The Effects of a Statewide Training Program to Change Treatment Practices for Individuals with Co-Occurring Mental Health and Substance Abuse Disorders - Abstract
Objective: This paper describes the effects of a statewide training program on perceived changes in attitude and skills of behavioral health staff in the treatment of individuals with co-occurring mental health and substance abuse disorders (COD).
Methods: The hypothesis was that increased levels of consultation and training would result in greater recognition and treatment of people with COD. The analysis of the effectiveness in enhancing clinical competence was evaluated using a workforce survey instrument. A logistic regression model was used to determine the results of the training effort as it related to changes in practice by staff.
Results: Four hundred and eighty seven staff members completed the survey. Those with the greatest amount of training were significantly more likely to report changes in their COD treatment practices.
Conclusions: The comprehensive practice change model implemented across the state provider network resulted in promising outcomes with respect to staff changes leading to greater recognition of and competence in treating people with COD. Future research is needed to determine the extent that perceived skills from this integrated treatment practice resulted in actual clinical benefits to COD clients.