New Partnerships for a Changing Environment Why Drug and Alcohol Treatment Providers and Researchers Need to Collaborate (1999) / Chapter Skim
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New Partnerships for a Changing Environment
New Partnerships for a Changing Environment
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The program director had 25 years of clinical experience, but no research training or research New Partnerships for a Changing ~ ~ snv~ronment: Why Drug and Alcohol Treatment Providers and Researchers Need to Collaborate Research participation, he reasoned, might be good for the pro gram and good for staff morale because of what they would learn, but it also would mean more work. While it would bring in new funds, the project might not cover all costs, and it was likely to face opposition from the board of directors, which was made up primarily of men and women who were not generally supportive of change.
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BRIDGING THE GAP: A WIN-WIN SITUATION There is a gap between knowledge gained from clinical experience and knowledge gained from basic science and applied treatment research. The IOM study addresses this gap with the goal of enhanc ing collaborative relationships between providers and researchers to improve the effectiveness and efficiency of the treatment of addic tive disorders in the United States.
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No one argues about providing care for chronic conditions that have similar relapse rates, such as hypertension, diabetes or asthma, but there is still much debate about supporting substance abuse treatment on a par with chronic medical problems. As a result, publicly funded drug and alcohol treatment programs often have inadequate resources and long waiting lists.
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While collaborating with providers can help put more findings into practice, getting funding for and conducting research in community clinical settings is not easy, and some researchers hesitate to develop alliances with community-based treatment providers. Given these perspectives about research and a common goal of improving treatment the IOM study recommendations seek to provide incentives for clinicians and researchers to work together.
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" · Researchers prefer a clearly defined study question with diagnostic and demographic variations of the study population as narrow as possible in order to achieve statistically significant results. This methodological rigor has done much to advance the credibility of clinical research in alcohol and drug treatment.
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THE LEARNING ORGANIZATION Substance abuse treatment programs are not the only corporate entities struggling for survival. Demands for change affect large and small organizations in all settings.
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The IOM report recognizes that support is needed to implement a research effort in communitybased substance abuse treatment programs. Accordingly, the first recommendation is that the National Institute on Drug Abuse and the Center for Substance Abuse Treatment support development of an infrastructure for a network of treatment providers similar to the CCOP network.
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8 Recommendations for Bridging the Gap Between Practice and Research With the goal of improving clinical practice and enhancing the value of drug and alcohol treatment research to clinicians, investigators, policymakers, patients and the general public, the IOM Committee on Community-Based Drug Treatment Research made recommendations for strategies in six areas: linking research and practice; linking research findings with policy development and treatment implementation; knowledge development; dissemination and knowledge transfer; consumer participation; and community-based research collaboration. Strategies for Linking Research and Practice 1~ The National Institute on Drug Abuse (NIDA)
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Programs funded should have the full and active participation of community-based treatment programs and should include resources to fund the costs of participation for the treatment programs. 11 1 University training programs in the health professions should: enhance exposure of students to didactic teaching about substance abuse and dependence; require didactic teaching as well as supervised clinical experiences in communitybased treatment settings; teach students to interpret substance abuse treatment research and apply research findings in their clinical practices; work with professional organizations to enhance continuing education about the addictions within the residency training curriculum of the various health professions; and · support researchers seeking to enhance collaborative relationships with treatment programs by offering tuition credit for CBO staff involved in funded collaborative research.
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SORENSEN, Professor, Department of Psychiatry, University of California at San Flancisco, San Flancisco, California JOSEPH WESTERMEYER, Professor, Department of Psychiatry, and Adjunct Professor, Department of Anthropology, University of Minnesota, and Clinical Chief of Psychiatry, Minneapolis VA Medical Center, Minneapolis, Minnesota SARA LAMB, IOM Study Director This study was supported by the Substance Abuse and Mental Health Service Administration's Center for Substance Abuse Treatment and the National Institute on Drug Abuse. The views presented in this report are those of the Committee on Community-Based Drug Treatment and are not necessarily those of the funding organizations.
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http://vvww.nasadad.org RESEARCH AND EDUCATION Center for Substance Abuse Research (CESAR) http://www.bsos.umd.edu/cesar/cesar.html National Center on Addiction and Substance Abuse (CASA)
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Printed in the United States of America The Stein Group: Editor designMind: Design 12 Additional copies of New Partnerships for a Changing Environment: Why Drug and Alcohol Treatment Providers and Researchers Need to Collaborate are available in limited quantities from the Institute of Medicine, Division of Neuroscience and Behavioral Health 2101 Constitution Avenue, N.W. Washington, DC 20418 The full text of this publication is available on line at: www.nap.edu/readingroom.
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