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Roy M. Gabriel, PhD and Jeffrey R.W. Knudsen, MA. RMC Research Corporation, 522 SW 5th Avenue, Suite 1407, Portland, OR 97204, 503-223-8248, roy_gabriel@rmccorp.com
The infusion of proven or evidence-based (EBP) practices in substance abuse treatment is a growing priority at national, state and local levels. The gap between research and practice, however, remains challenging in part due to the challenges in effectively introducing, adapting and implementing EBP in SA treatment agencies. While the importance of a client's readiness for change has long been recognized as a key consideration in treatment planning, the parallel concern when promoting change at the organizational level has received more recent attention. Advances in operationalizing the key constructs in organizational readiness for change (ORC) has led to the development of standardized tools for its assessment. The current study used the ORC instrument developed by Simpson and colleagues as a planning tool for the introduction and implementation of motivational interviewing (MI) in four substance abuse treatment agencies in the Pacific Northwest. Psychometrics of the instrument were examined and sub-scale results were analyzed to identify components of ORC that were relevant to the EBP experience. Results indicated that perceived stress within and lack of cohesion among the staff were highly predictive of the MI implementation experience in two of these agencies. The ORC tool holds much promise for change agents, but the authors call for more guidance in its meaningful interpretation as a precursor to EBP implementation efforts.
Learning Objectives:
Keywords: Substance Abuse Treatment, Assessments
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.