The 130th Annual Meeting of APHA

4095.0: Tuesday, November 12, 2002 - Board 2

Abstract #44366

Overcoming barriers to implementation and adoption of best practices: Lessons from CSAT's TIPs Evaluation Project

Susan E. Hubbard, PhD1, Susan W. Hayashi, PhD2, Marcia Suzuki, BA2, Roshan Hussain, MPH2, Anita Cobb, BA1, and Kevin P. Mulvey, PhD3. (1) TIPs Evaluation Project, Johnson, Bassin & Shaw, Inc., 8630 Fenton Street, 12th Floor, Silver Spring, MD 20910, (301) 495-1080,, (2) TIPs Evaluation Project, Johnson, Bassin, & Shaw, Inc., 8630 Fenton Street, 12th Floor, Silver Spring, MD 20910, (3) Office of Evaluation Scientific Analysis and Synthesis, Center for Substance Abuse Treatment (CSAT), 5600 Fishers Lane, Rockwall II Suite 840, Rockville, MD 20857

In an effort to share effective approaches in substance abuse (SA) treatment, the Center for Substance Abuse Treatment (CSAT) developed and disseminated consensus-based best practice guidelines known as Treatment Improvement Protocols (TIPs). Recognizing the need to evaluate the impact of these guidelines, CSAT has embarked on a multi-study evaluation of the TIPs series based on the diffusion of innovations (Rogers, 1995) theoretical framework. The focus of this presentation is on the implication of findings from the first two major studies, the Retrospective Study and the Addiction Technology Transfer Center (ATTC) Study. The Retrospective Study was a two-wave cross sectional study of SA treatment providers, while the ATTC Study was a qualitative study of ATTC curriculum developers, faculty, and trainers. Findings from these studies suggest that participants considered TIPs as useful and/or potentially useful. However, participants indicated that structural limitations of their organizations were barriers to the implementation and sustainability of TIP-based practices. Specifically, participants of the Retrospective Study and ATTC Study indicated that staff resistance, financial/cost restrictions, lack of training, and lack of practicality/feasability were barriers to implementation and sustainability of practices based on the TIPs. In addition, participants of the ATTC Study indicated excessive workloads and inflexible policies were also barriers. This presentation will discuss the effect of structural limitations within SA treatment organizations on the adoption of TIP-based practices. In addition, how best to optimize the application and adoption of new practices, such as those outlined in TIPs, in light of organizational barriers will be addressed.

Learning Objectives: Through this presentation, the participant (learner) in this session will be able to

Keywords: Substance Abuse Treatment, Organizational Change

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.

Changing Treatment Systems and Methods Poster Session

The 130th Annual Meeting of APHA