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December 20, 2007
Last Updated: December 20, 2007
Flynn, P. M., & Brown, B. S. (2008). Co-occurring disorders in substance abuse treatment: Issues and prospects. Journal of Substance Abuse Treatment, 34(1), 36-47.
Abstract: Epidemiological implications of co-occurring disorders are explored and potential influences on substance abuse treatment and client functioning are discussed. Severity of disorders is emphasized as an issue in the selection of specialized as opposed to traditional substance abuse treatments. Implications of resource availability, particularly existing human resources, for undertaking initiatives specific to co-occurring disorder are presented. Research findings from standard and enhanced treatment for individuals with co-occurring mental health and substance use disorders are examined in an effort to identify personnel needs for both specialized and typical treatments. Consideration is given to assessment and diagnosis, manpower and training, and response to the challenge of relapse in this population. Conclusions and recommendations are presented for both clinical research and treatment provider communities.Publications In Press
Joe, G. W., Simpson, D. D., & Szal, G. A. (in press). Interaction of counseling rapport and topics discussed in sessions with methadone treatment clients. Substance Use & Misuse.
Abstract: Therapeutic rapport between counselors and clients in drug user treatment has been shown to be an important predictor of follow-up outcomes. This naturalistic study investigated the relationship of counseling rapport to drug-related topics discussed in counseling sessions in a sample of 330 clients and nine counselors. A majority of the clients were males, Hispanic, had a pending legal status and the average age was 39. The results supported the hypothesis that higher rapport would be associated with addressing clients in a more “supportive approach” that emphasized relapse prevention and strengths-building while lower rapport would be associated with a punitive counseling style that stressed program rules and compliance. Client background, counselor differences, and during-treatment positive urines were examined as factors. The findings indicate that focusing on constructive solutions is the preferred counseling approach.
Simpson, D. D. (in press). Organizational readiness for stage-based dynamics of innovation implementation. Research on Social Work Practice.
Abstract: There is growing recognition that implementing clinical innovations is a stage-based process and, much like the links in a chain, its overall strength depends on the durability of every element. This paper addresses requirements for successful implementation of evidence-based practice innovations, and uses research experiences from the United States for consideration in Swedish initiatives to improve national services for health and social affairs. Measurement tools along with a conceptual framework for showing how they can be connected in a strategic manner for practical and research applications are discussed. Special attention is given to preparatory phases focused on organizational readiness and functioning, continuing through the implementation stages (training, adoption, implementation, and practice). Because the early steps of program planning are often overlooked, however, heavy emphasis is given to practical methods for advancing innovation implementation through the use of better information about staff perceptions of need, organizational functioning and resources, commitments to change, and barriers likely to be faced.
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