000000402 001__ 402 000000402 005__ 20260410124446.0 000000402 0247_ $$2DOI$$a10.6083/M4X63JWP 000000402 037__ $$aETD 000000402 245__ $$aCognitive behavioral therapy in substance abuse treatment organizational correlates of adoption and fidelity 000000402 260__ $$bOregon Health and Science University 000000402 269__ $$a2009 000000402 336__ $$aThesis 000000402 502__ $$bM.P.H. 000000402 520__ $$aThis study examined organizational factors associated with the adoption and fidelity of cognitive behavioral therapy (CBT) in substance abuse treatment centers. Using data from 268 centers and their counselors, two outcomes were analyzed: CBT adoption and implementation fidelity. Adoption was higher in organizations that provided more training for new counselors, used medications in treatment, and had counselors who viewed CBT as an acceptable approach. Fidelity of CBT implementation was associated with specific training elements, including the use of TIPS and TAPS tools and greater staff familiarity with CBT. Findings highlight key organizational supports that promote evidence‑based practice. 000000402 540__ $$fCC BY 000000402 542__ $$fIn copyright - single owner 000000402 650__ $$aSubstance-Related Disorders$$032029 000000402 650__ $$aOutcome Assessment, Health Care$$029660 000000402 650__ $$aSubstance Abuse Treatment Centers$$029062 000000402 650__ $$aAlcoholism$$014412 000000402 650__ $$aCounselors$$011922 000000402 650__ $$aEvidence-Based Practice$$038238 000000402 650__ $$aCognitive Behavioral Therapy$$028756 000000402 691__ $$aSchool of Medicine$$041369 000000402 692__ $$aDepartment of Public Health and Preventive Medicine$$041444 000000402 7001_ $$aHargand, Sarah$$uOregon Health and Science University$$041354 000000402 7201_ $$aRieckmann, Traci$$uOregon Health and Science University$$041354$$7Personal$$eMentor 000000402 8564_ $$99599236c-9f87-4d21-b92a-0967ae6da0a9$$s306420$$uhttps://digitalcollections.ohsu.edu/record/402/files/403_etd.pdf$$ePublic$$28ed4856bc372e9e9e2177b44d737362c$$31 000000402 901__ $$a<p>These documents are archival records. They are retained for historical reference only. </p><p><b>Need an accessible version? Use the ‘Get Accessible Copy’ link above.</b></p> 000000402 905__ $$a/rest/prod/w3/76/36/76/w3763676r 000000402 909CO $$ooai:digitalcollections.ohsu.edu:402$$pstudent-work 000000402 956__ $$aGet Accessible Copy$$uhttps://ohsu.libwizard.com/f/requestaccessibledocument 000000402 980__ $$aTheses and Dissertations