Supervision in Substance Use Disorder Treatment Programs
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Arkansas
About this trial
Substance use disorders such as opioid addiction affect millions of adults in the United States each year, but the delivery of high-quality, effective addiction services is disrupted by organizational issues such as counselor burnout and turnover. Clinical supervisors are essential for supporting counselors in specialty addiction treatment programs, but few supervisors receive supervision-focused training. This project seeks to develop and pilot an evidence-based supervision strategy that has a high potential to enhance supervision and result in improved counselors' well-being and performance and, in turn, to improve client outcomes.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Serves as a supervisor (i.e., oversee work of counselors) or counselor (i.e., directly work with clients) at a substance use treatment facility/program
Program/facility provides residential services
Disqualifiers
Supervisors contracted (not employed) by the facility
Trial design
Design model
Single group
Treatments tested in this trial
FOCUS supervision strategy
Other interventionThe FOCUS supervision strategy provides a strenghts-based model for supervision. It is built around three core components: (1) Five pillars for effective supervision interactions, (2) practical skills that operationalize these principles, and (3) a set of experiential activities that provide foundational learnings for staff to practice the skills around real-life situations (from which future client-specific interventions can be built). In this study, FOCUS is being tailored for SUD treatment settings.
Treatment groups
43 Participants
are divided into 1 treatment groupGroup A: Supervision armExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Counselor self-efficacy
Self-reported survey response at the counselor level (Efficacy subscale on TCU ORC; 1-5 Likert scale, higher scores are better; Lehman WEK, Greener JM, Simpson DD. Assessing organizational readiness for change. J Subst Abuse Treat. 2002;22(4):197-209. doi: 10.1016/S0740-5472(02)00233-7.)
Time frame
Every 6 months for 2 yearsSecondary outcomes
1
Supervisor fidelity to FOCUS
Expert rated fidelity to FOCUS at the supervisor level (measure to be developed as part of the study)
Time frame
Monthly, 2 years2
FOCUS acceptability
Supervisor perceptions of acceptability (satisfaction, appeal) of FOCUS and related materials (Acceptability of Intervention Measure \[AIM\], 1-5 Likert scale, higher scores are better; Weiner BJ, Lewis CC, Stanick C, et al. Psychometric assessment of three newly developed implementation outcome measures. Implementation Science. 2017;12:1-12. doi: 10.1186/s13012-017-0635-3.)
Time frame
Every 6 months, for 2 years3
FOCUS feasibility
Supervisor perceptions of feasibility (ease of use, "do-ability") of FOCUS and related materials (Feasibility of Intervention Measure \[FIM\], 1-5 Likert scale, higher scores are better; Weiner BJ, Lewis CC, Stanick C, et al. Psychometric assessment of three newly developed implementation outcome measures. Implementation Science. 2017;12:1-12. doi: 10.1186/s13012-017-0635-3.)
Time frame
Every 6 months, for 2 years4
Leadership - implementation leadership
Counselor perceptions of supervisors' support for ESTs (Implementation Leadership Scale \[ILS\], 1-5 Likert scale, higher scores are better; Aarons GA, Ehrhart MG, Torres EM, Finn NK, Roesch SC. Validation of the implementation leadership scale (ILS) in substance use disorder treatment organizations. J Subst Abuse Treat. 2016;68:31-35. doi: 10.1016/j.jsat.2016.05.004.)
Time frame
Every 6 months, for 2 yearsSponsors and contacts
Click on the lead sponsor to view all of their trials.
University of Arkansas
Lead sponsor
National Institute on Drug Abuse (NIDA)
Collaborator
Chestnut Health Systems
Collaborator
Source ClinicalTrials.gov