Manual-guided cognitive-behavioral therapy training: a promising method for disseminating empirically supported substance abuse treatments to the practice community

Psychol Addict Behav. 2001 Jun;15(2):83-8.


A gap exists between empirically supported substance abuse treatments and those used in community settings. This study examined the feasibility of training substance abuse counselors to deliver cognitive-behavioral treatment (CBT) using treatment manuals. Participants were 29 counselors. Counselors were randomly assigned to receive CBT training or to a control group. Counselor attitudes were assessed pre- and posttraining. In addition, CBT therapy sessions were videotaped and rated for adherence and skillfulness. CBT counselors reported high levels of satisfaction with the training, intention to use CBT interventions, and confidence in their ability to do so. Ratings indicated that 90% of counselors were judged as having attained at least adequate levels of CBT skillfulness. Findings demonstrate the feasibility of using psychotherapy technology tools as a means of disseminating science-based treatments to the substance abuse practice community.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Cognitive Behavioral Therapy / education*
  • Cognitive Behavioral Therapy / methods*
  • Community Mental Health Services / supply & distribution*
  • Counseling / education
  • Evidence-Based Medicine*
  • Feasibility Studies
  • Female
  • Humans
  • Male
  • Manuals as Topic*
  • Patient Satisfaction
  • Random Allocation
  • Substance-Related Disorders / therapy*
  • Surveys and Questionnaires
  • Teaching*