Adapting, Implementing, and Maintaining a Group Cognitive Behavioral Therapy Program at an Inpatient Addiction Treatment Facility
Jessica L Bourdon,1 Sidney Judson,1 Gabriella Caporaso,1 Monica F Wright,2 Taylor Fields,1 Nehal P Vadhan,3 Jon Morgenstern4 1Center for Addiction Science, Wellbridge Addiction Treatment and Research, Calverton, NY, USA; 2Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA; 3Institute of...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2023-11-01
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| Series: | Substance Abuse and Rehabilitation |
| Subjects: | |
| Online Access: | https://www.dovepress.com/adapting-implementing-and-maintaining-a-group-cognitive-behavioral-the-peer-reviewed-fulltext-article-SAR |
| _version_ | 1827767878887145472 |
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| author | Bourdon JL Judson S Caporaso G Wright MF Fields T Vadhan NP Morgenstern J |
| author_facet | Bourdon JL Judson S Caporaso G Wright MF Fields T Vadhan NP Morgenstern J |
| author_sort | Bourdon JL |
| collection | DOAJ |
| description | Jessica L Bourdon,1 Sidney Judson,1 Gabriella Caporaso,1 Monica F Wright,2 Taylor Fields,1 Nehal P Vadhan,3 Jon Morgenstern4 1Center for Addiction Science, Wellbridge Addiction Treatment and Research, Calverton, NY, USA; 2Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA; 3Institute of Behavioral Science, Feinstein Institutes for Medical Research, Department of Psychiatry, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempsted, NY, USA; 4Department of Psychiatry, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempsted, NY, USACorrespondence: Jessica L Bourdon, Center for Addiction Science, Wellbridge Addiction Treatment and Research, 525 Jan Way, Calverton, NY, 11933, USA, Email jbourdon@wellbridge.orgBackground: Quality training is an oft-cited barrier to effective implementation and ongoing delivery of high-quality evidence-based practice (EBP) across fields. This is especially true in the addiction field, but there is little cited evidence for optimal methods to improve EBP in inpatient addiction facilities with minimal resources.Objective: The current paper focuses on evaluating the state of our facility’s group CBT manual and clinical training on the manual in a “realistic” (ie, non-RCT, non-grant-funded) inpatient addiction treatment setting.Methods: Five full-time clinicians volunteered to take part in the study (woman = 60%; Mage = 36.20 years). The study involved a mix of semi-structured interviews and surveys designed to measure seven outcomes (barriers, feasibility, useability, appropriateness, acceptability, burden, trialability).Results: Three themes emerged from the data that impacted the group CBT manual: training, timing, and functionality. Addressing these themes allowed for a new, optimal manual and training procedure to be put into place.Conclusion: The current study highlights that under-resourced inpatient addiction facilities can still methodically utilize implementation approaches to study their EBP, namely CBT. Such an approach will ensure that the highest quality care is being delivered to patients and actively addresses known training barriers that prevent proper EBP delivery.Plain Language Summary: Quality training is a barrier when implementing evidenced-based practice to treat substance use disorders.CBT is a manualized evidence-based practice that is performed at inpatient addiction facilities.An evaluation of the CBT manual was made by an inpatient addiction facility to identify barriers of implementation of EBPs.Identified barriers included training, timing, and functionality.Keywords: cognitive behavioral therapy, addiction, evidence-based practice, inpatient, substance use disorders |
| first_indexed | 2024-03-11T12:04:52Z |
| format | Article |
| id | doaj.art-86ba2c645029449bbd40e152e95df657 |
| institution | Directory Open Access Journal |
| issn | 1179-8467 |
| language | English |
| last_indexed | 2024-03-11T12:04:52Z |
| publishDate | 2023-11-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Substance Abuse and Rehabilitation |
| spelling | doaj.art-86ba2c645029449bbd40e152e95df6572023-11-07T17:06:36ZengDove Medical PressSubstance Abuse and Rehabilitation1179-84672023-11-01Volume 1411913087930Adapting, Implementing, and Maintaining a Group Cognitive Behavioral Therapy Program at an Inpatient Addiction Treatment FacilityBourdon JLJudson SCaporaso GWright MFFields TVadhan NPMorgenstern JJessica L Bourdon,1 Sidney Judson,1 Gabriella Caporaso,1 Monica F Wright,2 Taylor Fields,1 Nehal P Vadhan,3 Jon Morgenstern4 1Center for Addiction Science, Wellbridge Addiction Treatment and Research, Calverton, NY, USA; 2Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA; 3Institute of Behavioral Science, Feinstein Institutes for Medical Research, Department of Psychiatry, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempsted, NY, USA; 4Department of Psychiatry, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempsted, NY, USACorrespondence: Jessica L Bourdon, Center for Addiction Science, Wellbridge Addiction Treatment and Research, 525 Jan Way, Calverton, NY, 11933, USA, Email jbourdon@wellbridge.orgBackground: Quality training is an oft-cited barrier to effective implementation and ongoing delivery of high-quality evidence-based practice (EBP) across fields. This is especially true in the addiction field, but there is little cited evidence for optimal methods to improve EBP in inpatient addiction facilities with minimal resources.Objective: The current paper focuses on evaluating the state of our facility’s group CBT manual and clinical training on the manual in a “realistic” (ie, non-RCT, non-grant-funded) inpatient addiction treatment setting.Methods: Five full-time clinicians volunteered to take part in the study (woman = 60%; Mage = 36.20 years). The study involved a mix of semi-structured interviews and surveys designed to measure seven outcomes (barriers, feasibility, useability, appropriateness, acceptability, burden, trialability).Results: Three themes emerged from the data that impacted the group CBT manual: training, timing, and functionality. Addressing these themes allowed for a new, optimal manual and training procedure to be put into place.Conclusion: The current study highlights that under-resourced inpatient addiction facilities can still methodically utilize implementation approaches to study their EBP, namely CBT. Such an approach will ensure that the highest quality care is being delivered to patients and actively addresses known training barriers that prevent proper EBP delivery.Plain Language Summary: Quality training is a barrier when implementing evidenced-based practice to treat substance use disorders.CBT is a manualized evidence-based practice that is performed at inpatient addiction facilities.An evaluation of the CBT manual was made by an inpatient addiction facility to identify barriers of implementation of EBPs.Identified barriers included training, timing, and functionality.Keywords: cognitive behavioral therapy, addiction, evidence-based practice, inpatient, substance use disordershttps://www.dovepress.com/adapting-implementing-and-maintaining-a-group-cognitive-behavioral-the-peer-reviewed-fulltext-article-SARcognitive behavioral therapyaddictionevidence-based practiceinpatientsubstance use disorders |
| spellingShingle | Bourdon JL Judson S Caporaso G Wright MF Fields T Vadhan NP Morgenstern J Adapting, Implementing, and Maintaining a Group Cognitive Behavioral Therapy Program at an Inpatient Addiction Treatment Facility Substance Abuse and Rehabilitation cognitive behavioral therapy addiction evidence-based practice inpatient substance use disorders |
| title | Adapting, Implementing, and Maintaining a Group Cognitive Behavioral Therapy Program at an Inpatient Addiction Treatment Facility |
| title_full | Adapting, Implementing, and Maintaining a Group Cognitive Behavioral Therapy Program at an Inpatient Addiction Treatment Facility |
| title_fullStr | Adapting, Implementing, and Maintaining a Group Cognitive Behavioral Therapy Program at an Inpatient Addiction Treatment Facility |
| title_full_unstemmed | Adapting, Implementing, and Maintaining a Group Cognitive Behavioral Therapy Program at an Inpatient Addiction Treatment Facility |
| title_short | Adapting, Implementing, and Maintaining a Group Cognitive Behavioral Therapy Program at an Inpatient Addiction Treatment Facility |
| title_sort | adapting implementing and maintaining a group cognitive behavioral therapy program at an inpatient addiction treatment facility |
| topic | cognitive behavioral therapy addiction evidence-based practice inpatient substance use disorders |
| url | https://www.dovepress.com/adapting-implementing-and-maintaining-a-group-cognitive-behavioral-the-peer-reviewed-fulltext-article-SAR |
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