Literature DB >> 25798019

Implementing outside the box: Community-based social service provider experiences with using an alcohol screening and intervention.

David A Patterson Silver Wolf Adelv Unegv Waya1, Alex T Ramsey2, Carissa van den Berk-Clark3.   

Abstract

OBJECTIVE: The aim of this study is better understand perceptions of front-line social service workers who are not addiction specialists, but have to address addiction-related issues during their standard services.
METHOD: Six social service organizations implemented a validated alcohol assessment and brief education intervention. After a 3-month trial implementation period, a convenience sample of 64 front-line providers participated in six focus groups to examine barriers and facilitators to the implementation of an alcohol screening and brief intervention.
RESULTS: Three themes emerged: (1) usefulness of the intervention, (2) intervention being an appropriate fit with the agency and client population, and (3) worker commitment and proper utilization during the implementation process.
CONCLUSIONS: A cross-cutting theme that emerged was the context in which the intervention was implemented, as this was central to each of the three primary themes identified from the focus groups (i.e., the usefulness and appropriateness of the intervention and the implementation process overall). Practitioner buy-in concerns also indicate the need for better addiction service training opportunities for those without addiction-specific educational backgrounds. Future research should assess whether targeted trainings increase addiction screening and education in social services settings.

Entities:  

Keywords:  Implementation; brief alcohol screening; education; social service worker opinions; substance abuse; substance education

Year:  2015        PMID: 25798019      PMCID: PMC4361944          DOI: 10.1080/01488376.2014.980963

Source DB:  PubMed          Journal:  J Soc Serv Res        ISSN: 0148-8376


  31 in total

1.  Staff beliefs about addiction treatment.

Authors:  R F Forman; G Bovasso; G Woody
Journal:  J Subst Abuse Treat       Date:  2001-07

2.  Evidence-based practice, part II: effecting change.

Authors:  Kimberly Eaton Hoagwood; Barbara J Burns
Journal:  Child Adolesc Psychiatr Clin N Am       Date:  2005-04

Review 3.  Measuring provider attitudes toward evidence-based practice: consideration of organizational context and individual differences.

Authors:  Gregory A Aarons
Journal:  Child Adolesc Psychiatr Clin N Am       Date:  2005-04

4.  Barriers to evidence-based practice implementation: results of a qualitative study.

Authors:  Charles A Rapp; Diane Etzel-Wise; Doug Marty; Melinda Coffman; Linda Carlson; Dianne Asher; Jennifer Callaghan; Mark Holter
Journal:  Community Ment Health J       Date:  2009-08-15

5.  Organizational Barriers to Adopting an Alcohol Screening and Brief Intervention in Community-Based Mental Health Organizations.

Authors:  David A Patterson; Silver Wolf Adelv Unegv Waya; Catherine N Dulmus
Journal:  Best Pract Ment Health       Date:  2012-06-01

6.  Brief physician advice for problem drinkers: long-term efficacy and benefit-cost analysis.

Authors:  Michael F Fleming; Marlon P Mundt; Michael T French; Linda Baier Manwell; Ellyn A Stauffacher; Kristen Lawton Barry
Journal:  Alcohol Clin Exp Res       Date:  2002-01       Impact factor: 3.455

7.  Empirically Supported Treatment's Impact on Organizational Culture and Climate.

Authors:  David A Patterson-Silver Wolf; Catherine N Dulmus; Eugene Maguin
Journal:  Res Soc Work Pract       Date:  2012-11

8.  Screening with the Alcohol use Disorders Identification Test (AUDIT) in an inner-city population.

Authors:  J H Isaacson; R Butler; M Zacharek; A Tzelepis
Journal:  J Gen Intern Med       Date:  1994-10       Impact factor: 5.128

9.  Measuring Attitudes Towards Empirically Supported Treatment in Real World Addiction Services.

Authors:  David Patterson Silver Wolf Adelv Unegv Waya; Eugene Maguin; Alex Ramsey; Erin Stringfellow
Journal:  J Soc Work Pract Addict       Date:  2014-01-01

10.  The Alcohol Use Disorders Identification Test (AUDIT): validation of a screening instrument for use in medical settings.

Authors:  M J Bohn; T F Babor; H R Kranzler
Journal:  J Stud Alcohol       Date:  1995-07
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