دانلود مقاله ISI انگلیسی شماره 157598
ترجمه فارسی عنوان مقاله

پیچیدگی ها با تسهیل گروه بندی در تنظیمات خاص درمان اختلال مصرف مواد

عنوان انگلیسی
Complexities with group therapy facilitation in substance use disorder specialty treatment settings
کد مقاله سال انتشار تعداد صفحات مقاله انگلیسی
157598 2018 39 صفحه PDF
منبع

Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)

Journal : Journal of Substance Abuse Treatment, Volume 88, May 2018, Pages 9-17

ترجمه کلمات کلیدی
درمان اختلال مصرف مواد گروه درمان، تمرین مبتنی بر شواهد، تحقیق کیفی،
کلمات کلیدی انگلیسی
Substance use disorder treatment; Group therapy; Evidence-based practice; Qualitative inquiry;
پیش نمایش مقاله
پیش نمایش مقاله  پیچیدگی ها با تسهیل گروه بندی در تنظیمات خاص درمان اختلال مصرف مواد

چکیده انگلیسی

In spite of increased attention to research-based interventions for substance use disorders (SUDs), a formidable research-practice gap impedes the implementation of evidence-based treatments (EBTs). An underappreciated dimension of this gap is a mismatch in treatment modality: Whereas clinical trial and implementation research has focused primarily on individual therapy, the majority of SUD specialty treatment is in group format, with open-enrolling groups being most common. This study aims to narrow this research-practice gap by exploring clinicians' perspectives on complexities with group therapy facilitation in SUD specialty treatment settings. Semi-structured interviews were conducted with 13 group clinicians from among three outpatient SUD specialty clinics—diverse in their operational structures, treatment philosophies, clientele, and services—located in the same Midwestern U.S. metropolitan area. Interview questions addressed organizational characteristics, services provided, group therapy curricula, and use of EBTs or other structured treatments. Clinicians emphasized the importance of having flexibility in facilitating groups, through built-in group processes and clinicians' own adaptions and accommodations; this flexibility was especially emphasized for the use of EBTs or manualized interventions. Clinicians also had difficulties with group facilitation generally, as evidenced by their reported difficulty in managing complex group dynamics, their limited group therapy experience and training, and their reliance on educational groups. We discuss specific strategies for improved innovation and implementation of EBTs for SUD group therapy.