Computer Based Training in CBT in Primary Care

Computer Based Training in CBT in Primary Care

To conduct an 8-week randomized trial evaluating the feasibility and efficacy of adding CBT4CBT to treatment as usual in a community based primary care program in a population of 60 individuals who meet current DSM criteria for substance use disorder other than nicotine.

The investigators will conduct an initial evaluation of the computer program as an enhancement of treatment as usual in a community-based primary care clinic. Sixty individuals with a current DSM-IV alcohol or substance use disorder will be randomly assigned to either (1) treatment as usual, or (2) treatment as usual plus exposure to the 'CBT for CBT' program over a period of 8 weeks. Primary outcomes will be retention in treatment and reduction in drug use over 8 weeks. Secondary outcomes include treatment utilization

Inclusion Criteria:

• Are 18 years of age or older.
• Are applying for outpatient substance abuse treatment
• Meet current DSM-IV criteria for cocaine, marijuana, opioid, alcohol or other stimulant use disorder
• Are sufficiently stable for 8 weeks of outpatient treatment
• Can commit to 8 weeks of treatment and are willing to be randomized to treatment
• Are willing to provide locator information.

Exclusion Criteria:

• Have an untreated bipolar or schizophrenic disorder
• Have a current legal case pending such that incarceration during the 8 week protocol is likely
• Are in need of detoxification from alcohol, opioids or benzodiazepines