Latent practice profiles of substance abuse treatment counselors: do evidence-based techniques displace traditional techniques?
As more substance abuse treatment counselors begin to use evidence-based treatment techniques, questions arise regarding the continued use of traditional techniques. This study aims to (1) assess whether there are meaningful practice profiles among practitioners reflecting distinct combinations of cognitive-behavioral and traditional treatment techniques; and (2) if so, identify practitioner characteristics associated with the distinct practice profiles. Survey data from 278 frontline counselors working in community substance abuse treatment organizations were used to conduct latent profile analysis. The emergent practice profiles illustrate that practitioners vary most in the use of traditional techniques. Multinomial regression models suggest that practitioners with less experience, more education, and less traditional beliefs about treatment and substance abuse are least likely to mix traditional techniques with cognitive-behavioral techniques. Findings add to the understanding of how evidence-based practices are implemented in routine settings and have implications for training and support of substance abuse treatment counselors.
School of Social Work, University of Alabama, Tuscaloosa, Alabama 35487, United States. Electronic address: bsmith2@sw.ua.edu.
Brenda D
BD
Smith
National Committee for Quality Assurance, 1100 13th St., NW Suite 1000, Washington, D.C. 20005. Electronic address: liu@ncqa.org.
Junqing
J
Liu
D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003156:Community Mental Health Services / Q000379:methods / Q000706:statistics & numerical data; D003376:Counseling / Q000193:education / Q000379:methods*; D003430:Cross-Sectional Studies; D003625:Data Collection; D019317:Evidence-Based Medicine / Q000379:methods*; D006801:Humans; D012044:Regression Analysis; D019966:Substance-Related Disorders / Q000534:rehabilitation*
12-step treatment; Evidence-based practice; Implementation science; Latent profile analysis; Substance abuse treatment