Treatment programs in the National Drug Abuse Treatment Clinical Trials Network.
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.
McCarty
Dennis
D
Oregon Health & Science University, 3181 SW Sam Jackson Park Road, CB669, Portland, OR 97239, USA. mccartyd@ohsu.edu
Fuller
Bret
B
Kaskutas
Lee Ann
LA
Wendt
William W
WW
Nunes
Edward V
EV
Miller
Michael
M
Forman
Robert
R
Magruder
Kathryn M
KM
Arfken
Cynthia
C
Copersino
Marc
M
Floyd
Anthony
A
Sindelar
Jody
J
Edmundson
Eldon
E
D000068:Accreditation; D000437:Alcoholism / Q000534:rehabilitation; D000704:Analysis of Variance; D003219:Confidentiality; D003627:Data Interpretation, Statistical; D019538:Health Care Surveys; D006556:Heroin Dependence / Q000534:rehabilitation; D006801:Humans; D008691:Methadone / Q000627:therapeutic use; D017146:Models, Organizational; D009294:Narcotics / Q000627:therapeutic use; D010686:Philosophy, Medical; D011785:Quality Assurance, Health Care; D012114:Residential Treatment / Q000706:statistics & numerical data; D016320:Substance Abuse Treatment Centers / Q000458:organization & administration* / Q000706:statistics & numerical data; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000534:rehabilitation*; D014481:United States; D000078329:Workforce
D009294:Narcotics; D008691:Methadone