<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0185-3325</journal-id>
<journal-title><![CDATA[Salud mental]]></journal-title>
<abbrev-journal-title><![CDATA[Salud Ment]]></abbrev-journal-title>
<issn>0185-3325</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0185-33252016000200077</article-id>
<article-id pub-id-type="doi">10.17711/SM.0185-3325.2016.004</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Readiness and barriers to adopt evidence-based practices for substance abuse treatment in Mexico]]></article-title>
<article-title xml:lang="es"><![CDATA[Disponibilidad y barreras a la adopción de prácticas basadas en la evidencia para el tratamiento del uso de sustancias en México]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Horigian]]></surname>
<given-names><![CDATA[Viviana E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espinal]]></surname>
<given-names><![CDATA[Paula S.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alonso]]></surname>
<given-names><![CDATA[Elizabeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Verdeja]]></surname>
<given-names><![CDATA[Rosa E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duan]]></surname>
<given-names><![CDATA[Rui]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Usaga]]></surname>
<given-names><![CDATA[Ingrid M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-López]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marín-Navarrete]]></surname>
<given-names><![CDATA[Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Feaster]]></surname>
<given-names><![CDATA[Daniel J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,University of Miami Miller School of Medicine ]]></institution>
<addr-line><![CDATA[Miami FL]]></addr-line>
<country>USA</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz Clinical Trials Unit on Addiction and Mental Health ]]></institution>
<addr-line><![CDATA[Mexico City ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2016</year>
</pub-date>
<volume>39</volume>
<numero>2</numero>
<fpage>77</fpage>
<lpage>84</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0185-33252016000200077&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0185-33252016000200077&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0185-33252016000200077&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT:  Introduction: Evidence shows a lag in adoption of evidence-based practices (EBPs) for substance abuse treatment and supports the need for studying the factors involved in this worldwide problem.  Objective: This study aimed to assess the readiness and barriers to adopt EBPs for substance abuse in a sample of outpatient treatment centers of a newly created Mexican Clinical Trials Network.  Method: An online survey was administered to directors (n = 8) and clinicians (n = 40) from seven outpatient treatment centers in Mexico. Questions were obtained from two surveys that had been implemented in the US to assess the same objectives.  Results: Respondents reported being more ready to adopt Cognitive Behavioral Therapy (CBT, 83.3%) and Motivational Enhancement Therapy (MET, 79.1%), compared to 12 step facilitation (58.3%), couples therapy (56.2%), Brief Strategic Family Therapy (BSFT, 66.6%), and motivational incentives (60.4%). Directors had lower mean resistance to EBPs (11.8 vs. 17.4; p = 0.01) than clinicians. The biggest barriers identified by directors to EBP adoption were not having enough clinical staff, being unable to afford well-trained staff, not enough psychiatric and medical support.  Discussion and conclusion: CBT and MET emerged as the most frequently used evidence based practices in the sites that are part of the Mexican Clinical Trials Network. Staff positive attitudes towards EBPs are critical for adoption.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN:  Introducción: La literatura demuestra una demora en la adopción de las practicas basadas en la evidencia (PBEs) para el tratamiento del abuso de sustancias y apoya la necesidad de estudiar los factores involucrados en este problema mundial.  Objetivo: Este estudio evaluó la disponiblildad y las barreras de la adopción de PBE para el abuso de sustancias en una muestra de centros pertenencientes a la nueva Red Mexicana de Ensayos Clinicos.  Método: Se administró una encuesta online a directores (n = 8) y a clinicos (n = 40) de siete centros de tratamiento ambulatorio para el tratamiento de las adicciones en México. Las preguntas se obtuvieron de dos encuestas que se administraron en los Estados Unidos con los mismos objetivos.  Resultados: Los encuestados reportaron estar más dispuestos a la adopción de la Terapia Cognitivo Conductual (CBT,83.3%) y Terapia de Incremento Motivacional (MET, 79.1%),comparado con la facilitación de los 12 pasos (58.3%),terapia de pareja (56.2%), Terapia Familiar Breve y Estratégica (BSFT, 66.6%),e incentivos para la motivación (60.4%). Los directores tuvieron menor promedio de Resistencia a las PBEs (11.8 vs. 17.4; p = 0.01) que los clinicos. Las principales barreras identificadas por los directores fueron no tener suficiente personal clínico, no poder costear personal altamente entrenado, apoyo psiquiátrico y médico insuficiente.  Discusión y conclusión: La CBT y la MET emergieron como las PBEs usadas con mayor frecuencia en centros que son parte de la Red Mexicana de Ensayos Clínicos. Las actitudes positivas del personal hacia las PBEs son críticas para la adopción.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Evidence-based practice]]></kwd>
<kwd lng="en"><![CDATA[treatment services]]></kwd>
<kwd lng="en"><![CDATA[adoption]]></kwd>
<kwd lng="en"><![CDATA[substance abuse]]></kwd>
<kwd lng="en"><![CDATA[dissemination research]]></kwd>
<kwd lng="en"><![CDATA[barriers]]></kwd>
<kwd lng="es"><![CDATA[Prácticas basadas en la evidencia]]></kwd>
<kwd lng="es"><![CDATA[servicios de tratamiento]]></kwd>
<kwd lng="es"><![CDATA[adopción]]></kwd>
<kwd lng="es"><![CDATA[uso de sustancias]]></kwd>
<kwd lng="es"><![CDATA[investigación de diseminación]]></kwd>
<kwd lng="es"><![CDATA[barreras]]></kwd>
</kwd-group>
</article-meta>
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