Addiction treatment staff perceptions of training as a facilitator or barrier to implementing evidence-based practices: A national qualitative research study.

Substance abuse : official publication of the Association for Medical Education and Research in Substance Abuse

PubMedID: 24965059

D'Ippolito M, Lundgren L, Amodeo M, Beltrame C, Lim L, Chassler D. Addiction treatment staff perceptions of training as a facilitator or barrier to implementing evidence-based practices: A national qualitative research study. Subst Abus. 2013;.
ABSTRACT Background: This qualitative effort examines training related facilitators and barriers to implementing evidence-based practices (EBPs) in 285 community-based addiction treatment organizations (CBOs) nationwide that were funded by SAMHSA/CSAT to implement EBPs. Methods: Using qualitative interviews, authors explored staff (n = 514) descriptions of training as a facilitator or barrier to implementation. Training related factors were described 663 times as facilitators (by 440 staff) and 233 times as barriers (by 170 staff). Responses were coded using content analysis. Results: Specific characteristics of the training received, such as, access to expert knowledge and quality, as well as ongoing training were described as central facilitating factors to EBP implementation. Key reasons training was perceived as a barrier included: amount of training, training did not fit current staff and/or organizational needs, training for some EBPs was perceived to be too demanding, and difficulty accessing training. Conclusions: Since government funders of addiction treatments require that CBOs implement EBPs and they provide training resources, the quality, flexibility and accessibility of the available training needs to be promoted throughout the addiction treatment network. Only 17% of CBOs reported that they used the SAMHSA-funded ATTC (Addiction Technology Transfer Center) training centers and 42% used SAMHSA technical assistance. Hence, federally-funded resources for training were not always used.