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Developing, implementing, and evaluating a treatment protocol for rural substance abusers.

James J Clark1, Carl Leukefeld, Theodore Godlaski

  • 1College of Social Work, University of Kentucky, 40506-0027, USA. jjclar00@uky.edu

The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association
|August 21, 2002
PubMed
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This study evaluated Structured Behavioral Outpatient Rural Therapy (SBORT), an innovative substance abuse treatment for rural Americans. SBORT was perceived as helpful, though stressful, with clinician support being crucial for client retention.

Area of Science:

  • Public Health
  • Rural Health
  • Addiction Medicine

Background:

  • Substance abuse poses significant challenges for rural Americans.
  • Existing treatment protocols are predominantly urban-centric, failing to address rural-specific needs.
  • There is a critical need for tailored substance abuse interventions in rural settings.

Purpose of the Study:

  • To describe the development, implementation, and evaluation of an innovative substance abuse treatment program specifically designed for rural clients.
  • To assess the experiences of clients, clinicians, and program directors with the Structured Behavioral Outpatient Rural Therapy (SBORT) program.
  • To understand the viability and adaptability of rural-specific substance abuse treatment protocols in naturalistic settings.

Main Methods:

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  • A process evaluation was conducted on the Structured Behavioral Outpatient Rural Therapy (SBORT) program.
  • Data were collected from participating clients, clinicians, and program directors.
  • Qualitative findings explored participant experiences and program effectiveness.

    • Main Results:

    • Clients found SBORT helpful, offering an alternative to 12-step programs, but noted treatment stress and the importance of clinician support.
    • Clinicians reported SBORT challenged existing frameworks, requiring adaptation, while training mitigated rural professional isolation.
    • Agency implementation strategies significantly impacted clinician adoption; program directors affirmed SBORT's rural viability and staff adaptability.

    Conclusions:

    • SBORT demonstrates potential as a viable, rural-specific substance abuse treatment.
    • Client-centered approaches, clinician support, and adaptable implementation are key to successful rural treatment programs.
    • Testing and adapting substance abuse interventions in naturalistic rural settings is crucial for addressing public health needs.