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Training Addiction Counselors to Implement CBT for Depression

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Abstract

Many clients in publicly funded substance abuse treatment programs suffer from depression yet lack access to effective mental health treatment. This study sought to examine whether addiction counselors could be effectively trained to deliver group CBT for depression and to ascertain client perceptions of the treatment. Five counselors were trained in the therapy and treated 113 clients with depression symptoms. Counselors demonstrated high fidelity to the therapy and client perceptions of the therapy were positive. Our results suggest that training addiction counselors to deliver group CBT for depression is a promising integrated treatment approach for co-occurring depression and substance disorders.

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Acknowledgments

We would like to acknowledge the contributions of Stephanie Woo, Ph.D. (Pepperdine University) and Ricardo Muñoz, Ph.D. (University of California San Francisco, San Francisco General Hospital, San Francisco State University). We would also like to acknowledge Shirley Summers (Behavioral Health Services) and outpatient counselors Conswaila Jackson, Elizabeth Macias, Sabrina Navarette, James B. Thompson, and Pamela Webber-Sandres. This work was supported by a grant from NIAAA (1R01AA014699).

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Correspondence to Kimberly A. Hepner.

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Hepner, K.A., Hunter, S.B., Paddock, S.M. et al. Training Addiction Counselors to Implement CBT for Depression. Adm Policy Ment Health 38, 313–323 (2011). https://doi.org/10.1007/s10488-011-0359-7

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