OHSU

Center for Substance Abuse Policy & Research

The Center for Substance Abuse Policy and Research (CSAPR) works on the nexus of policy, practice and research related to treatment for alcohol and drug dependence. The Center promotes research, education and service on the public health impacts of alcohol and drug abuse, facilitates the application of empirical research findings to improve treatment services, and to develop more effective state and local policies.

The Center hosts the Western States Node of the National Drug Abuse Treatment Clinical Trials Network, as well as the following projects: the Oregon Practice Improvement Collaborative, the Northwest Frontier Addiction Technology Transfer Center, the national evaluation for the Paths to Recovery project, and grants from the National Institute on Alcohol Abuse and Alcoholism, the National Institute on Drug Abuse, the Center for Substance Abuse Treatment and state and local authorities.

Opiate Medication Initiative for Rural Oregon Residents (OMIROR) OMIROR is designed to increase access to and improve the quality of opiate agonist and partial agonist therapies for opiate dependent individuals in rural counties of Central and Southwestern Oregon. The primary objectives are to provide Center for Substance Abuse Training approved training in the use of buprenorphine for the treatment of opiate dependence to physicians and associated health practitioners so that rural counties in Central and Southwestern Oregon will be prepared to offer agonist therapies. The project also links community-based drug abuse treatment programs with the trained physicians so that patients who receive agonist therapies also have access to drug abuse counseling services.

Oregon Practice Improvement Collaborative Innovation is a key to quality improvement in all organizations - and essential to the health and vitality of community-based substance abuse treatment organizations. Through the CSAT funded Practice Improvement Collaboratives, the Oregon Practice Improvement Collaborative (OPIC) supports state and local level initiatives to utilize science based practices by substance abuse treatment agencies. The OPIC facilitates activities to inform stakeholders about science based practices, educates practitioners and agencies on the utilization of these practices in treatment, consults with agencies and policy makers on the implementation and sustaining of practices, and conducts pilot and knowledge adoption studies on issues surrounding the implementation and sustaining of practices by community-based organizations. The OPIC stakeholders consist of treatment agency key personnel, investigators, educators, local and state policy makers, and consumers of treatment in a collaborative fashion to foster the transfer of science to service. Evaluation studies in process include the use of client self assessments as important activities to help engage clients in treatment, and strategies that support the implementation of motivational interviewing concepts by clinicians, managers and staff in treatment agencies.

The Substance Abuse Policy Center also consults with state and local agencies in evaluating programs influencing substance abuse treatment. An example is a collaborative project with the Oregon Office of Mental Health and Addiction Services where the Center evaluated the data collection and consultation process the state uses to assess treatment effectiveness and provide quality improvement assistance for agencies receiving funds from the State to provide treatment to Oregon residents. "Recoveries from Severe Mental Illness" is a four-year study, funded by the National Institute of Mental Health. The project has three aims: (1) to identify processes, factors, actions, and experiences that facilitate recovery among people with severe mental illnesses, (2) to describe participants' reports of how mental health care providers, and the mental health care system more generally, have facilitated recovery, and (3) to examine patterns in health care service use to understand how volume and type of service relate to participants' reports of symptom levels, functioning, life difficulties, and life satisfaction. "Gender, Drinking Patterns, Health & Service Seeking" is a 3-year study, funded by the National Institute of Alcohol Abuse and Alcoholism. The overall aim of the project is to understand how and why gender differences in drinking patterns and other health-related practices affect willingness to use different types of health care services.

Clinical Trials Network (CTN) The mission of the Clinical Trials Network (CTN) is to improve the quality of drug abuse treatment throughout the country using science as the vehicle.The CTN provides an enterprise in which the National Institute on Drug Abuse, treatment researchers, and community-based service providers cooperatively develop, validate, refine, and deliver new treatment options to patients in community-level clinical practice. This unique partnership between community treatment providers and academic research leaders aims to achieve the following objectives:

  • Conducting studies of behavioral, pharmacological, and integrated behavioral and pharmacological treatment interventions of therapeutic effect in rigorous, multi-site clinical trials to determine effectiveness across a broad range of community-based treatment settings and diversified patient populations; and
  • Ensuring the transfer of research results to physicians, clinicians, providers, and patients.