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Pharmacotherapy includes a growing number of clinically effective medications for substance use disorder, yet there are significant barriers to its adoption and implementation in routine clinical practice. The Medication Research Partnership (MRP) was a successful effort to promote adoption of pharmacotherapy for opioid and alcohol use disorders in nine substance abuse treatment centers and a commercial health plan. This qualitative analysis of interviews (n = 39) conducted with change leaders at baseline and at the end/beginning of 6-month change cycles explains how treatment centers overcame obstacles to the adoption, implementation, and sustainability of pharmacotherapy. Results show that barriers to adopting, implementing, and sustaining pharmacotherapy can be overcome through incremental testing of organizational change strategies, accompanied by expert coaching and a learning community of like-minded professionals. The greatest challenges lie in overcoming abstinence-only philosophies, establishing a business case for pharmacotherapy, and working with payers and pharmaceutical representatives.

Substance abuse treatment agencies serving youth face unique barriers to providing quality care. Interviews with 17 adolescent programs found that family engagement, community involvement, and gender and diversity issues affected [...]

These are unprecedented times in the field of addiction services. State capitols around the country are dealing with deep holes in their budgets by making serious, often draconian, cuts to [...]

Since 2003, the Network for the Improvement of Addiction Treatment (NIATx) has worked with treatment providers around the country to make more efficient use of their capacity and to achieve [...]

Purpose — This paper seeks to discuss measurement units by comparing the internet use and the traditional media use, and to understand internet use from the traditional media use perspective. Design/methodology/approach — Benefits and shortcomings of two log file types will be carefully and exhaustively examined. Client-side and server-side log files will be analyzed and compared with proposed units of analysis. Findings — Server-side session time calculation was remarkably reliable and valid based on the high correlation with the client-side time calculation. The analysis result revealed that the server-side log file session time measurement seems more promising than the researchers previously speculated. Practical implications — An ability to identify each individual user and low caching problems were strong advantages for the analysis. Those web design implementations and web log data analysis scheme are recommended for future web log analysis research. Originality/value — This paper examined the validity of the client-side and the server-side web log data. As a result of the triangulation of two datasets, research designs and propose analysis schemes could be recommended. [ABSTRACT FROM AUTHOR]