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Developing an evidence-based, multimedia group counseling curriculum toolkit.

Adam C Brooks¹, Graham Diguiseppi, Alexandre Laudet

¹Treatment Research Institute, Philadelphia, PA 19106, USA. abrooks@tresearch.org

Journal of Substance Abuse Treatment

|February 4, 2012

Summary

A new relapse prevention (RP) toolkit improved addiction counselors' adherence to evidence-based treatments (ESTs) after brief training. Further research is needed to determine the impact on client outcomes.

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Area of Science:

Addiction treatment
Counselor training
Evidence-based practices

Background:

Publicly funded addiction treatment agencies face resource limitations for training counselors in empirically supported treatments (ESTs).
Group counseling is a common modality for addiction treatment, necessitating effective training methods for counselors.

Purpose of the Study:

To develop and pilot test a group counseling toolkit for relapse prevention (RP) to enhance counselor training in ESTs.
To assess the feasibility and initial impact of the RP toolkit on counselor adherence and skillfulness.

Main Methods:

A group counseling toolkit for RP was developed, adapting an approach from the education field.
Seventeen community-based addiction counselors received 3 hours of training on the RP toolkit.
Counselor adherence to content on "coping with craving" and "drug refusal skills" was assessed post-training.

Main Results:

Counselor content adherence scores significantly improved for "coping with craving" (Cohen's d = 1.49) and "drug refusal skills" (Cohen's d = 1.34), indicating very large effect sizes.
Counselor skillfulness, initially in the "adequate-to-average" range, did not change significantly after the training.
The study demonstrated a feasible benefit to counselor acquisition of ESTs through the toolkit.

Conclusions:

The RP toolkit shows promise in improving counselor adherence to ESTs, particularly in areas of craving and refusal skills.
While counselor skills did not change, the toolkit's impact on client outcomes remains unknown.
A multimedia curriculum approach, like the developed toolkit, may support counselors in applying ESTs in group addiction treatment settings.