TY - JOUR
T1 - Dissemination of cognitive behavioral therapy for substance use disorders in the Department of Veterans Affairs Health Care System
T2 - Description and evaluation of Veteran outcomes
AU - DeMarce, Josephine M.
AU - Gnys, Maryann
AU - Raffa, Susan D.
AU - Kumpula, Mandy
AU - Karlin, Bradley E.
N1 - Funding Information:
The authors wish to thank Kirsten Funk, Heidi Kar, Daniel Kivlihan, and John Baer for their contributions to the development and implementation of the VA CBT for Substance Use Disorders Training Program. The authors also wish to thank the VA CBT for Substance Use Disorders Training Program trainers and consultants. This project was supported by the National Evidence-Based Psychotherapy Training Program, Department of Veterans Affairs Office of Mental Health and Suicide Prevention and the VISN 6 Mental Illness Research, Education and Clinical Center. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the United States Government. This evaluation did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. Partial results were presented at the annual meeting of the Association for Behavioral and Cognitive Therapies (November 2015), Chicago, Illinois.
Funding Information:
The funding organization had no role in the design and conduct of the program evaluation project; collection, management, analysis, and interpretation of the data; preparation of the manuscript, or decision to submit the manuscript for publication. Consistent with organization policy, the Department of Veterans Affairs Office of Mental Health and Suicide Prevention did participate in review and approval of the manuscript. The authors wish to thank Kirsten Funk, Heidi Kar, Daniel Kivlihan, and John Baer for their contributions to the development and implementation of the VA CBT for Substance Use Disorders Training Program. The authors also wish to thank the VA CBT for Substance Use Disorders Training Program trainers and consultants. This project was supported by the National Evidence-Based Psychotherapy Training Program, Department of Veterans Affairs Office of Mental Health and Suicide Prevention and the VISN 6 Mental Illness Research, Education and Clinical Center. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the United States Government. This evaluation did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. Partial results were presented at the annual meeting of the Association for Behavioral and Cognitive Therapies (November 2015), Chicago, Illinois.
Publisher Copyright:
© This work was authored as part of the Contributor’s official duties as an Employee of the United States Government and is therefore a work of the United States Government. In accordance with 17 U.S.C. 105, no copyright protection is available for such works under U.S. Law.
PY - 2021
Y1 - 2021
N2 - Background: As part of the nation’s largest dissemination and implementation of evidence-based psychotherapies (EBPs) and the promotion of EBPs for substance use disorders (SUDs), the Veterans Health Administration (VHA) is working to nationally implement Cognitive Behavioral Therapy for SUD (CBT-SUD). The current manuscript describes the approach to system-wide training and reports Veteran outcomes associated with CBT-SUD implementation. Methods: Four-hundred fifty-eight Veterans with a range of treatment goals received treatment through the Department of Veterans Affairs (VA) CBT-SUD Training Program. Veteran outcomes related to substance use, substance use-related problems, and quality of life were assessed with the Brief Addiction Monitor, the Short Inventory of Problems, and the World Health Organization Quality of Life-BREF. Results: Statistically significant reductions in alcohol use, heavy alcohol use, other drug use, and substance use-related problems, as well as significant improvements in quality of life, were observed over the course of treatment. Conclusions: Program evaluation findings suggest that large-scale training in and implementation of EBPs for SUDs is associated with improvements in substance use and other functional outcomes. Limitations from this real-world implementation project, including the lack of a control group and missing post-treatment data, are discussed.
AB - Background: As part of the nation’s largest dissemination and implementation of evidence-based psychotherapies (EBPs) and the promotion of EBPs for substance use disorders (SUDs), the Veterans Health Administration (VHA) is working to nationally implement Cognitive Behavioral Therapy for SUD (CBT-SUD). The current manuscript describes the approach to system-wide training and reports Veteran outcomes associated with CBT-SUD implementation. Methods: Four-hundred fifty-eight Veterans with a range of treatment goals received treatment through the Department of Veterans Affairs (VA) CBT-SUD Training Program. Veteran outcomes related to substance use, substance use-related problems, and quality of life were assessed with the Brief Addiction Monitor, the Short Inventory of Problems, and the World Health Organization Quality of Life-BREF. Results: Statistically significant reductions in alcohol use, heavy alcohol use, other drug use, and substance use-related problems, as well as significant improvements in quality of life, were observed over the course of treatment. Conclusions: Program evaluation findings suggest that large-scale training in and implementation of EBPs for SUDs is associated with improvements in substance use and other functional outcomes. Limitations from this real-world implementation project, including the lack of a control group and missing post-treatment data, are discussed.
KW - Cognitive behavioral therapy
KW - Veterans
KW - dissemination
KW - evidence-based psychotherapy
KW - implementation
KW - substance use disorders
UR - http://www.scopus.com/inward/record.url?scp=85074516168&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85074516168&partnerID=8YFLogxK
U2 - 10.1080/08897077.2019.1674238
DO - 10.1080/08897077.2019.1674238
M3 - Article
C2 - 31644386
AN - SCOPUS:85074516168
SN - 0889-7077
VL - 42
SP - 168
EP - 174
JO - Substance Abuse
JF - Substance Abuse
IS - 2
ER -