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Session Title: Contextual Challenges for Evaluation in Methamphetamine Drug Abuse Treatment
Multipaper Session 334 to be held in Panzacola Section F4 on Thursday, Nov 12, 3:35 PM to 4:20 PM
Sponsored by the Alcohol, Drug Abuse, and Mental Health TIG
Chair(s):
Katrina Bledsoe,  Walter R McDonald and Associates Inc, kbledsoe@wrma.com
Formative Program Evaluation: Asking Mothers Addicted to Methamphetamine About Their Experiences
Presenter(s):
Debra Harris, California State University Fresno, dharris@csufresno.edu
Abstract: This presentation will explain the use of a formative program evaluation to assess a drug abuse inpatient treatment program. Contextualizing the women's experiences was an important aspect of this evaluation. It was intended to improve the services provided. Lessons learned by the program evaluator included the importance of information confidentiality and of the mothers' identity, the use of triangulation, use of the evaluation results by the service provider and the importance of feedback to the mothers. In addition, lessons included the length of time that in-person interviews, data analysis, and follow-up telephone contact required. For those who evaluate programs related to drug abuse or social service providers, the presentation will explore the mothers' journey through the treatment for methamphetamine addiction.
Evaluating the Methamphetamine Evidence-based Treatment and Healing Program in a Rural Community Mental Health Center Context: Challenges, Rewards and Sustainability
Presenter(s):
Kathryn Bowen, Centerstone Research Institute, kathryn.bowen@centerstone.org
Freida Outlaw, Tennessee Department of Mental Health & Development, freida.outlaw@state.tn.us
Jules Marquart, Centerstone Research Institute, jules.marquart@centerstone.org
Gisoo Barnes, Centerstone Research Institute, gisdoo.barnes@centerstone.org
Ajanta Roy, Centerstone Research Institute, ajanta.roy@centerstone.org
Ellen Pogue, Centerstone Research Institute, ellen.pogue@centerstone.org
Abstract: While both rural and urban areas experience drug abuse problems, the consequences are not the same due to the limited ability of rural areas to offer effective substance abuse treatment that is accessible and sensitive to rural culture. This paper describes the evaluation of a program that uses the Matrix evidence-based model for treating adults 18 years and older who were abusing methamphetamine and/or other emerging drugs in six rural Middle Tennessee counties. In addition to discussing evaluation findings the presenter will discuss rural contextual barriers that created challenges to enrollment and retention and ways in which these challenges were overcome. The impact of context on implementation fidelity will be woven throughout the discussion. Finally, suggestions for sustainability of substance abuse treatment programs in a rural context will be presented.

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