Training Substance Use Disorder Counselors in Cognitive Behavioral Therapy for Depression: Development and Initial Exploration of an Online Training Program. 2015

Geoffrey M Curran, and Stephanie M Woo, and Kimberly A Hepner, and Wen Pin Lai, and Teresa L Kramer, and Karen L Drummond, and Ken Weingardt
Central Arkansas Veterans Healthcare System, 2200 Fort Roots Drive, North Little Rock, AR 72144, USA; Department of Psychiatry, University of Arkansas for Medical Sciences, 4301 West Markham Ave., Little Rock, AR 772205, USA. Electronic address: currangeoffreym@uams.edu.

BACKGROUND Evidence based psychotherapies (EBPs) remain underutilized. Models for EBP training and implementation that are cost-effective, minimally disruptive, and sufficiently flexible are needed. Internet-based technology is a promising platform, but questions remain about how this technology can address the barriers to implementation. We developed and examined the implementation of an online training for the Building Recovery by Improving Goals, Habits, and Thoughts (BRIGHT) intervention-a manualized, sixteen-session group depression treatment for individuals with substance use disorders (SUDs). We explored the feasibility of replacing in-person BRIGHT training with a self-paced, online training. METHODS A highly partnered and iterative process was followed to translate the written BRIGHT manual and associated didactic training materials into a media rich, interactive, and detailed (12-16 h) online training. Subsequently, 8 volunteer counselors across 7 Veterans' Affairs SUD programs completed the training. Semi-structured interviews focused on the counselors' experiences and their plans for implementing BRIGHT groups. A template approach, using a mixture of deductive and inductive coding, was used for data analyses. RESULTS The most important barrier to completing training was a lack of protected time. Most counselors were not afforded protected time and reported a sometimes frustrating and fragmented training experience. Many used personal time at work and at home to complete the work. Facilitators to completing the training included positive reactions/attitudes towards the training modules, supervisor support, counselor dedication, and strong beliefs supporting providing services for depression. Many counselors were also concerned about the feasibility of fitting 16 group sessions (2h each) into their program's clinical schedule, but many had devised potential solutions or "work-arounds" to accommodate or approximate the recommended treatment course (e.g., using lunch times, reducing some content/exercises). CONCLUSIONS This work contributes to the literature on implementation of complex EBPs and addresses the strengths and limitations of web-based technologies in supporting the implementation of EBPs.

UI MeSH Term Description Entries
D008297 Male Males
D003376 Counseling The giving of advice and assistance to individuals with educational or personal problems.
D003866 Depressive Disorder An affective disorder manifested by either a dysphoric mood or loss of interest or pleasure in usual activities. The mood disturbance is prominent and relatively persistent. Depression, Endogenous,Depression, Neurotic,Depression, Unipolar,Depressive Syndrome,Melancholia,Neurosis, Depressive,Unipolar Depression,Depressions, Endogenous,Depressions, Neurotic,Depressions, Unipolar,Depressive Disorders,Depressive Neuroses,Depressive Neurosis,Depressive Syndromes,Disorder, Depressive,Disorders, Depressive,Endogenous Depression,Endogenous Depressions,Melancholias,Neuroses, Depressive,Neurotic Depression,Neurotic Depressions,Syndrome, Depressive,Syndromes, Depressive,Unipolar Depressions
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D015928 Cognitive Behavioral Therapy A directive form of psychotherapy based on the interpretation of situations (cognitive structure of experiences) that determine how an individual feels and behaves. It is based on the premise that cognition, the process of acquiring knowledge and forming beliefs, is a primary determinant of mood and behavior. The therapy uses behavioral and verbal techniques to identify and correct negative thinking that is at the root of the aberrant behavior. Behavior Therapy, Cognitive,Cognitive Behaviour Therapy,Cognitive Therapy,Psychotherapy, Cognitive,Cognition Therapy,Cognitive Behavior Therapy,Cognitive Psychotherapy,Therapy, Cognition,Therapy, Cognitive,Therapy, Cognitive Behavior,Behavior Therapies, Cognitive,Behavioral Therapies, Cognitive,Behavioral Therapy, Cognitive,Behaviour Therapies, Cognitive,Behaviour Therapy, Cognitive,Cognition Therapies,Cognitive Behavior Therapies,Cognitive Behavioral Therapies,Cognitive Behaviour Therapies,Cognitive Psychotherapies,Cognitive Therapies,Psychotherapies, Cognitive,Therapies, Cognition,Therapies, Cognitive,Therapies, Cognitive Behavior,Therapies, Cognitive Behavioral,Therapies, Cognitive Behaviour,Therapy, Cognitive Behavioral,Therapy, Cognitive Behaviour
D019966 Substance-Related Disorders Disorders related to substance use or abuse. Chemical Dependence,Drug Abuse,Drug Addiction,Drug Dependence,Drug Habituation,Drug Use Disorder,Drug Use Disorders,Organic Mental Disorders, Substance-Induced,Substance Abuse,Substance Dependence,Substance Related Disorder,Substance Use,Substance Use Disorder,Substance Use Disorders,Prescription Drug Abuse,Substance Addiction,Abuse, Drug,Abuse, Prescription Drug,Abuse, Substance,Addiction, Drug,Addiction, Substance,Chemical Dependences,Dependence, Chemical,Dependence, Drug,Dependence, Substance,Dependences, Chemical,Disorder, Drug Use,Disorder, Substance Related,Disorder, Substance Use,Disorders, Substance Related,Drug Abuse, Prescription,Habituation, Drug,Organic Mental Disorders, Substance Induced,Related Disorder, Substance,Related Disorders, Substance,Substance Abuses,Substance Uses,Use, Substance
D020407 Internet A loose confederation of computer communication networks around the world. The networks that make up the Internet are connected through several backbone networks. The Internet grew out of the US Government ARPAnet project and was designed to facilitate information exchange. World Wide Web,Cyber Space,Cyberspace,Web, World Wide,Wide Web, World

Related Publications

Geoffrey M Curran, and Stephanie M Woo, and Kimberly A Hepner, and Wen Pin Lai, and Teresa L Kramer, and Karen L Drummond, and Ken Weingardt
September 2006, Substance abuse,
Geoffrey M Curran, and Stephanie M Woo, and Kimberly A Hepner, and Wen Pin Lai, and Teresa L Kramer, and Karen L Drummond, and Ken Weingardt
March 2016, Journal of substance abuse treatment,
Geoffrey M Curran, and Stephanie M Woo, and Kimberly A Hepner, and Wen Pin Lai, and Teresa L Kramer, and Karen L Drummond, and Ken Weingardt
December 2009, Journal of substance abuse treatment,
Geoffrey M Curran, and Stephanie M Woo, and Kimberly A Hepner, and Wen Pin Lai, and Teresa L Kramer, and Karen L Drummond, and Ken Weingardt
January 1996, Journal of substance abuse treatment,
Geoffrey M Curran, and Stephanie M Woo, and Kimberly A Hepner, and Wen Pin Lai, and Teresa L Kramer, and Karen L Drummond, and Ken Weingardt
October 2009, Journal of substance abuse treatment,
Geoffrey M Curran, and Stephanie M Woo, and Kimberly A Hepner, and Wen Pin Lai, and Teresa L Kramer, and Karen L Drummond, and Ken Weingardt
September 2010, The Psychiatric clinics of North America,
Geoffrey M Curran, and Stephanie M Woo, and Kimberly A Hepner, and Wen Pin Lai, and Teresa L Kramer, and Karen L Drummond, and Ken Weingardt
January 2022, Frontiers in psychiatry,
Geoffrey M Curran, and Stephanie M Woo, and Kimberly A Hepner, and Wen Pin Lai, and Teresa L Kramer, and Karen L Drummond, and Ken Weingardt
January 2020, Substance abuse : research and treatment,
Geoffrey M Curran, and Stephanie M Woo, and Kimberly A Hepner, and Wen Pin Lai, and Teresa L Kramer, and Karen L Drummond, and Ken Weingardt
February 2022, JMIR formative research,
Geoffrey M Curran, and Stephanie M Woo, and Kimberly A Hepner, and Wen Pin Lai, and Teresa L Kramer, and Karen L Drummond, and Ken Weingardt
June 2013, Journal of medical Internet research,
Copied contents to your clipboard!