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Treatment Program Perspectives: Conducting Research in the NIDA Clinical Trials Network

Treatment Program Perspectives: Conducting Research in the NIDA Clinical Trials Network. Yong S. Song, PhD. NIDA Clinical Trials Network. Cooperative undertaking of NIDA, university researchers & community treatment providers

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Treatment Program Perspectives: Conducting Research in the NIDA Clinical Trials Network

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  1. Treatment Program Perspectives: Conducting Research in the NIDA Clinical Trials Network Yong S. Song, PhD

  2. NIDA Clinical Trials Network • Cooperative undertaking of NIDA, university researchers & community treatment providers • Researchers & clinicians work together to test empirically-based treatments in “real world” community settings • Incorporating research into community treatment programs

  3. San Francisco General Hospital • CTP of California/Arizona Node of NIDA CTN • Teaching hospital for UCSF School of Medicine • County hospital providing care to SF’s indigent population • Opiate Treatment Outpatient Program (OTOP) • Long history of treating IDUs w/ HIV • Integrated substance abuse, HIV & mental health services • University-based methadone programs well researched • OTOP research familiar clinic and staff • Several extramurally funded studies (Sorensen et al)

  4. CTN Protocol 0018 • HIV/STD Safer Sex Skills Groups for Men in Methadone Maintenance or Drug-Free Outpatient Treatment Programs • Don Calsyn - Lead Investigator • Collective effort involving research & clinical staff

  5. Treatment Program Perspectives • Training & Supervision • Implementation Issues • Managing Resources & Staff Time • Goals & Expectations for research

  6. Training & Supervision • Week long training for counselors • Protocol trainings perceived as “intense” • Protocol certification process difficult for some • Comfort with sexual material • Process of supervision

  7. Implementation Issues • Providing manualized treatment • Fidelity checks • Co-facilitation of groups • Attendance & pt tracking strategies • Clinical staff guidance in scheduling sessions

  8. Resources & Staff Time • Counselor turn-over in SUD programs high • Clinical issues take priority • Balancing busy clinical load with research duties

  9. Goals & Expectations • Multiple additional commitments • Flexibility needed to please 2 masters • Sometimes perceived as additional “burden” • Feedback loop to clinical program

  10. Lessons Learned • Incorporating research into clinical programs provided opportunities for many • Opportunity for clinics to receive training about empirically validated treatments and new clinical opportunities • Opportunity for researchers to conduct better research applied in real-life settings

  11. Sara Berns, PhD Jennifer Borrow, MA Bill Buehlman Donald Calysn, PhD TeChieh Chen, BA Rhodri Dierst-Davies, BA Valerie Gruber, PhD Mary Hatch-Malliette, PhD Nancy Haug, PhD Bryan Jackson Carmen Masson, PhD Barbara Paschke, M.Ed Edward Pease, RN Sarah Pelta, MA Luis Ramos Dora Scott Michael Shopshire, PhD James Sorensen, PhD Acknowledgements • NIDA U10DA015815 (James Sorensen, PI)

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