Barriers to implementing evidence-based practices in addiction treatment programs: comparing staff
This qualitative study explores barriers to implementing evidence-based practices (EBPs) in community-based addiction treatment organizations (CBOs) by comparing staff descriptions of barriers for four EBPs: Motivational Interviewing (MI), Adolescent Community Reinforcement Approach (A-CRA), Assertive Community Treatment (ACT), and Cognitive-behavioral Therapy (CBT). The results show that front-line staff describes different types of barriers to implementing each EBP. For MI, the majority of barriers involved staff resistance or organizational setting. For CBT, the majority of barriers were associated with client resistance, and for ACT, the majority of barriers were associated with resources. The authors conclude that addiction programs proposing to use specific EBPs must consider whether they have the organizational capacity, as well as the community capacity, to meet the demands of that practice. EBP dissemination to programs should include explicit strategies to address such barriers.
Keywords: psychotherapy evidence-based practice community-based substance abuse treatment motivational interviewing (mi) adolescent community reinforcement approach (a-cra) cognitive-behavioral therapy (cbt) module 2 module 4
Amodeo, M., Lundgren, L., Cohen, A., Rose, D., Chassler, D., Beltrame, C., & D’Ippolito, M. (2011). Barriers to implementing evidence-based practices in addiction treatment programs: comparing staff reports on motivational interviewing, adolescent community reinforcement approach, assertive community treatment, and cognitive-behavioral therapy. Evaluation and program planning, 34(4), 382-389