Bridging the Gap Between Practice and Research Forging Partnerships with Community-Based Drug and Alcohol Treatment (1998) / Chapter Skim
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4 Benefits and Challenges of Research Collaboration for Community-Based Treatment Providers
4 Benefits and Challenges of Research Collaboration for Community-Based Treatment Providers
Pages 73-88
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From page 73... ...
He stood and, speaking quietly, described a research and practice collaboration that competes suc cessfully for grants and cooperative agreements, improves services for clients, and facilitates the organization's growth and evolution. Arapahoe House Comprehensive Substance Abuse Treatment Center opened in 1976 to provide alcohol detoxification and halfway house services for Arapahoe County, Colorado.
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From page 74... ...
Working with research investigators from the University of Denver, Arapahoe House has participated in research and demonstration programs funded by the National Institute on Alcohol Abuse and Alcoholism, the National Institute on Drug Abuse, the Center for Substance Abuse Treatment, and the Center for Mental Health Services. As chief executive officer, Dr.
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From page 75... ...
This chapter examines the research/practice collaboration from the perspective of the treatment provider. The Arapahoe House story illustrates some of the ways in which this collaboration can contribute both to the scientific basis for drug and alcohol treatment and to the ability of the community-based drug treatment organization (CBO)
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From page 76... ...
Costs of research participation should be covered by research funds. There should be additional benefits for program staff such as access to emerging clinical issues, enhanced opportunities for professional training, and improved information and quality assurance systems.
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From page 77... ...
The programs should be reimbursed for a portion of overhead, to the extent that the overhead expenses support the research. For example, telephone reception and messaging, intake, parking, and common area spaces, accounting, payroll, security, and advertising all represent some of the indirect costs that support all the functions in the treatment program including research activities.
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From page 78... ...
FACTORS AFFECTING LINKAGE BETWEEN PRACTICE AND RESEARCH Linkages between treatment providers and research teams can assume many forms, ranging from simply providing access to subjects to becoming full collaborators in the development of research proposals, implementation of protocols, interpretation of data, and publication of results. Collaboration may eventually result in some CBOs developing free-standing research programs, as happened at Arapahoe House.
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From page 79... ...
University-based treatment researchers are obviously familiar with treatment programs, and they are generally engaged in treatment. But many in CBOs fee!
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From page 80... ...
In a parallel, but often less explicit manner, one or more of these orientations also serve as underpinning to treatment programs. Many residential programs are based on reconstructing self-image.
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From page 81... ...
Conflicting with the researcher's desire is the practitioner's need to broaden the research question to be more relevant to the CBO and to more closely reflect the complexity and multidimensional nature of the population it serves. Appendix C provides a comprehensive review of the contributions and limitations of addiction treatment research for community-based treatment programs.
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From page 82... ...
In all cases, the treatment program should expect to receive appropriate recognition and publication credit for their role in the research project. Stage of Organizational Development and Organizational Culture Community-based drug and alcohol treatment organizations vary in management complexity and the development of management and clinical systems (see Box 4.4~.
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From page 83... ...
A substantial majority of the community-based treatment providers started this way and many remain at this stage.
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From page 84... ...
While small drug treatment providers are not likely candidates for formal research partnerships, they have accumulated knowledge that could improve treatment, especially knowledge about their particular social and geographic communities. When programs progress beyond this relatively simple organizational stage, they may branch out in new but related areas.
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From page 85... ...
An example ot this would be the drug abuse treatment program built in the tradition of the twelve step programs following the mode!
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From page 86... ...
Controlled clinical trials, however, will generally require the management and clinical structures found in Stage III organizations well-developed information systems coupled with clinicians whose skills and training assure fidelity to experimental protocols. SUMMARY Unique opportunities exist for community-based drug treatment organizations to participate in research at this time of rapid changes in the research, policy, and treatment environments.
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From page 87... ...
The degree of organizational development, the organization's perspective on the basis of treatment knowledge, the type of research, and the type of research participation interact to shape an organization's potential involvement in a research endeavor. While it is not possible to identify specific roles for all community-based organizations in all research activities, it is anticipated that collaboration among CBOs of all types and theoretical orientations will enhance treatment programs and strengthen research.
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From page 88... ...
Journal of Substance Abuse Treatment 15(1)
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