CAPA’s Efforts in 2015 and Beyond

David A Patterson Silver Wolf, PhD

CAPA Partnership Model

2015 Worker Trainings

• April: What does science say about retaining clients in services: Strategies for organizations and workers?

• June: Clinically-based technologies: Effective and easy-to-use tools to improve addiction services.

• Aug: Science verses marketing: Which addiction interventions should workers use and which ones are not scientifically supported?

• Oct: Bringing science to our services: Outcomes from CAPA’s research, teaching and learning efforts.

Research Manuscripts• Perkins, K. et al. (Under review). Mapping the evidence to improve

retention rates in addiction services. Journal of Social Work Practice in the Addictions.

• Patterson, D.A., & van den Berk-Clark, C. (Under review). Are workers likely to use a new empirically supported treatment as required? Research on Social Work Practice.

• Patterson, D.A. & Ramsey, A.T. (Under review). Do organizational expectations influence workers' implementation perceptions? Psychological Services.

• Ramsey, A.T., et al. (2015). Provider-agency fit in addiction treatment facilities: Implications for job satisfaction and evidence-based practice implementation. BMC Research Notes, 8, 194.

Student-scholar led Manuscripts

• Gaddie, K., et al. (In-press). Biofeedback as a Treatment Method for Anxiety Disorders and Substance Abuse: A Brief Report. Counselor.

• Sipple, S., et al. (In-press). Most Common and Effective Treatment Practices for Substance Use Disorders. Counselor.

• Claunch, K., et al. (In-press). Therapeutic Alliance in Substance Abuse Treatment. Counselor.

• McPherson, D., et al. (2015). Substance Use Disorder Compared to Other Mental Disorders. Counselor, 16, 48-53.

• Wisser, N., et al. (2015). Utilizing Smartphone Technologies in Recovery Services. Counselor, 16, 42-47.

• Ford, T. et al. (2014). Best approaches to substance abuse prevention. Counselor, 15, 46-52.

2015 Research

• Annual Worker Survey – transitioned to on-line survey – 2 Waves

• CAPA partners provided reports on outcomes• Which EBPs are being used in services?

Research

• Annual Worker Survey – transitioned to on-line survey – 2 Waves

• CAPA partners provided reports on outcomes• Basic worker demos• Which EBPs are being used?• What would move workers to use a new empirically

supported treatment (EST)?

If you were trained to use an EST, would you use if…

If you were trained to use an EST, would you use if…

If you were trained to use an EST, would you use if…

Practice experience Vs Science?

27%

Research

• Annual Worker Survey – transitioned to on-line survey – 2 Waves

• CAPA partners provided reports on outcomes• Which EBPs are being used?• What would move workers to use a new EST? • Bringing science into offices/interactions

Worker Emotions

Emotion Software

Track counseling sessions

Guiding Clinical Practice - Using Data

Assumption therapists are equally effective across all client factors

• Ask any addiction/behavioral health professional: – In the past year, what is your treatment completion rate?– In the past year, what’s the average number of counseling sessions your

clients attended?– Who are you most/least effective with? (gender, race, age, diagnosis, etc.)– Services are not guided by data

• Where is this data?

Workers collect large amounts of data

one-way

Workers collect large amounts of data

Dashboard

CAPA Clinical Dashboard

Using Ecological Momentary Assessment Eco Mom Ass• Does not translate into practice• Using smart phones to:

– Remain engaged with clients (retention)– Send and receive data– Post-treatment follow ups– Goes to EMR and populates dashboard

2015 and beyond…

• Fund & implement our clinical dashboard• Will bring data and performance measures to services• Clinical coaching & hiring will change – develop a team of

pros• Need room to evaluate, alter reimbursement as we go• Improve quality of care and lower costs

• CAPA’s efforts - Bringing science to services

Thank you – Questions?