Transcript Treatment Program Perspectives: Conducting HIV/AIDS

Treatment Program Perspectives:
Conducting Research in the NIDA
Clinical Trials Network
Yong S. Song, PhD
NIDA Clinical Trials Network
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Cooperative undertaking of NIDA, university
researchers & community treatment providers
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Researchers & clinicians work together to test
empirically-based treatments in “real world”
community settings
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Incorporating research into community treatment
programs
San Francisco
General Hospital
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CTP of California/Arizona Node of NIDA CTN
Teaching hospital for UCSF School of Medicine
County hospital providing care to SF’s indigent population
Opiate Treatment Outpatient Program (OTOP)
 Long history of treating IDUs w/ HIV
 Integrated substance abuse, HIV & mental health
services
University-based methadone programs well researched
OTOP research familiar clinic and staff
 Several extramurally funded studies (Sorensen et al)
CTN
Protocol 0018
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HIV/STD Safer Sex Skills Groups for Men in
Methadone Maintenance or Drug-Free Outpatient
Treatment Programs
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Don Calsyn - Lead Investigator
Collective effort involving research & clinical staff
Treatment Program Perspectives
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Training & Supervision
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Implementation Issues
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Managing Resources & Staff Time
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Goals & Expectations for research
Training & Supervision
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Week long training for counselors
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Protocol trainings perceived as “intense”
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Protocol certification process difficult for some
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Comfort with sexual material
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Process of supervision
Implementation Issues
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Providing manualized treatment
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Fidelity checks
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Co-facilitation of groups
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Attendance & pt tracking strategies
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Clinical staff guidance in scheduling sessions
Resources & Staff Time
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Counselor turn-over in SUD programs high
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Clinical issues take priority
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Balancing busy clinical load with research duties
Goals & Expectations
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Multiple additional commitments
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Flexibility needed to please 2 masters
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Sometimes perceived as additional “burden”
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Feedback loop to clinical program
Lessons Learned
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Incorporating research into clinical programs provided
opportunities for many
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Opportunity for clinics to receive training about empirically
validated treatments and new clinical opportunities
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Opportunity for researchers to conduct better research
applied in real-life settings
Acknowledgements
 NIDA U10DA015815 (James Sorensen, PI)
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Sara Berns, PhD
Jennifer Borrow, MA
Bill Buehlman
Donald Calysn, PhD
TeChieh Chen, BA
Rhodri Dierst-Davies, BA
Valerie Gruber, PhD
Mary Hatch-Malliette, PhD
Nancy Haug, PhD
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Bryan Jackson
Carmen Masson, PhD
Barbara Paschke, M.Ed
Edward Pease, RN
Sarah Pelta, MA
Luis Ramos
Dora Scott
Michael Shopshire, PhD
James Sorensen, PhD