TY - JOUR
T1 - Treatment programs in the National Drug Abuse Treatment Clinical Trials Network
AU - McCarty, Dennis
AU - Fuller, Bret
AU - Kaskutas, Lee Ann
AU - Wendt, William W.
AU - Nunes, Edward V.
AU - Miller, Michael
AU - Forman, Robert
AU - Magruder, Kathryn M.
AU - Arfken, Cynthia
AU - Copersino, Marc
AU - Floyd, Anthony
AU - Sindelar, Jody
AU - Edmundson, Eldon
N1 - Funding Information:
Role of the funding source: Cooperative agreements from the National Institute on Drug Abuse (NIDA) supported the design, distribution, collection and analysis of the organizational, treatment unit and workforce surveys within the CTN: California-Arizona Node (U10 DA15815), Delaware Valley Node (U10 DA13043), Florida Node (U10 DA13720), Great Lakes Node (U10 DA13710), Long Island Node (U10 DA13035), Mid-Atlantic Node (U10 DA13034), New England Node (U10 DA13038), New York Node (U10 DA13046), North Carolina Node (U10 DA13711), Northern New England Node (U10 DA15831), Ohio Valley Node (U10 DA13732), Oregon Node (U10 DA13036), Pacific Node (U10 DA13045), Rocky Mountain Node (U10 DA13716), South Carolina Node (U10 DA13727), Southwest Node (U10 DA15833), and Washington Node (U10 DA13714). NIDA's Center for the Clinical Trial Network participated in the development of the protocol and the CTN's Publication Committee reviewed and approved the manuscript. Earlier versions of this manuscript were presented at CTN Steering Committee meetings.
PY - 2008/1/1
Y1 - 2008/1/1
N2 - Drug abuse treatment programs and university-based research centers collaborate to test emerging therapies for alcohol and drug disorders in the National Drug Abuse Treatment Clinical Trials Network (CTN). Programs participating in the CTN completed Organizational Surveys (n = 106 of 112; 95% response rate) and Treatment Unit Surveys (n = 348 of 384; 91% response rate) to describe the levels of care, ancillary services, patient demographics, patient drug use and co-occurring conditions. Analyses describe the corporations participating in the CTN and provide an exploratory assessment of variation in treatment philosophies. A diversity of treatment centers participate in the CTN; not for profit organizations with a primary mission of treating alcohol and drug disorders dominate. Compared to National Survey of Substance Abuse Treatment Services (N-SSATS), programs located in medical settings are over-represented and centers that are mental health clinics are under-represented. Outpatient, methadone, long-term residential and inpatient treatment units differed on patients served and services provided. Larger programs with higher counselor caseloads in residential settings reported more social model characteristics. Programs with higher social model scores were more likely to offer self-help meetings, vocational services and specialized services for women. Conversely, programs with accreditation had less social model influence. The CTN is an ambitious effort to engage community-based treatment organizations into research and more fully integrate research and practice.
AB - Drug abuse treatment programs and university-based research centers collaborate to test emerging therapies for alcohol and drug disorders in the National Drug Abuse Treatment Clinical Trials Network (CTN). Programs participating in the CTN completed Organizational Surveys (n = 106 of 112; 95% response rate) and Treatment Unit Surveys (n = 348 of 384; 91% response rate) to describe the levels of care, ancillary services, patient demographics, patient drug use and co-occurring conditions. Analyses describe the corporations participating in the CTN and provide an exploratory assessment of variation in treatment philosophies. A diversity of treatment centers participate in the CTN; not for profit organizations with a primary mission of treating alcohol and drug disorders dominate. Compared to National Survey of Substance Abuse Treatment Services (N-SSATS), programs located in medical settings are over-represented and centers that are mental health clinics are under-represented. Outpatient, methadone, long-term residential and inpatient treatment units differed on patients served and services provided. Larger programs with higher counselor caseloads in residential settings reported more social model characteristics. Programs with higher social model scores were more likely to offer self-help meetings, vocational services and specialized services for women. Conversely, programs with accreditation had less social model influence. The CTN is an ambitious effort to engage community-based treatment organizations into research and more fully integrate research and practice.
KW - Clinical Trials Network
KW - Drug abuse treatment
KW - Medical model
KW - Social model
KW - Treatment philosophy
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UR - http://www.scopus.com/inward/citedby.url?scp=36849084938&partnerID=8YFLogxK
U2 - 10.1016/j.drugalcdep.2007.08.004
DO - 10.1016/j.drugalcdep.2007.08.004
M3 - Article
C2 - 17875368
AN - SCOPUS:36849084938
SN - 0376-8716
VL - 92
SP - 200
EP - 207
JO - Drug and Alcohol Dependence
JF - Drug and Alcohol Dependence
IS - 1-3
ER -