Research Concentrated on Genuine Treatment.


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Research Concentrated on Genuine Treatment
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Slide 1

Examination Focused on Real Treatment Presentation at “2007 National Association of Addiction Treatment Providers (NAATP) Conference”, May 20-23, 2007, San Diego, CA. The assessments are those of the creators and don\'t reflect authority positions of the affiliation or government. Accessible on line at www.chestnut.org/LI/Posters or by reaching Joan Unsicker at 720 West Chestnut, Bloomington, IL 61701, telephone: (309) 827-6026, fax: (309) 829-4661, email: junsicker@Chestnut.Org

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The Panel Michael L. Dennis, Ph.D. Executive, GAIN Coordinating Center, Lighthouse Institute, Chestnut Health Systems, Bloomington, IL Cara Renzelli , Ph.D., Director of Research and Evaluation, Gateway Rehabilitation Center, Pittsburgh, PA Sigurd Zielke , Ph.D., Clinical Specialist (Adolescents), Fairbanks , Indianapolis, IN Valerie J. Slaymaker , Ph.D.,Director, Butler Center for Research, Hazelden, Center City, MN Erin Deneke , Ph.D., Director of Research, Caron Treatment Centers, Wernersville, PA Susan Gordon , Ph.D., Research Director, Seabrook House , Seabrook, NJ

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What do we mean by examination? Administration by targets and turning points (spending plan, arranges, interior stores) Performance Monitoring (e.g, Oryx, NOMS, GPRA, inner and outside trusts) Group critical thinking to enhance execution overal or for a subgroup (e.g, NIATX, Drug Courts) Program Development and Evaluation (e.g., Private, state or CSAT gifts) Development and Replication of Evidenced Based Practices (e.g., CSAT, NIH awards) Quasi-Experiments and Randomized Experiments (e.g, NIH stipends)

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As you move down this rundown It obliges better and more reliable authority, interchanges, and trust (especially for a critical thinking sort approach) Often obliges patient or staff motivations as the weight goes up Often obliges building of foundation (workforce, hardware, frameworks) or changes in authoritative society that may take quite a while to be finished The level of staff capabilities and experience goes up (regularly from MA to Ph.D. with related knowledge/allows) The sorts of financing movements (from direct support of state/establishment to CSAT to NIH) an ideal opportunity to get subsidizing gets longer and the probability of subsidizing goes down (e.g., NIDA/NIAAA just reserve the main 10-13% of candidates and that commonly takes 1.5 to 2 years to get from the time the proposition is submitted) May oblige coordinated effort with outside sellers (e.g. to help actualize a prove based practice) or specialists (e.g., in a particular diagnostic strategy)

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Cara Renzelli, Ph.D., Director of Research and Evaluation, Gateway Rehabilitation Center Gateway Rehabilitation Center’s mission is to empower individuals influenced by or at danger of addictive illnesses and other mental and passionate issue to lead solid and profitable lives through aversion, training, treatment, and examination.

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Gateway’s Range of Services Genesis Prevention Evaluation Detoxification Inpatient Outpatient Extended Care Halfway Houses Corrections Ohio – Neil Kennedy Recovery Clinic

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Research Activities - Internal Projects Study of detoxification drug Exploration of betting issues in our treatment populace Evaluation of high schooler administration establishment Development and usage of results checking framework Assists on execution change activities

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Research Activities - External Projects Gateway has long history of cooperation with college based research…recent attempts incorporate 1980s & 1990s – Washington and Jefferson College and Indiana University of Pennsylvania: inpatient and outpatient treatment results 1992 – today – University of Pittsburgh Medical Center, WPIC: Pittsburgh Adolescent Alcohol Research Center 2003 – 2005 – University of Pittsburgh, School of Social Work: investigation of grown-up results and deep sense of being 2006 – present – Washington University, School of Medicine: solution misuse study

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Development and Implementation of Outcomes Monitoring System Need for result information (Why measure?) Domains (What to quantify?) Time focuses (When to gauge?) Staffing needs (Who will quantify and where?) Practical applications (How will we utilize the information?)

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Outcomes Monitoring System Why we chose to make this framework Time focuses Data gathered on ALL patients at 1, 3, 6, 12, and 24 months after release from last level of consideration Collected by telephone, mail, or individual meeting Domains Demographic – conjugal, business, instruction Criminal equity contribution Additional post-release treatment Relapse/forbearance 12-stage support Quality of life

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Outcomes Monitoring System Staffing needs - Currently have one examination chief, one examination right hand (RA), and a group of volunteers All volunteers prepared on essential exploration standards, information uprightness, classification RA and volunteers gather information RA oversees gathered information Quiet, private space obliged

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Outcomes Monitoring System Practical applications Provides a photo of patients’ working after they leave our consideration Allows us to search for patterns in the information that ready us to research further or make a move Gives different divisions inside of the Gateway framework data that may meet a general or particular need

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Future Directions of the Research Department Increase the number and broadness of our in-house exploration and assessment studies Expand results framework to start appraisals at confirmation, amid treatment, and at release Expansion of study areas Continue our work with college subsidiary specialists Form coordinated efforts with other treatment offices to look for subsidizing for multi-site undertakings Extend dispersal endeavors

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Sigurd Zielke, D.Min. Clinical Specialist (Adolescents) Fairbanks is a philanthropic association concentrated on recuperation from liquor and other medication issues, serving as an asset to enhance the prosperity of people, families and groups by offering trust and backing through its projects and administrations.

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Objectives To build experimentally educated models and produce routines to improve pre-adult treatment and recuperation backing To make a confirmation educated attitude among our clinicians i.e., a proof educated clinical society To secure outer accomplices for the estimation of models and strategies created

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Full Range of Adolescent Services Discovery (instruction) Detoxification Rehabilitation Residential Transitional Living Partial Hospitalization Intensive Outpatient Recovery Management I & II Hope Academy (Recovery High School)

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Challenges to Adolescent Treatment & Recovery Support Historic use of grown-up models of treatment and recuperation to teenagers Recent acknowledgment by wellbeing administrations researchers… “that pre-adulthood is not quite the same as adulthood, and that the systems to recognize, treat, and forestall disease should be different” (Zucker, 2006) Emergence of the new field of formative psychopathology Explosion of neurobehavioral examination Lack of rational immature treatment and recuperation bolster models that coordinate 12-stage recuperation forms with late neurobehavioral and formative discoveries Need for observational investigation of redesigned models

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Research Needs (i.e., Targets) Need for grounded distinguishing proof of pre-adult treatment, backslide and recuperation issues (certification of expert information) Need for broad expert writing audits Need for thorough hypothetical research—resulting in grounded, exactly educated models Need to create approachs to authorize models Need for clinical staff to use models/techniques Need to set up “fidelity standards” Need to secure scholastic accomplices to gauge the models\' viability/philosophies created

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Research Response: Projects Grounded feature investigation of understudy conduct; more than 2000 classrooms in light of neurobehavioral writing Focus bunch account examination investigation of instructors encounters with youthful understudies coming to class SI Joint healing center and college 2 year expert investigation of the writing on SI youngsters/youth, habit cerebrum studies, and pathway discoveries A field-based activity exploration study to upgrade the school conduct of SI rudimentary understudies: levels one through five—test of preparatory models Theoretical exploration - NBD White Paper (July 2007) Generation and usage of experimentally educated systems: -90 in 90: A Recovery Tool for School Success -Node connection mapping of understudy backslides Establishing coordinated efforts with scholarly/research accomplices

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Creating An Evidence - Informed Clinical Culture for The Treatment And Recovery Support of Adolescents 1. Distinguish/target 2. Conduct 8. Offer results: clinical issues of field/grounded study production & tireless worry of focused on concern preparing to recognize examples of working 7. Use information to confirm, 3. Distinguish solid lines alter, or ignore exact proof models/rehearse that address focused on concerns 4. Orchestrate discoveries 6. Conduct quality 5. Utilization models to of 2 and 3 into field - change and pilot aide practice and hypothesis and models concentrates on with outside make devices of practice partners Critical Cultural Elements Identify “curious” • clinicians • Keep multidisciplinary • Carve - • Provide readings out 1hr every week • Keep collegial • Tie to composing and preparing

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Valerie J. Slaymaker, Ph.D., Director of Hazelden’s Butler Center for Research (BCR) Dedicated to conducting so as to enhance recuperation from fixation clinical and institutional examination,

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