This is a three-staged study to develop and evaluate a monitoring instrument and associated
intervention, as follows:
Stage 1 - Develop and determine the reliability, validity, and sensitivity to change of a
brief Multidimensional Monitoring Instrument (MMI) for clients in outpatient substance abuse
Stage 2 - Develop a Monitoring and Feedback Intervention (MFI) that uses the MMI. As part of
this process, create a manual, training materials, and competence and adherence measures, and
conduct a feasibility study within an outpatient SAT unit to refine the intervention and
associated materials and measures.
Stage 3 - Conduct a randomized clinical trial (RCT) to determine the preliminary efficacy of
the MFI compared to treatment as usual (TAU) for clients in outpatient SAT. In this pilot
study, it is hypothesized that the MFI will positively impact the treatment process, and
short-term, during treatment, outcomes.