Karen Chan Osilla

Senior Behavioral Scientist; Faculty Member, Pardee RAND Graduate School

Santa Monica Office

Education

Ph.D. in clinical psychology, University of Washington; B.S. in psychology, University of California, San Diego

Media Resources

This researcher is available for interviews.

To arrange an interview, contact the RAND Office of Media Relations at (310) 451-6913, or email media@rand.org.

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Overview

Karen Chan Osilla is a senior behavioral scientist and clinical psychologist at the RAND Corporation and a member of the Pardee RAND Graduate School faculty. She has been involved in over a dozen clinical trials evaluating cognitive behavioral therapy and motivational interviewing (web and in-person) for mental health and substance use disorders among youth, adult, military, and other underserved populations. She has published over 90 peer-reviewed articles on this research and trains across the country on cognitive behavioral therapy and motivational interviewing approaches to prevent and reduce the harms associated with substance use. She recently completed a trial evaluating a web-based program for military spouses concerned about their service member's drinking (Partners Connect). Currently, she is leading a trial evaluating a web-based program to prevent impaired driving among teens (web-CHAT), and another large study testing whether involving a patient’s family member/support person into opioid use disorder treatment can improve outcomes (INSPIRE). Osilla received her Ph.D. in clinical psychology from the University of Washington.

Research Focus

Recent Projects

Delivering Treatment in DUI Programs to Reduce Alcohol-Related Disparities
Enhancing Housing First Programs with a Social Network Substance Use Intervention
Integrated Collaborative Care for Substance Use Disorders
Integrating Support Persons into Recovery (INSPIRE)
A Pilot Trial to Prevent Intoxicated and Impaired Driving Among Adolescents

Selected Publications

Osilla, K. C., Paddock, S., Leininger, T. J., D’Amico, E. J., Ewing, B. A., & Watkins, K. E., "A pilot study comparing in-person and web-based motivational interviewing among adults with a first-time DUI offense," Addiction Science and Clinical Practice, 10, 2015

Osilla, K.C., Ortiz, J.A., Miles, J.N., Pedersen, E.R., Houck, J.M., & D’Amico, E.J., "How group factors affect adolescent change talk and substance use outcomes: Implications for motivational interviewing training," Journal of Counseling Psychology, 62(1), 2015

Osilla, K. C., Pedersen, E. R., Ewing, B. A., Miles, J. N. V., Ramchand, R., & D'Amico, E. J., "The effects of purchasing alcohol and marijuana among adolescents at-risk for future substance use," Substance Abuse Treatment Prevention and Policy, 9, 2014

Osilla, K. C., Watkins, K. E., D’Amico, E. J., McCullough, C. M., & Ober, A. J., "Effects of motivational interviewing fidelity on substance use treatment engagement in primary care," Journal of Substance Abuse Treatment, 87, 2018

Smart, R., Osilla, K. C., Jonsson, L., & Paddock, S. M., "Differences in alcohol cognitions, consumption, and consequences among first-time DUI offenders who co-use alcohol and marijuana," Drug and Alcohol Dependence, 191, 2018

, "Efficacy of a Web‐based Intervention for Concerned Spouses of Service Members and Veterans with Alcohol Misuse," Journal of Marital and Family Therapy, (44), 2018

Osilla, K.C., Paddock, S.M., McCullough, C.M., Jonsson, L., & Watkins, K.E , "Randomized Clinical Trial Examining Cognitive Behavioral Therapy for Individuals with a First-Time DUI Offense," Alcoholism: Clinical and Experimental Research, 2019

Osilla, K. C., Seelam, R., Parast, L., & D’Amico, E. J. , "Associations between driving under the influence or riding with an impaired driver and future substance use among adolescents," Traffic Injury Prevention, 2019

Commentary

Tools for Coping with a Military Spouse's Drinking
A new research study and web program, Partners Connect, was launched in September to help military spouses concerned about a loved one's drinking.
Oct 5, 2015 SpouseBUZZ
Teen Employment May Not Always Be a Boon for At-Risk Youth
For all teens, and especially those who have already experienced problems related to alcohol and drug use, it is essential to monitor the quality of work experiences and keep in mind that some work environments might increase risk for substance use.
Dec 18, 2012

Publications

Journal Article
Study Design to Evaluate a Group-based Therapy for Support Persons of Adults on Buprenorphine/Naloxone
This study will evaluate whether the adapted intervention, also known as integrating support persons into recovery, is effective in increasing patient retention on buprenorphine when compared to usual care.
Sep 18, 2020
Tool
Teaching Skills to Reduce DUI Recidivism: An Evidence-Based Cognitive Behavioral Therapy Program
This manual presents RE-thinking Avenues for Change (REACH), a 12-session cognitive behavioral therapy developed for clients with a first-time driving under the influence (DUI) offense.
Nov 19, 2019
Journal Article
Randomized Clinical Trial Examining Cognitive Behavioral Therapy for Individuals With a First-Time DUI Offense
The current study aims to elucidate the effectiveness of the services DUI programs provide compared to cognitive behavioral therapy (CBT) to prevent impaired driving.
Sep 24, 2019
Journal Article
Understanding Which Teenagers Benefit Most From a Brief Primary Care Substance Use Intervention
A brief primary care intervention can be effective over the long-term for adolescents who report problems from alcohol and marijuana use.
Aug 16, 2019
Journal Article
Associations Between Driving Under the Influence or Riding with an Impaired Driver and Future Substance Use Among Adolescents
In this article, we examined characteristics of adolescents who reported DUI and RWID in the past year using a baseline survey and then assessed associations between baseline reports of DUI and RWID with reports of alcohol and marijuana use and consequences 6 months later.
Aug 6, 2019
Research Brief
Federal Block Grants to States for Mental Health, Substance Abuse, and Homelessness: Potential Improvements to Funding Formulas
RAND researchers analyzed the formulas for distributing funds to states under three block grants for services related to mental health, substance abuse, and homelessness (unchanged since 1992) to determine whether they should be modified.
Jun 19, 2019
Report
Review and Evaluation of the Substance Abuse, Mental Health, and Homelessness Grant Formulas
RAND researchers analyzed the formulas for distributing funds to states under three block grants for services related to mental health, substance abuse, and homelessness (unchanged since 1992) to determine whether they should be modified.
Jun 19, 2019
Journal Article
Patient Predictors of Substance Use Disorder Treatment Initiation in Primary Care
Primary care clinics are opportune settings for the delivery of substance use disorder treatment, but little is known about which patients initiate treatment in these settings.
Jun 28, 2018
Journal Article
Suicide Prevention in U.S. Law Enforcement Agencies: A National Survey of Current Practices
Many U.S. law enforcement agencies are taking steps to promote officer wellness and prevent suicide despite a weak evidence base for many of the specific approaches being used.
May 22, 2018
Journal Article
The Feasibility of a Web Intervention for Military and Veteran Spouses Concerned About Their Partner's Alcohol Misuse
It is feasible to deliver a web-based intervention to help concerned partners of military service members and veterans who suffer from alcohol misuse; partners found the program useful and acceptable.
Apr 18, 2018
Journal Article
Effects of Motivational Interviewing Fidelity on Substance Use Treatment Engagement in Primary Care
Motivational interviewing is used extensively to improve health and substance use-related outcomes, but therapists may need more training in strategic use of the approach.
Apr 3, 2018
Journal Article
A Pilot Test of a Motivational Interviewing Social Network Intervention to Reduce Substance Use Among Housing First Residents
Helping formerly homeless people identify members of their social network who trigger alcohol and other drug (AOD) use may motivate them to reduce high-risk AOD use in the transition to permanent housing.
Feb 9, 2018
Journal Article
Initiation and Engagement as Mechanisms for Change Caused by Collaborative Care in Opioid and Alcohol Use Disorders
This research sheds light on how collaborative care (CC) may work to increase abstinence in a sample of primary care patients with opioid and alcohol use disorders (OAUD).
2018
Journal Article
Predictors of Treatment Initiation for Alcohol Use Disorders in Primary Care
This study suggests that either treatment may not be delivered equitably or that patient preference may be an important factor in determining who gets what treatment.
2018
Journal Article
Efficacy of a Web-based Intervention for Concerned Spouses of Service Members and Veterans with Alcohol Misuse
We found Partners Connect reduced CP anxiety and increased their emotional and tangible social support, factors that have a strong research base in affecting quality of life and health outcomes.
Oct 18, 2017
Journal Article
Internalized Stigma as an Independent Risk Factor for Substance Use Problems Among Primary Care Patients: Rationale and Preliminary Support
High rates of internalized stigma - self-applied negative stereotypes - among primary care patients with opioid or alcohol use disorders were significantly related to greater substance use problems.
Sep 19, 2017
Journal Article
Collaborative Care for Opioid and Alcohol Use Disorders in Primary Care: The SUMMIT Randomized Clinical Trial
Among adults with opioid and alcohol use disorders, a collaborative care intervention—which integrates behavioral health care into primary care—increased both access to treatment and abstinence.
Sep 15, 2017
Tool
SUMMIT Study Protocol: Step-by-Step Procedures for Providing Screening, Brief Intervention, and Treatment Services to Primary Care Patients with Opioid or Alcohol Use Disorders
This integrated collaborative care protocol was created for a research study that looked at ways to implement medication-assisted and behavioral treatment for patients with opioid and alcohol use disorders in a community health clinic.
May 11, 2017
Journal Article
Bringing Alcohol Treatment to Driving Under the Influence Programs: Perceptions from First-Time Offenders
Individuals with a first time DUI offense found cognitive behavioral therapy, adapted for a DUI setting, acceptable.
May 4, 2017
Tool
RAND's Fidelity Monitoring Protocol for Suicide Prevention Workshops in California
RAND developed a fidelity monitoring protocol composed of adherence and competence measures based on the Applied Suicide Intervention Skills Training (ASIST) for the California Mental Health Services Authority.
Mar 7, 2017
Journal Article
The Role of Perceived Injunctive Alcohol Norms in Adolescent Drinking Behavior
Perceived injunctive norms (i.e., what behaviors peers find acceptable) should be targeted in prevention programs with youth because these perceptions are associated with multiple drinking outcomes, such as heavy drinking.
Jan 25, 2017
Report
Preventing, Identifying, and Treating Prescription Drug Misuse Among Active-Duty Service Members
This report presents the framework of an analytic tool that can help the military predict future trends in PDM based on current demographics of active-duty service members and rates of injury and prescribing of prescription drugs.
Jan 4, 2017
Journal Article
Alcohol Use Among Concerned Partners of Heavy Drinking Service Members and Veterans
An intervention to improve mental health and communication among military spouses worried about their partners' drinking reduced depression more effectively for spouses who also drank heavily.
2017
Journal Article
Implementing the Chronic Care Model for Opioid and Alcohol Use Disorders in Primary Care
This paper describes the process of planning and developing an intervention for delivering treatment for opioid and alcohol use disorders in primary care.
2017
Journal Article
Feasibility of a Computer-Assisted Social Network Motivational Interviewing Intervention for Substance Use and HIV Risk Behaviors for Housing First Residents
A motivational interviewing approach that targets social networks to reduce risky behavior was found to be helpful in a focus group of residents and staff of Housing First, a permanent supportive housing organization for formerly homeless people.
Sep 19, 2016
Journal Article
It Is Time to Develop Appropriate Tools for Assessing Minimal Clinically Important Differences, Performance Bias and Quality of Evidence in Reviews of Behavioral Interventions
It is important to define minimally important clinical differences in alcohol intervention research that reflect all stakeholders' perspectives.
Sep 14, 2016
Report
A Preliminary Evaluation of Interactive Video Simulation Training for Campus Law Enforcement in California
This report evaluates the Interactive Video Simulation Training to help campus law enforcement professionals refer and intervene with college students experiencing psychological distress.
Jun 10, 2016
Journal Article
A Systematic Review of the Prevention and Treatment of Prescription Drug Misuse
Guidance on how to prevent or treat the misuse of prescription drugs in the U.S. Department of Defense and Veterans Administration is similar to directives outside the military system, and tends to focus on opioids.
May 9, 2016
Journal Article
Factors Affecting Mental Health Service Utilization Among California Public College and University Students
Significant need for mental health services exists among college students in California, especially where services are not offered on campus.
Apr 21, 2016
Research Brief
Campus Climate Matters: Changing the Mental Health Climate on College Campuses Improves Student Outcomes and Benefits Society
Reports results of a survey to assess the impact of state investments in mental health programs at California public colleges and the return on investment in terms of student use of treatment, graduation rates, and lifetime earnings.
Apr 1, 2016
Journal Article
A Computer-Assisted Motivational Social Network Intervention to Reduce Alcohol, Drug and HIV Risk Behaviors Among Housing First Residents
This pilot study will assess whether coupling social network visualizations with motivational interviewing can help Housing First participants transition away from homelessness and high-risk behaviors, such as substance use and risky sexual activity.
Mar 29, 2016
Tool
Brief Treatment for Substance Use Disorders: A Guide for Behavioral Health Providers
Brief Treatment for Substance Use Disorders: A Guide for Behavioral Health Providers is a clinician guidebook that describes a six-session brief treatment for patients with alcohol and opiate use disorders.
Jan 25, 2016
Journal Article
Reaching Concerned Partners of Heavy Drinking Service Members and Veterans Through Facebook
Facebook may be a viable and cost-effective strategy for reaching military spouses who are concerned about their partner's drinking.
2016
Journal Article
Reviewing and Interpreting the Effects of Brief Alcohol Interventions: Comment on a Cochrane Review About Motivational Interviewing for Young Adults
Cochrane recently published a systematic review on motivational interviewing (MI) for alcohol misuse in young adults. This study wishes to open a dialogue about interpreting effect sizes in this review and of (brief) alcohol interventions more generally.
2016
Journal Article
Study Design to Evaluate Cognitive Behavioral Therapy Among a Diverse Sample of Adults with a First-Time DUI Offense
The proposed study addresses 2 important public health problems: (1) Individuals convicted of a DUI are mandated to attend a DUI program, but many recidivate and, (2) There is a disproportionate lack of access to AUD treatment for Latino populations.
2016
Journal Article
Implementing Evidence-Based Suicide Prevention Training in Communities: Implications for Quality Improvement
Suicide prevention trainings are implemented to equip the public's ability to intervene with those who are at-risk, but their implementation is not often monitored for quality.
Nov 30, 2015
Report
Assessing the Quality and Value of Psychological Health Care in Civilian Health Plans: Lessons and Implications for the Military Health System
The Military Health System (MHS) cares for many patients with psychological health conditions. RAND examines civilian health plans' approaches to measuring the quality of psychological health care to inform MHS' quality measurement efforts.
Nov 16, 2015
Journal Article
A Pilot Study Comparing In-Person and Web-Based Motivational Interviewing Among Adults with a First-Time DUI Offense
Receiving a DUI may be significant enough to reduce short-term behaviors, but future research should explore whether more intensive interventions are needed to sustain long-term changes.
Oct 5, 2015
Report
Driving Under the Influence of Alcohol: Could California Do More to Prevent It?
RAND researchers consider whether California could do more to reduce driving under the influence (DUI) and other threats to public health and safety imposed by repeat DUI offenders.
Sep 30, 2015
Report
Family Resilience in the Military: Definitions, Models, and Policies
Summarizes definitions of family resilience in the literature, identifies key family resilience factors, and recommends steps that the Department of Defense can take to manage its portfolio of family resilience programs and policies.
Jul 10, 2015
Report
Student Mental Health in California's K–12 Schools: School Principal Reports of Common Problems and Activities to Address Them
Reports results of a survey of K-12 principals to take inventory of student mental health and wellness needs and the types of programs schools are most often implementing to help students in California's public schools.
Jul 2, 2015
Report
Navigating the Road to Reintegration: Status and Continuing Support of the U.S. Air Force's Wounded Warriors
Gauges the current status of the Air Force's wounded warriors, including their use of and satisfaction with Air Force programs designed to serve them.
Jun 22, 2015
Journal Article
The Longitudinal Relationship Between Employment and Substance Use Among At-Risk Adolescents
This paper explores the longitudinal association between employment and alcohol/other drug (AOD) use and consequences among an at-risk youth sample with a first-time AOD offense.
Jun 4, 2015
Report
Suicide Postvention in the Department of Defense: Evidence, Policies and Procedures, and Perspectives of Loss Survivors
The scientific evidence on suicide postvention, guidance for other organizations, and the perspectives of military suicide loss survivors provide potential insights for U.S. Department of Defense policies and programs to respond to suicides.
Apr 9, 2015
Report
Mental Health Trainings in California's Higher Education System Are Associated with Increased Confidence and Likelihood to Intervene with and Refer Students
Reports on an evaluation of California mental health trainings offered to staff and students in California's higher education system.
Feb 2, 2015
Report
Mental Health Trainings in California's K-12 System Are Associated with Increased Confidence and Likelihood to Intervene with and Refer Students
Reports on an evaluation of California mental health trainings offered to staff in California's K-12 system.
Feb 2, 2015
Journal Article
How Group Factors Affect Adolescent Change Talk and Substance Use Outcomes: Implications for Motivational Interviewing Training
Clients who verbalize statements arguing for change (change talk [CT]) in psychotherapy are more likely to decrease alcohol and other drug use (AOD) compared with clients who voice statements in opposition of change (sustain talk [ST]).
Jan 28, 2015
Report
Access to Behavioral Health Care for Geographically Remote Service Members and Dependents in the U.S.
Geospatial and longitudinal analyses helped determine how many military service members and dependents are geographically distant from behavioral health care and the resulting effect on use of care.
Jan 5, 2015
Research Brief
Far from Care: Increasing Access to Behavioral Health Care for Remote Service Members and Their Families
RAND researchers sought to identify how many U.S. military service members and their dependents are remote from behavioral health care and the effects of this distance on their access to and use of care.
Jan 5, 2015
Report
Improving Access to Behavioral Health Care for Remote Service Members and Their Families
Geospatial and longitudinal analyses helped determine how many military service members and dependents are geographically distant from behavioral health care and the resulting effect on use of care.
Jan 5, 2015
Journal Article
The Effects of Mental Health Symptoms and Marijuana Expectancies on Marijuana Use and Consequences Among At-Risk Adolescents
Youth with depressive symptoms who believe marijuana will lead to positive effects are more likely to experience negative consequences of use, such as missing school or work or having difficulty concentrating.
2015
Journal Article
Longitudinal Family Effects on Substance Use Among an At-Risk Adolescent Sample
Adult and peer factors may influence whether adolescents use alcohol and other drugs (AOD). This longitudinal study examined the direct effects of adult monitoring, perceived adult AOD use, and cultural values on adolescent AOD use.
2015
Journal Article
The Effects of Purchasing Alcohol and Marijuana Among Adolescents At-Risk for Future Substance Use
Among high-risk youth, those who may be at increased risk for adverse alcohol and other drug (AOD) use outcomes may benefit from targeted prevention efforts; how youth acquire AOD may provide an objective means of identifying youth at elevated risk.
Sep 1, 2014
Journal Article
Study Design to Develop and Pilot-Test a Web Intervention for Partners of Military Service Members with Alcohol Misuse
Alcohol misuse among military service members from the recent conflicts in Iraq and Afghanistan is over two times higher compared to misuse in the civilian population.
Sep 1, 2014
Report
A Case Study Evaluating the Fidelity of Suicide Prevention Workshops in California
Reports on an evaluation of California suicide intervention training workshops to provide evidence that training is delivered with fidelity and adherence to the workshop's design, as well as with high quality.
Aug 12, 2014
Journal Article
Evaluating the Impact of Getting to Outcomes-Underage Drinking on Prevention Capacity and Alcohol Merchant Attitudes and Selling Behaviors
Assessed whether providing prevention coalitions with Getting To Outcomes-Underage Drinking (GTO-UD) helped improve implementation of two common EAP strategies, responsible beverage service training (RBS) and compliance checks.
Aug 1, 2014
Report
CalMHSA Student Mental Health Campus-Wide Survey: 2013 Summary Report
Report provides the results of a California survey of colleges and universities on mental health experiences and attitudes, perceptions of campus mental health services, and perceptions of overall campus climate toward mental health and well-being.
Jun 3, 2014
Research Brief
What Has the Student Mental Health Initiative Done So Far? Year 1 Findings
This fact sheet summarizes the first-year evaluation of California's Student Mental Health Initiative.
Mar 6, 2014
Research Brief
What Has the Suicide Prevention Initiative Done So Far? Year 1 Findings
This fact sheet summarizes the first-year evaluation of California's Suicide Prevention Initiative.
Mar 5, 2014
Report
Evaluating the California Mental Health Services Authority's Student Mental Health Initiative: Year 1 Findings
Summarizes first-year findings of an ongoing evaluation of a California program aimed at developing statewide capacities and implementing interventions to improve student mental health.
Feb 11, 2014
Report
Evaluating the California Mental Health Services Authority's Suicide Prevention Initiative: Year 1 Findings
Summarizes first-year findings of an ongoing evaluation of a California program aimed at developing statewide capacities and implementing interventions to prevent suicide.
Feb 11, 2014
Research Brief
Reintegration After Deployment: Supporting Citizen Warriors and Their Families
A RAND study of the challenges that reserve component service members and their families face after deployment and the factors that contribute to successful reintegration led to a series of recommendations for the U.S. Department of Defense.
Sep 17, 2013
Journal Article
Perceived Norms Moderate the Association Between Mental Health Symptoms and Drinking Outcomes Among At-Risk Adolescents
The current study used a sample of 193 at-risk youths with a first-time alcohol and/or other drug offense in the California Teen Court system to explore the moderating role of perceived peer alcohol norms on the association between mental health symptoms and drinking outcomes.
Sep 1, 2013
Report
Support for the 21st-Century Reserve Force: Insights to Facilitate Successful Reintegration for Citizen Warriors and Their Families
This RAND study examined the challenges that reserve component service members and their families face after deployment and identified the factors and support resources that may contribute to their successful reintegration.
Aug 28, 2013
Journal Article
Training Addiction Counselors to Implement an Evidence-Based Intervention: Strategies for Increasing Organizational and Provider Acceptance
This article makes recommendations for selecting and training addiction counselors to deliver group-base cognitive behavioral therapy for depression and provides suggestions for the structure and process of their ongoing clinical supervision.
May 1, 2013
Journal Article
The Carrot and the Stick: A Cross-Sectional Study of the Influences on Responsible Merchant Practices to Reduce Underage Drinking
Merchants who hold more pro-enforcement attitudes engage in more responsible beverage service training practices, which in turn is associated with greater enforcement of underage drinking. These attitudes are potential targets of prevention efforts.
Apr 2, 2013
Journal Article
The Effects of Employment Among Adolescents At-Risk for Future Substance Use
This paper explores the association between work intensity, alcohol and/or other drug (AOD) use, and related risk factors and consequences among an at-risk youth sample that has received a first-time AOD offense.
Jan 9, 2013
Journal Article
A Randomized Controlled Trial of a Group Motivational Interviewing Intervention for Adolescents with a First Time Alcohol or Drug Offense
Group motivational interviewing (MI) interventions that target youth at-risk for alcohol and other drug (AOD) use may prevent future negative consequences.
2013
Report
Interventions to Improve Student Mental Health: A Literature Review to Guide Evaluation of California's Mental Health Prevention and Early Intervention Initiative
The authors review data on the prevalence of youth mental health disorders and schools' use of student mental health (SMH) programs and describe schools' role in addressing SMH concerns and outline a conceptual model for guiding program evaluation.
Dec 27, 2012
Report
Labor Force Reentry: Issues for Injured Service Members and Veterans
As large numbers of service members and veterans, many with serious injuries, return from Iraq and Afghanistan, it is critical to examine the effectiveness of the return-to-work resources available to help them obtain and retain gainful employment.
Nov 8, 2012
Journal Article
Assessing Motivational Interviewing Integrity for Group Interventions with Adolescents
This study demonstrates that it is possible to determine whether group motivational interviewing (MI) is implemented with integrity in the group setting and that MI in this setting is different from what takes place in usual care.
May 28, 2012
Journal Article
Multicultural Web-Based Motivational Interviewing for Clients with a First-Time DUI Offense
A culturally relevant web-based Motivational Interviewing in English and Spanish was developed to serve as a standalone or adjunctive program in DUI educational settings. This study evaluated its feasibility and acceptability among clients.
Apr 1, 2012
Journal Article
Systematic Review of the Impact of Worksite Wellness Programs
Analyzes the impact of worksite wellness programs on health and financial outcomes, and the effect of incentives on participation.
Feb 1, 2012
Journal Article
Provider and Patient Correlates of Provider Decisions to Recommend HCV Treatment to HIV Co-Infected Patients
Despite low uptake of hepatitis C virus (HCV) treatment among HIV co-infected patients, few studies have examined the factors that contribute to provider decisions to recommend treatment.
2012
Journal Article
Treating Depression and Substance Use: A Randomized Controlled Trial
To meet the call for more "transportable" interventions, the authors conducted a pilot study to test a group cognitive–behavioral therapy (CBT) for depression and substance use that was designed for delivery by outpatient substance abuse treatment counselors.
2012
Journal Article
Assessing and Improving Organizational Readiness to Implement Substance Use Disorder Treatment in Primary Care: Findings from the SUMMIT Study
An organizational readiness intervention improved some implementation outcomes related to integrating treatment for opioid and alcohol use disorders in primary care, but not all.
2012
Journal Article
Patient and Provider Characteristics Associated with the Decision of HIV Coinfected Patients to Start Hepatitis C Treatment
A patient's decision to start or defer hepatitis C treatment is influenced by the stage of their disease and by their providers' confidence about the efficacy of hepatitis C treatment.
Sep 1, 2011
Report
A Fidelity Coding Guide for a Group Cognitive Behavioral Therapy for Depression
Description of fidelity rating tools for the Building Recovery by Improving Goals, Habits, and Thoughts (BRIGHT) and BRIGHT-2 interventions for depression and substance abuse, interrater reliability of measures, and a training plan for coders.
Aug 24, 2011
Report
Building Recovery by Improving Goals, Habits, and Thoughts (BRIGHT-2): An Integrated Group Cognitive Behavioral Therapy for Co-Occurring Depression and Alcohol and Drug Use Problems — Group Member's Workbook
This is the group member's workbook for BRIGHT-2, a manualized group cognitive behavioral therapy program for co-occurring depression and alcohol and drug use problems.
Jul 13, 2011
Report
Building Recovery by Improving Goals, Habits, and Thoughts (BRIGHT-2): An Integrated Group Cognitive Behavioral Therapy for Co-Occurring Depression and Alcohol and Drug Use Problems — Group Leader's Manual
This is the group leader's manual for BRIGHT-2, a manualized group cognitive behavioral therapy program for co-occurring depression and alcohol and drug use problems.
Jul 13, 2011
Journal Article
The Premises Is the Premise: Understanding Off- and On-Premises Alcohol Sales Outlets to Improve Environmental Alcohol Prevention Strategies
Outlets that sell alcohol on the premises (e.g., bars or restaurants) do more to prevent alcohol sales to minors than outlets such as convenience or liquor stores.
Mar 4, 2011
Journal Article
Group Alcohol and Drug Treatment
Group treatment for teen alcohol and drug disorders can be enhanced by motivational interviewing, a technique that may be ideally suited to addressing barriers to treating teens in groups because it is inherently collaborative, focusing on achievable approaches for change.
2011
Journal Article
Patient Characteristics Associated with HCV Treatment Adherence, Treatment Completion and Sustained Virologic Response in HIV Co-Infected Patients
Good mental health may be an indicator of readiness to adhere to treatment for Hepatitis C among individuals who also have HIV.
2011
Research Brief
Studies' Estimates of PTSD Prevalence Rates for Returning Service Members Vary Widely
Summarizes analyses of existing posttraumatic stress disorder (PTSD) studies for war zone veterans, finding that the prevalence estimates vary widely and are linked to the use of different PTSD diagnostic definitions and divergent study samples.
Feb 11, 2010
Journal Article
Developing a Group Motivational Interviewing Intervention for First-Time Adolescent Offenders At-Risk for an Alcohol or Drug Use Disorder
This study found that using group MI can be an acceptable approach for youth at risk for alcohol or other drug offenses.
2010
Journal Article
Disparate Prevalence Estimates of PTSD Among Service Members Who Served in Iraq and Afghanistan: Possible Explanations
Combat exposure is the only correlate consistently associated with PTSD.
2010
Journal Article
Exploring Productivity Outcomes from a Brief Intervention for At-Risk Drinking in an Employee Assistance Program
This exploratory study examines changes in workplace productivity and related costs for clients receiving a Brief intervention (BI) for at-risk drinking in the employee assistance program (EAP).
2010
Journal Article
Developing an Integrated Treatment for Substance Use and Depression Using Cognitive-Behavioral Therapy
Providing a unified treatment approach to meet the substance abuse and mental health needs of clients is the preferred model for addressing co-occurring disorders.
2009
Journal Article
Factors That Influence an HIV Coinfected Patient's Decision to Start Hepatitis C Treatment
Patients infected with both HIV and hepatitis C decide to start treatment for hepatitis C based on a number of factors such as readiness for treatment and willingness to deal with side effects, but the relationship with their providers is also influential.
2009
Journal Article
Treat Early or Wait and Monitor? A Qualitative Analysis of Provider Hepatitis C Virus Treatment Decision-Making in the Context of HIV Coinfection
Liver disease is a leading cause of death among patients with HIV coinfected with hepatitis C (HCV); yet, studies show that less than 10% receive HCV treatment, in part because of limited treatment response, high treatment toxicity, and psychosocial barri
2009
Draft
Invisible Wounds: Predicting the Immediate and Long-Term Consequences of Mental Health Problems in Veterans of Operation Enduring Freedom and Operation Iraqi Freedom
Reviews literature on post-traumatic stress disorder, major depression, and traumatic brain injury and discusses the likely effects of these conditions for veterans that have served in Afghanistan and Iraq and their families.
Apr 18, 2008
Report
Invisible Wounds of War: Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery
A comprehensive study of the post-deployment health-related needs associated with post-traumatic stress disorder, major depression, and traumatic brain injury among servicemembers returning from Operations Enduring Freedom and Iraqi Freedom.
Mar 26, 2008
Journal Article
A Brief Intervention for At-Risk Drinking in an Employee Assistance Program
The current pilot study examined the preliminary efficacy of a brief intervention (BI) for at-risk drinking in an employee assistance program.
2008
Journal Article
Further Validity Evidence for the Dimensions of Change in Therapeutic Community Treatment Instrument
Examines the validity of the Dimensions of Change Instrument treatment process measure by confirming factor structure and examining each subscale's relationship with time in treatment, scales from another assessment, and mental and physical health.
2008