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Implementation of MET/CBT 5 for adolescents
Katherine J Riley1, Traci Rieckmann, Dennis McCarty
1Department of Public Health & Preventive Medicine, CB669, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239-3098, USA. rileyk@ohsu.edu
The Journal of Behavioral Health Services & Research
|May 22, 2008
Summary
Implementing effective adolescent substance abuse treatment programs like MET/CBT-5 in community settings requires careful adaptation. Agencies modified the program, potentially impacting its validity and the fidelity of future substance abuse interventions.
Area of Science:
- Addiction treatment research
- Adolescent mental health services
- Program implementation science
Background:
- Effective substance abuse treatment programs are crucial for community settings.
- Importing proven models into new environments presents implementation challenges.
- The MET/CBT-5 program was identified as a cost-effective adolescent treatment protocol.
Purpose of the Study:
- To qualitatively investigate the implementation of the MET/CBT-5 program in community settings.
- To identify adaptations made by treatment grantees and assess sustainability prospects.
- To examine the implications of these adaptations on program fidelity and validity.
Main Methods:
- Qualitative investigation of protocol implementation.
- Study focused on nine sites within the second cohort of grantees.
- Data collection involved chronicling adaptations and sustainability prospects.
Main Results:
- Agencies made adaptations to the MET/CBT-5 program without fully assessing validity impacts.
- Session lengths were often increased or additional sessions were added.
- Adaptations aimed to meet individual client needs, overcome participation barriers, and align with treatment norms.
Conclusions:
- Program adaptations in community settings can pose risks to treatment validity.
- Maintaining fidelity to evidence-based substance abuse treatment models is essential for effectiveness.
- Future implementation projects need to address the balance between adaptation and fidelity.
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