A pilot study of community-friendly manual-guided drug counseling.
Therapist training manuals that are more "community friendly" are needed to facilitate effectiveness testing and dissemination of treatments to community based setting. The aim of the current project was to create revised versions of individual drug counseling (IDC) and group drug counseling (GDC) treatment manuals for cocaine dependence and to conduct a preliminary study of their effectiveness. After changing the format and context of existing drug counseling manuals to have greater ease of use in the community, draft manuals were given to 23 community-based counselors for their feedback. Final versions were then used in a pilot randomized clinical trial involving 41 cocaine-dependent patients who received 3 months of either IDC + GDC or GDC-alone treatment. Counselors implemented the new treatment manuals with acceptable levels of adherence and competence. Outcome results indicated that substantial change in drug use was evident, but the amount of abstinence obtained was limited.
Crits-Christoph
Paul
P
Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA. crits@mail.med.upenn.edu
Gibbons
Mary Beth Connolly
MB
Ring-Kurtz
Sarah
S
Gallop
Robert
R
Present
Julie
J
D000328:Adult; D019970:Cocaine-Related Disorders / Q000534:rehabilitation*; D003156:Community Mental Health Services / Q000379:methods; D037001:Directive Counseling / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D019983:Guideline Adherence; D006801:Humans; D008297:Male; D008370:Manuals as Topic; D008875:Middle Aged; D010865:Pilot Projects; D011361:Professional Competence; D011615:Psychotherapy, Group / Q000379:methods*; D016896:Treatment Outcome