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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
 
4176.0: Tuesday, December 13, 2005 - Board 7

Abstract #116603

Understanding how evidence-based approaches are implemented in a rural population: Does the evidence stand up in practice?

Anne Helene Skinstad, Ph D, Department of Community and Behavioral Health, College of Public Health, University of Iowa, E 107 General Hospital, Iowa, IA 52242, 319-384-5394, anne-skinstad@uiowa.edu, Anne Wallis, PhD, Iowa Center for Evaluation Research, Dept. of Community & Behavioral Health, The University of Iowa, College of Public Health, 4258 Westlawn, The University of Iowa, Iowa City, IA 52242, Keri L. N. Mercer, MPH, CHES, Iowa Center for Evaluation Research, Department of Community and Behavioral Health, College of Public Health, The University of Iowa, 4256 Westlawn, The University of Iowa, Iowa City, IA 52242, and Maurine A. Orwa, M P H, CHES, Department of Communication Studies, University of Iowa, 105 Becker Communication Studies Building, Iowa, IA 52242.

The Prairielands Addiction Transfer Technology Center (PATTC) provided clinical supervision to three training programs to encourage providers to implement evidence-based approaches to substance abuse treatment. Three separate training programs were conducted and evaluated for Iowa practitioners (1) to improve diagnosis and treatment of co-occurring disorders (2) to improve treatment success for parenting women through a curriculum designed to support them as parents; (3) to improve treatment for women with post-traumatic stress disorder. In all three evaluations, we found that evidence-based programs were only partially implemented. Lack of fidelity to procedures was attributable to: (1) perception of clinicians that programs were not appropriate for the unique issues of Iowan women, particularly rural women; (2) inconsistent commitment on the part of treatment center management to faithful program implementation; and (3) staff turnover was so frequent that the staff who received training were not always available to complete or repeat programs.

Learning Objectives: At the conclusion of the session, the participant in this session will be able to

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

Substance Abuse Treatment Systems Research Poster Session

The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA