Project Title: Adapting a Supervision Strategy for Sustaining Fidelity to Evidence-Based Practices in Substance Use Disorder Treatment Settings
Jure Baloh, PhD, is an Assistant Professor of Health Policy and Management at the UAMS College of Public Health. The KL2 Mentored Research Career Development Award will support his research in adapting a supervision strategy to help implement evidence-based practices and other innovations in substance use disorder treatment programs.
Several evidence-based practices have been developed for substance use disorder treatment, however they are often not implemented in routine care or are implemented with poor fidelity (e.g., non-adherence to core components). Substance use disorder counselors can be trained to deliver evidence-based practices, but their training typically consists of one- or two-day workshops and without ongoing organizational support, their knowledge and skills can wane. We have limited knowledge of what strategies would best support addiction counselors to implement and sustain delivery of evidence-based practices with fidelity.
The objective of this study is to adapt the R3 supervision strategy, an implementation strategy developed for child welfare services that improves supervision, organizational implementation context and, in turn, service delivery and outcomes. Since substance use disorder services are organized and delivered in a similar way as child welfare services, the R3 strategy has strong potential to reinforce implementation of evidence-based practices in substance use disorder settings and, in turn, improve quality and outcomes. The adapted R3 strategy will be tested in future studies.
Baloh joined the Department of Health Policy and Management in 2019 after completing his postdoctoral fellowship on a NIDA-funded T32 at the UAMS Psychiatric Research Institute. He received his PhD in Health Services and Policy from the University of Iowa, and MHA in Health Services Administration from the University of Missouri.
Mentors:
Geoffrey Curran, Ph.D., Director, Center for Implementation Research, UAMS; Professor, Department of Pharmacy Practice, College of Pharmacy, UAMS; Professor, Department of Psychiatry, College of Medicine, UAMS; Research Health Scientist, Central Arkansas Veterans Healthcare System
Michael Cucciare, Ph.D., Associate Professor, Department of Psychiatry and Behavioral Sciences, College of Medicine, UAMS
Lisa Saldana, Ph.D., Director, ODI Clinic- Oregon Social Learning Center, Eugene, Oregon
J. Mick Tilford, Ph.D.., Professor and Chair of Health Policy and Management, College of Public Health, UAMS