Are Grittier Front-Line Therapists More Likely to Implement Evidence-Based Interventions?
Substance use disorder remains a pervasive problem in the U.S. and elsewhere. Recent scholarship has explored therapist characteristics and evidence based intervention implementation in an attempt to improve client outcomes. One such construct that has received considerable attention is grit. People with high levels of grit tend to remain determined despite setbacks. This study sought to elucidate the relationship of grit to therapeutic alliance and attitudes towards evidence-based interventions in a sample of front-line therapist (n = 240). Grit was found to be positively associated with therapeutic alliance and correlated with favorable attitudes towards using proven practice. Findings suggest that gritty therapists may sustain the use of evidence based interventions in their usual services and have better client outcomes.
KeywordsGrit Evidence-based interventions Therapeutic alliance Substance use disorder Therapist trait
- Aarons, G. A., Ehrhart, M. G., Farahnak, L. R., & Sklar, M. (2014). Aligning leadership across systems and organizations to develop a strategic climate for evidence-based practice implementation. Annual Review of Public Health, 35, 255–274. https://doi.org/10.1146/annurev-publhealth-032013-182447.CrossRefPubMedCentralPubMedGoogle Scholar
- Brownson, R., Colditz, G., & Proctor, E. (Eds.). (2012). Dissemination and implementation research in health: Translating science to practice. New York: Oxford University Press.Google Scholar
- Campbell, J. P., McCloy, R. A., Oppler, S. H., & Sager, C. E. (1993). A theory of performance. In N. Schmitt, W. C. Borman & Associates (Eds.), Personnel selection in organizations (pp. 35–70). San Francisco: Jossey-Bass.Google Scholar
- Cox, C. M. (1926). Genetic studies of genius: Vol. 2. The early mental traits of three hundred geniuses. Stanford: Stanford University Press.Google Scholar
- Glisson, C., Landsverk, J., Schoenwald, S., Kelleher, K., Hoagwood, K. E., Mayberg, S., & Green, P. (2008). Assessing the organizational social context (OSC) of mental health services: Implications for research and practice. Administration and Policy in Mental Health and Mental Health Services Research, 35, 98–113.CrossRefPubMedGoogle Scholar
- Halim, F. W., & Zainal, A. H. (2015). Achievement motivation as mediating factors in the relationship between personality and job performance relationship. Psychology Human Development, 2, 91–101.Google Scholar
- Howe, M. J. A. (1999). Genius explained. New York: Cambridge University Press.Google Scholar
- Institute of Medicine. (2000). To err is human: Building a safer health system. Washington, D.C.: National Academy Press.Google Scholar
- Institute of Medicine. (2015). Psychosocial interventions for mental and substance use disorders: A framework for establishing evidence-based standards. Washington, DC: The National Academics Press.Google Scholar
- Institute of Medicine Committee on the Quality of Health in America. (2006). Improving the quality of health care for mental and substance-use conditions: Quality chasm series (No. 77–139). Washington, DC: National Academy Press Report.Google Scholar
- Jauregui, E., Pacheco, A. M., Soltero, E. G., O’Connor, T. M., Castro, C. M., Etabrooks, P. A., & … Lee, R. E. (2015). Using the RE-AIM framework to evaluate physical activity public health programs in méxico. BMC Public Health, 15, 162. https://doi.org/10.1186/s12889-015-1474-2.CrossRefPubMedCentralPubMedGoogle Scholar
- Johnson, C. K. (2013). Obamacare could overwhelm addiction services. Retrieved from http://www.pottsmerc.com/article/20130427/NEWS04/130429295/obamacare-could-overwhelm-addiction-services#full_story.
- National Association of Social Workers. (2008). Code of ethics of the national association of social workers. Retrieved from http://socialworkers.org/pubs/code/code.asp.
- National Drug Intelligence Center. (2011). The economic impact of illicit drug use on american society. Washington, D.C.: United States Department of Justice. Retrieved from http://www.justice.gov/archive/ndic/pubs44/44731/44731p.pdf.
- National Institute of Drug Abuse. (2012). Adoption of NIDA’s evidence-based treatments in real world settings: A national advisory council on drug abuse workgroup report. Retrieved from http://www.drugabuse.gov/sites/default/files/files/evidencebased_treatments_in_real_world_settings_workgroup_report.pdf.
- Oser, C. B., Biebel, E. P., Pullen, E., & Harp, K. L. H. (2013). Causes, consequences, and prevention of burnout among substance abuse treatment counselors: A rural versus urban comparison. Journal of Psychoactive Drugs, 45(1), 17–27. https://doi.org/10.1080/02791072.2013.763558.CrossRefPubMedCentralPubMedGoogle Scholar
- Patterson Silver Wolf, D. A. (2015). Factors influencing the implementation of a brief alcohol screening and educational intervention in social settings not specializing in addiction services. Social Work in Health Care, 54(4), 345–364. https://doi.org/10.1080/00981389.2015.1005270.CrossRefGoogle Scholar
- Patterson Silver Wolf, D. A., & Dulmus, C. N. (2012). Organizational barriers to adopting an alcohol screening and brief intervention in community-based mental health organizations. Best Practices in Mental Health: An International Journal, 8(1), 16–28. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2012-16849-003&site=ehost-live&scope=site.
- Sales, A. E., Fraser, K., Baylon, M., O’Rourke, H. M., Gao, G., Bucknall, T., & Maisey, S. (2015). Understanding feedback report uptake: Process evaluation findings from a 13-month feedback intervention in long-term care settings. Implementation Science, 10, 20. https://doi.org/10.1186/s13012-015-0208-2.CrossRefPubMedGoogle Scholar
- Substance Abuse and Mental Health Services Administration. (2013). Results from the 2012 national survey on drug use and health: Summary of national findings. Rockville, MD: NSDUH Series H-46, DHHS Publication no. (SMA) 13-4795, SAMHSA.Google Scholar
- Taxman, F. S., & Belenko, S. (2011). Implementing evidence-based practices in community corrections and addiction treatment. New York: Springer-Verlag.Google Scholar
- U. S. Department of Health and Human Services. (2006). The road ahead: Research partnerships to transform services. Rockville: National Institutes of Health, National Institute of Mental Health.Google Scholar
- Vilardaga, R., Luoma, J. B., Hayes, S. C., Pistorello, J., Levin, M. E., Hildebrandt, M. J., & … Bond, F. (2011). Burnout among the addiction counseling workforce: The differential roles of mindfulness and values-based processes and work-site factors. Journal of Substance Abuse Treatment, 40(4), 323–335. https://doi.org/10.1016/j.jsat.2010.11.015.CrossRefPubMedCentralPubMedGoogle Scholar
- Wampold, B. E. (2010). The basics of psychotherapy. Washington, DC: American Psychological Association.Google Scholar
- Webb, E. (1915). Character and intelligence. British Journal of Psychology, 1(3), 99.Google Scholar
- Weiner, B. J. (2009). A theory of organizational readiness for change. Implementation Science, 19, 6.Google Scholar