Implementation of evidence-based practices for treatment of alcohol and drug disorders: The role of the state authority

Traci R. Rieckmann, Anne E. Kovas, Holly E. Fussell, Nicole M. Stettler

Research output: Contribution to journalArticlepeer-review

35 Scopus citations

Abstract

The current climate of increasing performance expectations and diminishing resources, along with innovations in evidence-based practices (EBPs), creates new dilemmas for substance abuse treatment providers, policymakers, funders, and the service delivery system. This paper describes findings from baseline interviews with representatives from 49 state substance abuse authorities (SSAs). Interviews assessed efforts aimed at facilitating EBP adoption in each state and the District of Columbia. Results suggested that SSAs are concentrating more effort on EBP implementation strategies such as education, training, and infrastructure development, and less effort on financial mechanisms, regulations, and accreditation. The majority of SSAs use EBPs as a criterion in their contracts with providers, and just over half reported that EBP use is tied to state funding. To date, Oregon remains the only state with legislation that mandates treatment expenditures for EBPs; North Carolina follows suit with legislation that requires EBP promotion within current resources.

Original languageEnglish (US)
Pages (from-to)407-419
Number of pages13
JournalJournal of Behavioral Health Services and Research
Volume36
Issue number4
DOIs
StatePublished - Oct 2009

Keywords

  • Evidence-based practices
  • Implementation
  • State policy
  • Substance abuse treatment

ASJC Scopus subject areas

  • Health(social science)
  • Health Policy
  • Public Health, Environmental and Occupational Health

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