Network have partnered to promote the dissemination of the results from drug abuse research. This collaboration (the blending of research and practice) has produced numerous research-based training workshops and products designed specifically for substance abuse treatment providers. The HIV Rapid Testing Blending Product can be found online at http://www.nattc.org/rapidtesting and includes: video interviews with researchers, treatment providers, and clients about the value of onsite rapid HIV testing; a fact sheet that provides details about the need for onsite testing and the outcomes of the CTN protocol; and a web guide that provides links to valuable testing and other implementation resources.
Related protocols: CTN-0032
[Note: the CD version of this product is no longer available. Factsheets and links to additional resources may still be available at the link provided.]
This new CD-ROM features copies of the three previous buprenorphine-related Blending Products (Buprenorphine Treatment, Short-Term Opioid Withdrawal Using Buprenorphine, and Buprenorphine Treatment for Young Adults), bundled together with the new Prescription Opioid Addiction Treatment Study (POATS) product.
The new POATS product includes a clinician training program and manual, PowerPoint presentation, resource list, fact sheets, and additional materials to help clinicians implement and promote buprenorphine treatment in their practices.
This CD-ROM compilation includes resources in a variety of formats, including training manuals (PDFs), PowerPoint presentations, short video clips, research articles, and other resources.
Motivational Incentives: Positive Reinforcers to Enhance Successful Treatment Outcomes (MI:PRESTO) is an interactive on-line course that focuses on the process of adopting Motivational Incentives in a clinical setting. By design, this course builds upon the Addiction Technology Transfer Center Network’s Technology Transfer Conceptual Model. Highlighted within this model is a multidimensional process that promotes the use of an innovation, in this case Motivational Incentives.
This free, self-guided, online learning tool assists Clinical Supervisors and other behavioral healthcare practitioners to learn and experience how to utilize the 7 Principles of Motivational Incentives introduced in PAMI, to facilitate the adoption of Motivational Incentives as an effective evidence-based practice aimed at reducing drug abuse and promoting positive outcomes for patients.
Related protocols: CTN-0006, CTN-0007
THIS PRODUCT IS NO LONGER AVAILABLE. The Motivational Incentives Implementation Software (MIIS) is available at no cost. This platform, developed by the National Institute on Drug Abuse, provides the mechanisms to: assist researchers, clinicians, and counselors in utilizing and applying Motivational Incentives for treating patients with substance use disorders; and maintain information about clinic patients as well as in the implementation and calculation of incentives based on the defined parameters. MIIS is secure, easy to use, and easy to implement. The user interface allows patient information and activities to be stored and can manage patient appointments and supply detailed reports about patient progress. Patients are automatically awarded draws as an incentive for attendance and abstinence. MIIS can be configured to select prizes and provide draws in varying escalation schedules that are sensitive to patient history of compliance and relapse. The software also maintains a record of prizes awarded to patients.
This product has been combined with two other MI Blending Team Products, PAMI and MI:PRESTO to form a “Motivational Incentives (MI) Package.” MIIS has been discontinued; the other two products are available here: https://collaborativeforhealth.org/bettertxoutcomes/.
Related protocols: CTN-0006, CTN-0007
Researchers involved in the CTN protocols NIDA-CTN-0006 and NIDA-CTN-0007 (Motivational Incentives for Enhanced Drug Abuse Recovery in Drug Free Clinics and Methadone Clinics) have shown that motivational incentive programs using low-cost reinforcement (prizes, vouchers, clinic privileges, etc.), delivered in conjunction with onsite urine screening promotes higher rates of treatment retention and abstinence from drug abuse. This Blending Team product focuses on informing the field about successful approaches in the use of motivational incentives (also referred to as contingency management). The package includes an instructional CD-ROM, loaded with a video featuring conversations from top researchers to clinicians to patients in the field of addiction and recovery; sample documents that are customizable to your needs; PowerPoint presentations; research articles; and various additional resources. The PAMI Product was distributed to Research Utilization Committee (RUC) members in May 2007. It can also be downloaded from the ATTC web site.
This product was updated in 2011, providing tools designed to build awareness of Motivational Incentives as an effective therapeutic strategy within the addiction treatment field. It has been combined with two other MI Blending Team Products, MI:PRESTO and MIIS, to form a “Motivational Incentives (MI) Package.” MIIS has been discontinued; the other two products can be found here: https://collaborativeforhealth.org/bettertxoutcomes/.
Related protocols: CTN-0006, CTN-0007
This two-hour webinar, produced by the National Drug Abuse Treatment Clinical Trials Network (CTN) Clinical Coordinating Center for CTN members and the public, discusses training plan development and implementation based on role-specific competency requirements and overall good clinical practices. The workshop includes proven templates and processes used to develop and track protocol national training meetings and staff orientation efforts. Development of training plans, creating a training matrix, measuring competency, training completion documentation, and training new staff are all discussed.
The target audience is experienced CTN clinical research staff involved with developing and implementing protocol training programs and facilitating new staff orientation efforts, as well as other researchers and clinicians working in substance abuse research.
Presented by Rosa Verdeja, MEd and Elizabeth Buttrey (EMMES Corporation).
Additional Resources:
- Download slides (pptx)
This presentation begins with an overview of the two CTN MIEDAR projects, which examined the use of a low-cost incentive program to increase abstinence rates among patients in both methadone and drug-free substance abuse treatment programs. The studies showed that patients assigned to the incentive program remained in treatment longer and submitted a greater percentage of substance-free urine samples than patients in usual care, in both types of community treatment programs. Because of the positive outcomes of these two trials, NIDA and SAMHSA adapted the protocol for the Blending Team Product, “Promoting Awareness of Motivational Incentives” (PAMI), the materials for which are all available in both the CTN Dissemination Library.
The presentation concludes with a series of suggested “next steps” for clinicians looking for more help on how to implement incentives in their own treatment programs. A second MIEDAR Blending Team Product is currently being developed; it will take advantage of modern technology by offering computer-based trainings and implementation support. Watch for this product to be released as early as Spring 2011.
Related protocols: CTN-0006, CTN-0007
This presentation provides an overview of motivational incentives, with a focus on the Promoting Awareness of Motivational Incentives (PAMI) Blending Team Product and practical methods clinicians can use to smoothly adopt MI in their organizations. Challenges of motivational incentive, including cost of incentives, on-site testing, and counselor resistance are addressed in detail.
The presentation ends with a description of Nancy Petry’s checklist on motivational incentive implementation procedures, taken from her Drug and Alcohol Dependence article published in 2000. For a copy of that article, please contact the CTN Dissemination Librarians.
This book was developed out of discussions during meetings of the National Drug Abuse Treatment Clinical Trials Network (CTN) Co-Occurring Disorders Special Interest Group (SIG). Working group members included individual lead investigators in CTN research protocols and program directors and clinicians from community-based substance abuse treatment programs. One issue that emerged repeatedly during discussions was the need to help clinicians who work in substance abuse treatment settings learn more about co-occurring psychiatric disorders.
This book, developed through the SIG, is the first comprehensive handbook to provide a full treatment of all the most common psychiatric conditions that typically co-occur with substance use disorders. It is an essential guide for everyone who treats addiction, including psychiatric clinicians, designed to help treatment providers develop and improve critical diagnostic skills and create coordinated treatment plans that achieve positive outcomes.
This item is available for purchase from the Civic Research Institute.
The Buprenorphine Treatment for Young Adults Blending Team designed a training package which highlights the findings of protocol CTN-0010, “Buprenorphine/Naloxone-Facilitated Rehabilitation for Opioid Dependent Adolescents/Young Adults,” which compared longer-term versus short-term buprenorphine/naloxone treatment in an outpatient setting.
The 3-hour training program examines the prevalence of and treatment admission rates for nonmedical use of opioids among young adults; provides an overview of opioid use among young adults; explores and increases understanding of the results of new research on using buprenorphine to treat opioid addiction in young adults; and describes the implications of these findings for the treatment of opioid addiction in young adults.
Related protocols: CTN-0010
This book was written by members of the CTN-0015 protocol team, which is mentioned in several sections of the book and also serves as one of the final chapter’s three case studies on moving research to practice. Clinicians seeking to treat women experiencing both a history of trauma and the effects of substance abuse will find this book to be a hands-on guide. The intertwined nature of trauma and addiction is explored through a review of recent research, with a focus on treatment options for post-traumatic stress disorder and addiction.
Vital background material describes the effects of trauma on emotion regulation, interpersonal functioning, parenting, and physical health. Also addressed are the many real-world challenges clinicians face in implementing trauma-focused therapeutic approaches in community-based substance abuse treatment.
Related protocols: CTN-0015
This manual is a training guide for the Therapeutic Alliance intervention used in NIDA’s National Drug Abuse Treatment Clinical Trials Network (CTN) protocol #0017, “HIV and HCV Risk Reduction Interventions in Drug Detoxification and Treatment Settings.” The CTN is a cooperative research group that conducts clinical trials in community based drug treatment programs. Its mission is to join researchers and treatment providers in identifying research-based treatments which are effective in community treatment settings. Protocol CTN-0017 aims to evaluate the effectiveness of two interventions in reducing HIV and HCV risk behavior related to intravenous drug use. This manual is about one of the interventions, the Therapeutic Alliance (TA) intervention, which is designed to increase clients? entry into outpatient treatment following detox. It includes an overview of the research on Therapeutic Alliance, its goals, and a detailed session plan for clinicians to use when implementing the TA intervention in their community treatment programs.
Related protocols: CTN-0017