Scattering of Evidence-based Practices EBPs in Substance Abuse Treatment

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Characterizing Features of Matrix Model Treatments. Thorough, manual-driven, one year program with straightforward, very much composed instructions.Developed from grassroots, clinical system with experimentally based mediations added where they appear to work.Patient gifts go with every session and patient exercise manual contains composed and delineated ideas..

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Spread of Evidence-based Practices (EBPs) in Substance Abuse Treatment The Matrix Model Of Intensive Outpatient Treatment Jeanne Obert, MFT, MSM Co-author and Executive Director Matrix Institute on Addictions (A non-benefit 501c3 open philanthropy)

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Defining Features of Matrix Model Treatments Comprehensive, manual-driven, one year program with straightforward, efficient guidelines. Created from grassroots, clinical program with observationally based mediations added where they appear to work. Tolerant freebees go with every session and patient exercise manual contains composed and outlined ideas.

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CSAT and Hazelden both distributed the treatment manuals and are working with Matrix to give excellent spread and preparing

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The DISSEMINATION DILEMMA was SPEED OF DISSEMINATION (i.e. prepare the-coaches) EFFECTIVNESS (profoundly specific) (exceptionally escalated) VS.

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Matrix Model dispersal got from D. Simpson's Stages of Adaptation (2002) Step I - Exposure (to new thoughts) Step 2 - Adoption (formal choice to attempt change) Step 3 - Implementation (supplier tests utilization of development) Step 4 - Practice (consolidation of advancement into normal use) As well as the Motivational Interviewing Network of Trainers (MINT) and the CARF confirmation prepare

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Matrix Model Dissemination <30 individuals 2 days 3-8 individuals 2.5 days Requested by Key Supervisor Program running for >6 months 2 or 3 yr. affirmation

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Key Concepts of Matrix Dissemination Efforts Qualities that make an incredible mentor are not really the same as qualities as those that roll out a decent administrator and improvement specialist (hidden supposition of prepare the-coach display) Matrix mentors should be individuals who have encounter utilizing the model and adjusting it to different populaces and circumstances. They are extremely constrained in number and work specifically for Matrix. Directors are the key nearby individuals to advocate for devotion to the model and ensure staff are very much prepared. Some of them will in the long run do the visits to locales asking for affirmation. Grid attempts to build up a solid Key Supervisor organize Certified destinations will in the long run give us finish and other information.

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Progress and Problems to date Progress Problems Too many individuals getting the manuals and executing the program with no preparation Difficult to deal with the Key Supervisor list serve in a way that is useful to all Need to discover the assets to do a yearly Key Supervisor meeting (we've had 2) Difficult to discover the assets to gather and arrange the information from the guaranteed locales Basic trainings 2005-2009 = more than 400 trainings finished in 47 states and on 5 landmasses More than 6,000 individuals prepared Key chief trainings Started in 2006 More than 350 Key bosses prepared Certification Program Started in 2009 10 destinations by and by affirmed

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References and Acknowledgments University of South Florida, The National Implementation Research Network, "Usage Research: A Synthesis of the Literature – 2005 Simpson, D. D. (2002). A reasonable system for exchanging exploration to practice.  Journal of Substance Abuse Treatment, 22 (4), 171-182. People outside Matrix who added to the conceptualization and usage: Steve Gallon, Ph.D. H. Westley Clark, M.D., J.D., M.P.H. Walter Ling, M.D. William Miller, Ph.D. Richard Rawson, Ph.D. Cheryl Gallagher

Slide 10 Matrix Institute on Addictions 1850 Sawtelle Blvd., Suite 470 Los Angeles, CA 90025 (310) 478-6006

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Step 1 – Exposure to New Ideas External strengths giving stimulus to introduction: Providers searching for answers to working with methamphetamine abusers States and provinces obliging projects to utilize confirm based treatment models (NREPP) Manuals broadly publicized and scattered with proposals for getting prepared

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Step I – Exposure to New Ideas Sales of Matrix Manuals Hazelden = 2200 manuals in 4 years in addition to more than 800 immature manuals in 3 years in 50 states in addition to Guam and the Virgin Islands Internationally = Europe (Ireland, Finland, Portugal, Spain and Netherlands), Africa, Middle East (Lebanon), Asia (Korea, Japan, Taiwan, Vietnam, Thailand), Australia and Saipan.

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Step 2 – Adoption (Formal choice to attempt change ) Evidence of choice to change might be the booking of the center preparing Decision to embrace may take after the center preparing and afterward confirmation of choice might choose and sending a Key Supervisor for further preparing

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Step 2 - Adoption 2 Day Core Training (Adult and Adolescent) From 2005-2009, more than 400 trainings finished in 47 states and on 5 landmasses. More than 6,000 individuals prepared.

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Step 3 - Implementation Key Supervisor Training began in 2006 More than 350 Key Supervisors prepared (in gatherings of 8 or less) to: 1. Survey constancy utilizing institutionalized instruments 2. Prepare new staff (when turnover happens) 3. Regulate clinicians conveying the Matrix Model 4. Work with organization to advocate for loyalty 5. Actualize program in one of a kind settings 6. Set up and arrange a socially particular program 7. Teach people group accomplices about the new model of treatment

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Matrix Model Key Supervisor Strong champion who can fill in as a change specialist/purveyor in the appropriation procedure Serves as a contact amongst Matrix and embracing program Helps instruct staff and executives about new program Clinical pioneer who knows the model well and can help other people learn

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Step 3 - Implementation ( Provider tests utilization of advancement) List serve discourses help Key Supervisors with usage issues. Yearly Key Supervisor meeting takes into consideration sharing of data and consolation. Devotion Checklists are a piece of the Key Supervisor Training and fill in as the reason for nonstop quality change.

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Step 4 – Practice (fuse of advancement into consistent utilize) Key Supervisors are prepared in: How to set up and sort out a socially particular program How to regulate clinical staff conveying the program How to teach group accomplices about the new model of treatment How to prepare new staff when turn-over happens Key Supervisors can ask for Certification following 6 months of operation. Accreditation prepare gives official acknowledgment that a program is working with loyalty.

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Step 4 - Practice Certification Program = starting 2009 Response to request from the field – especially financing sources Requires a site to have been prepared, to have an on location Key Supervisor and to have been actualizing Model for over 6 months. Network Model Fidelity Instruments (adjusted from the CSAT Methamphetamine Treatment Project) utilized Sites allowed 2 or 3 year accreditations with information detailing prerequisites