Abstract
Pharmacotherapy includes a growing number of clinically effective medications for substance use disorder, yet there are significant barriers to its adoption and implementation in routine clinical practice. The Medication Research Partnership (MRP) was a successful effort to promote adoption of pharmacotherapy for opioid and alcohol use disorders in nine substance abuse treatment centers and a commercial health plan. This qualitative analysis of interviews (n = 39) conducted with change leaders at baseline and at the end/beginning of 6-month change cycles explains how treatment centers overcame obstacles to the adoption, implementation, and sustainability of pharmacotherapy. Results show that barriers to adopting, implementing, and sustaining pharmacotherapy can be overcome through incremental testing of organizational change strategies, accompanied by expert coaching and a learning community of like-minded professionals. The greatest challenges lie in overcoming abstinence-only philosophies, establishing a business case for pharmacotherapy, and working with payers and pharmaceutical representatives.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1-10 |
| Number of pages | 10 |
| Journal | Journal of Behavioral Health Services and Research |
| DOIs | |
| State | Accepted/In press - May 29 2018 |
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ASJC Scopus subject areas
- Health(social science)
- Health Policy
- Public Health, Environmental and Occupational Health
Cite this
Overcoming Barriers to Adopting and Implementing Pharmacotherapy : the Medication Research Partnership. / Croff, Raina; Hoffman, Kim; Alanis-Hirsch, Kelly; Ford, Jay; McCarty, Dennis; Schmidt, Laura.
In: Journal of Behavioral Health Services and Research, 29.05.2018, p. 1-10.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Overcoming Barriers to Adopting and Implementing Pharmacotherapy
T2 - the Medication Research Partnership
AU - Croff, Raina
AU - Hoffman, Kim
AU - Alanis-Hirsch, Kelly
AU - Ford, Jay
AU - McCarty, Dennis
AU - Schmidt, Laura
PY - 2018/5/29
Y1 - 2018/5/29
N2 - Pharmacotherapy includes a growing number of clinically effective medications for substance use disorder, yet there are significant barriers to its adoption and implementation in routine clinical practice. The Medication Research Partnership (MRP) was a successful effort to promote adoption of pharmacotherapy for opioid and alcohol use disorders in nine substance abuse treatment centers and a commercial health plan. This qualitative analysis of interviews (n = 39) conducted with change leaders at baseline and at the end/beginning of 6-month change cycles explains how treatment centers overcame obstacles to the adoption, implementation, and sustainability of pharmacotherapy. Results show that barriers to adopting, implementing, and sustaining pharmacotherapy can be overcome through incremental testing of organizational change strategies, accompanied by expert coaching and a learning community of like-minded professionals. The greatest challenges lie in overcoming abstinence-only philosophies, establishing a business case for pharmacotherapy, and working with payers and pharmaceutical representatives.
AB - Pharmacotherapy includes a growing number of clinically effective medications for substance use disorder, yet there are significant barriers to its adoption and implementation in routine clinical practice. The Medication Research Partnership (MRP) was a successful effort to promote adoption of pharmacotherapy for opioid and alcohol use disorders in nine substance abuse treatment centers and a commercial health plan. This qualitative analysis of interviews (n = 39) conducted with change leaders at baseline and at the end/beginning of 6-month change cycles explains how treatment centers overcame obstacles to the adoption, implementation, and sustainability of pharmacotherapy. Results show that barriers to adopting, implementing, and sustaining pharmacotherapy can be overcome through incremental testing of organizational change strategies, accompanied by expert coaching and a learning community of like-minded professionals. The greatest challenges lie in overcoming abstinence-only philosophies, establishing a business case for pharmacotherapy, and working with payers and pharmaceutical representatives.
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U2 - 10.1007/s11414-018-9616-9
DO - 10.1007/s11414-018-9616-9
M3 - Article
C2 - 29845513
AN - SCOPUS:85047662261
SP - 1
EP - 10
JO - Journal of Behavioral Health Services and Research
JF - Journal of Behavioral Health Services and Research
SN - 1094-3412
ER -