1. Treatment Program Perspectives: Conducting Research in the NIDA Clinical Trials Network Yong S. Song, PhD

2. NIDA Clinical Trials Network Cooperative undertaking of NIDA, university researchers & community treatment providers Researchers & clinicians work together to test empirically-based treatments in “real world” community settings Incorporating research into community treatment programs

3. San Francisco General Hospital 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)

4. CTN Protocol 0018 HIV/STD Safer Sex Skills Groups for Men in Methadone Maintenance or Drug-Free Outpatient Treatment Programs Don Calsyn - Lead Investigator Collective effort involving research & clinical staff

5. Treatment Program Perspectives Training & Supervision Implementation Issues Managing Resources & Staff Time Goals & Expectations for research

6. Training & Supervision Week long training for counselors Protocol trainings perceived as “intense” Protocol certification process difficult for some Comfort with sexual material Process of supervision

7. Implementation Issues Providing manualized treatment Fidelity checks Co-facilitation of groups Attendance & pt tracking strategies Clinical staff guidance in scheduling sessions

8. Resources & Staff Time Counselor turn-over in SUD programs high Clinical issues take priority Balancing busy clinical load with research duties

9. Goals & Expectations Multiple additional commitments Flexibility needed to please 2 masters Sometimes perceived as additional “burden” Feedback loop to clinical program

10. Lessons Learned Incorporating research into clinical programs provided opportunities for many Opportunity for clinics to receive training about empirically validated treatments and new clinical opportunities Opportunity for researchers to conduct better research applied in real-life settings

12. Acknowledgements 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  NIDA U10DA015815 (James Sorensen, PI) 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