The NIATx Model was originally developed as a demonstration project supported by the Robert Woods Johnson Foundation (RWJF) and the Substance Abuse and Mental Health Administration (SAMHSA). The seminal article that emerged from this demonstration pilot (McCarty et al., 2007), and described the impact of the NIATx model on access and retention in addiction treatment settings.
Since then, more than 60 peer-reviewed publications support the effectiveness of the NIATx model. The model has expanded to include use in adopting evidence-based practices and in mental health, child welfare, criminal justice, and other human services settings. NIATx has also proven effective in international settings.
Investigators studying the NIATx approach now extend beyond the original research team that developed the model.
The following is a partial list of NIATx-related research published in peer-reviewed publications.
2024
2023
- Fleddermann, K., Jacobson, N., Horst, J., Madden, L. M., Haram, E., & Molfenter, T. (2023). Opening the “black box” of organizational coaching for implementation. BMC health services research, 23(1), 106. https://doi.org/10.1186/s12913-022-08948-6
- Fleddermann, K., Molfenter, T., Vjorn, O., Horst, J., Hulsey, J., Kelly, B., Zawislak, K., Gustafson, D. H., & Gicquelais, R. E. (2023). Patient Preferences for Mobile Health Applications to Support Recovery. Journal of addiction medicine, 10.1097/ADM.0000000000001137. Advance online publication. https://doi.org/10.1097/ADM.0000000000001137
2022
- Gustafson, D., Sr, Horst, J., Boss, D., Fleddermann, K., Jacobson, N., Roosa, M., Ross, J. C., Gicquelais, R., Vjorn, O., Siegler, T., & Molfenter, T. (2022). Implementation of Smartphone Systems to Improve Quality of Life for People With Substance Use Disorder: Interim Report on a Randomized Controlled Trial. JMIR human factors, 9(3), e35125. https://doi.org/10.2196/35125
- Ford, J. H., 2nd, Rao, D., Gilson, A., Kaur, A., Chokron Garneau, H., Saldana, L., & McGovern, M. P. (2022). Wait No Longer: Reducing Medication Wait-Times for Individuals with Co-Occurring Disorders. Journal of dual diagnosis, 18(2), 101–110. https://doi.org/10.1080/15504263.2022.2052225
- Molfenter, T., Kim, H., Kim, J. S., Kisicki, A., Knudsen, H. K., Horst, J., Brown, R., Madden, L. M., Toy, A., Haram, E., & Jacobson, N. (2022). Enhancing Use of Medications for Opioid Use Disorder Through External Coaching. Psychiatric services (Washington, D.C.), appips202100675. Advance online publication. https://doi.org/10.1176/appi.ps.202100675
- Chokron Garneau, H., Assefa, M. T., Jo, B., Ford, J. H., 2nd, Saldana, L., & McGovern, M. P. (2022). Sustainment of Integrated Care in Addiction Treatment Settings: Primary Outcomes From a Cluster-Randomized Controlled Trial. Psychiatric services (Washington, D.C.), 73(3), 280–286. https://doi.org/10.1176/appi.ps.202000293
2021
- Ford, J. H., & Gilson, A. (2021). Influence of participation in a quality improvement collaborative on staff perceptions of organizational sustainability. BMC Health Services Research, 21(1), 1-14
- Molfenter, T., Kim, J. S., & Zehner, M. (2021). Increasing Engagement in Post-Withdrawal Management Services Through a Practice Bundle and Checklist. The journal of behavioral health services & research, 48(3), 400–409. https://doi.org/10.1007/s11414-020-09700-w
- Molfenter, T., Vechinski, J., Taxman, F., Breno, A., Shaw, C., & Perez, H. (2021). Fostering MOUD use in justice populations: Assessing the comparative effectiveness of two favored implementation strategies to increase MOUD use. Journal of Substance Abuse Treatment, 108370.
- Okunseri, C., Boss, D., Jacobson, N., Wang, M., Szabo, A., Okunseri, E., & Molfenter, T. (2021). Test of an organizational change model to reduce no‐shows in dental care settings. Journal of Public Health Dentistry.
- Torres Diaz, A., Lock, L. J., Molfenter, T. D., Mahoney, J. E., Boss, D., Bjelland, T. D., & Liu, Y. (2021). Implementation for Sustained Impact in Teleophthalmology (I-SITE): applying the NIATx Model for tailored implementation of diabetic retinopathy screening in primary care. Implementation science communications, 2(1), 74. https://doi.org/10.1186/s43058-021-00175-0
2020
- Molfenter T, Kim JS, Zehner M. Increasing Engagement in Post-Withdrawal Management Services Through a Practice Bundle and Checklist. J Behav Health Serv Res. 2020 Apr 28. doi: 10.1007/s11414-020-09700-w. Epub ahead of print. PMID: 32347425.
- White, V. M., Molfenter, T., Gustafson, D. H., Horst, J., Greller, R., Gustafson, D. H., Jr, Kim, J. S., Preuss, E., Cody, O., Pisitthakarm, P., & Toy, A. (2020). NIATx-TI versus typical product training on e-health technology implementation: a clustered randomized controlled trial study protocol. Implementation science : IS, 15(1), 94.
- Liu, Y., Carlson, J. N., Torres Diaz, A., Lock, L. J., Zupan, N. J., Molfenter, T. D., Mahoney, J. E., Palta, M., Boss, D., Bjelland, T. D., & Smith, M. A. (2020). Sustaining Gains in Diabetic Eye Screening: Outcomes from a Stakeholder-Based Implementation Program for Teleophthalmology in Primary Care. Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 10.1089/tmj.2020.0270. Advance online publication.
- O’Connell, D. J., Visher, C. A., & Becker, P. (2020). Linking individuals on probation to health care: a pilot randomized trial. Health & justice, 8(1), 8.
2019
- Assefa, M. T., Ford, J. H., Osborne, E., McIlvaine, A., King, A., Campbell, K., Jo, B., & McGovern, M. P. (2019). Implementing integrated services in routine behavioral health care: primary outcomes from a cluster randomized controlled trial. BMC health services research, 19(1), 749. doi: 10.1186/s12913-019-4624-x
- Knudsen H., Brown R., Jacobson N., Horst J., Kim J.S., Collier E., Starr S., Madden L., Haram E., and Molfenter T. (2019). Pharmacotherapy, resource needs, and physician recruitment practices in substance use disorder treatment programs. Journal of Addiction Medicine13 (1), 28–34.
- Molfenter T., Fitzgerald M., Jacobson N., McCarty D., Quanbeck A., and Zehner M. (2019). Barriers to Buprenorphine Expansion in Ohio: A Time-Elapsed Qualitative Study. Journal of Psychoactive Drugs, 1–8.
- Molfenter T., McCarty D., Jacobson N., Kim J., Starr S., & Zehner M. (2019) The Payer’s Role in Addressing the Opioid Epidemic: It’s More Than Money. Journal of Substance Abuse Treatment. (In Press).
2018
- Croff R., Hoffman K., Alanis-Hirsch K., Ford J., McCarty D., & Schmidt L. (2018). Overcoming Barriers to Adopting and Implementing Pharmacotherapy: The Medication Research Partnership. Journal of Behavioral Health Services Research. 1– https://doi.org/10.1007/s11414-018-9616-9
- Ford, J. H., Osborne, E. L., Assefa, M. T., McIlvaine, A. M., King, A. M., Campbell, K., & McGovern, M. P. (2018). Using NIATx strategies to implement integrated services in routine care: a study protocol. BMC Health Services Research, 18(1), 431.
- Ford II, J. H., Stumbo, S. P., & Robinson, J. M. (2018). Assessing long-term sustainment of clinic participation in NIATx200: Results and a new methodological approach. Journal of Substance Abuse Treatment, 92, 51–
- Madden, L.M., Farnam, S.O., Eggert, K.F., Quanbeck, A.R., Freeman, R.M., Ball, S.A., … & Barry, D. T. (2018). An investigation of an open-access model for scaling up methadone maintenance treatment. Addiction, 113(8), 1450-1458
- Molfenter, T., Sherbeck, C., Starr, S., Kim, J. S., Zehner, M., Quanbeck, A., Jacobsen N., & McCarty, D. Payer policy behavior towards opioid pharmacotherapy treatment in Ohio. Journal of Addiction Medicine, 2018: 12(2), 85.
- Molfenter, T., Brown, R., O’Neill, A., Kopetsky, E., & Toy, A. Use of Telemedicine in Addiction Treatment: Current Practices and Organizational Implementation Characteristics. International Journal of Telemedicine and Applications, 2018.
- Pankow, J., Willett, J., Yang, Y., Swan, H., Dembo, R., Burdon, W. M., … & Frisman, L. K. (2018). Evaluating Fidelity to a modified NIATx process improvement strategy for improving HIV Services in Correctional Facilities. The Journal of Behavioral Health Services & Research, 45(2), 187–
2017
- Belenko, S., Visher, C., Pearson, F., Swan, H., Pich, M., O’Connell, D., … & Willett, J. (2017). Efficacy of structured organizational change intervention on HIV testing in correctional facilities. AIDS Education and Prevention, 29(3), 241–
- Ford, J. H., Abramson, B., Wise, M., Dattalo, M., & Mahoney, J. E. (2017). Bringing healthy aging to scale: a randomized trial of a quality improvement intervention to increase adoption of evidence-based health promotion programs by community partners. Journal of Public Health Management and Practice, 23(5), e17–
- Ford II JH, Abraham A, Lupulescu-Mann N, Croff R, Hoffman KA, Alanis-Hirsch K, Chalk M, Schmidt L and McCarty D. (2017) Promoting Adoption of Medication for Opioid and Alcohol Use Disorders through System Change. Journal of Studies on Alcohol and Drugs, 78, 735–744. doi.org/10.15288/jsad.2017.78.735. PMCID: PMC5675424.
- Freese, T. E., Padwa, H., Oeser, B. T., Rutkowski, B. A., & Schulte, M. T. (2017). Real-world strategies to engage and retain racial–ethnic minority young men who have sex with men in HIV prevention services. AIDS Patient Care and STDs, 31(6), 275–
- Madden, L., Bojko, M. J., Farnum, S., Mazhnaya, A., Fomenko, T., Marcus, R., … & Dvoryak, S. (2017). Using nominal group technique among clinical providers to identify barriers and prioritize solutions to scaling up opioid agonist therapies in Ukraine. International Journal of Drug Policy, 49, 48–
- Molfenter, T., Knudsen, H. K., Brown, R., Jacobson, N., Horst, J., Van Etten, M., Kim J., & Toy, A. (2017). Test of a workforce development intervention to expand opioid use disorder treatment pharmacotherapy prescribers: protocol for a cluster randomized trial. Implementation Science, 2017: 12(1), 135.
- Stumbo, S. P., Ford, J. H., & Green, C. A. (2017). Factors influencing the long-term sustainment of quality improvements made in addiction treatment facilities: a qualitative study. Addiction Science & Clinical Practice, 12(1), 26.
2016
- Alanis-Hirsch, K., Croff, R., Ford II, J. H., Johnson, K., Chalk, M., Schmidt, L., & McCarty, D. (2016). Extended-release naltrexone: A qualitative analysis of barriers to routine use. Journal of Substance Abuse Treatment, 62, 68–
- Gustafson Jr, D. H., Maus, A., Judkins, J., Dinauer, S., Isham, A., Johnson, R., … & Atwood, A. K. (2016). Using the NIATx model to implement user-centered design of technology for older adults. JMIR Human Factors, 3(1), e2.
- Molfenter T., Connor T., Ford T., Hyatt J., Zimmerman D. Reducing psychiatric inpatient readmissions statewide using an organizational change model: The Wisconsin Mental Health Readmissions Project. Wisconsin Medical Journal. 2016: 115(3), 122–128.
2015
- Grazier, K., Quanbeck, A., Oruongo, J., Robinson, J., Ford II, J. H., McCarty, D., … Gustafson, D. H. (2015). What influences participation in QI? A randomized trial of addiction treatment organizations. Journal for Healthcare Quality, 2015; 37(6):342-53. PMCID: PMC4130907. doi: 10.1111/jhq.12064
- Molfenter T., Boyle M., Holloway D., Zwick J. Trends in telemedicine use in addiction treatment. Addiction Science & Clinical Practice. 2015;10(1):1.
- Molfenter T., Sherbeck C., Zehner M., Starr S. Buprenorphine prescribing availability in a sample of Ohio specialty treatment organizations. Journal of Addictive Behaviors, Therapy & Rehabilitation. 2015;4:2. NIHMSID: NIHMS701827
- Molfenter T., Sherbeck C., Zehner M., Quanbeck A., McCarty D., Kim J.S., Starr S. Implementing buprenorphine in addiction treatment: payer and provider perspectives in Ohio. Substance Abuse Treatment, Prevention, and Policy. 2015;10(1):13. PMCID: PMC4395880
2014
- Molfenter T. (2014). Addiction treatment centers’ progress in preparing for health care reform. Journal of Substance Abuse Treatment. 46(2):158-164. PMCID: PMC3875296
- Pearson, F. S., Shafer, M. S., Dembo, R., del Mar Vega-Debién, G., Pankow, J., Duvall, J. L., … & Patterson, Y. (2014). Efficacy of a process improvement intervention on delivery of HIV services to offenders: a multisite trial. American Journal of Public Health, 104(12), 2385-2391.
- Quanbeck, A. R., Gustafson, D. H., Marsch, L. A., McTavish, F., Brown, R. T., Mares, M. L., … & McDowell, H. (2014). Integrating addiction treatment into primary care using mobile health technology: protocol for an implementation research study. Implementation Science, 9(1), 65.
- Visher C.A., Hiller M., Belenko S., Pankow J., Dembo R., Frisman L.K., Pearson F.S., Swan H., Wiley T.R. (2014). The effect of a local change team intervention on staff attitudes towards HIV service delivery in correctional settings: a randomized trial. AIDS Education and Prevention. 26(5):411-28.
2013
- Belenko, S., Visher, C., Copenhaver, M., Hiller, M., Melnick, G., O’Connell, D., … & Fletcher, B. (2013). A cluster randomized trial of utilizing a local change team approach to improve the delivery of HIV services in correctional settings: study protocol. Health & Justice, 1(1), 8.
- Choi, D., Hoffman, K. A., Kim, M. O., & McCarty, D. (2013). A High‐Resolution Analysis of Process Improvement: Use of Quantile Regression for Wait Time. Health Services Research, 48(1), 333–
- Ducharme, L. J., Chandler, R. K., & Wiley, T. R. (2013). Implementing drug abuse treatment services in criminal justice settings: Introduction to the CJ-DATS study protocol series. Health & Justice, 1(1), 5.
- Gustafson, D. H., Quanbeck, A. R., Robinson, J. M., Ford II, J. H., Pulvermacher, A., French, M. T., … McCarty, D. (2013). Which elements of improvement collaboratives are most effective? A cluster‐randomized trial. Addiction, 108(6):1145-57. PMCID: PMC3651751. doi: 10.1111/add.12117
- Hoffman, K.A. & McCarty, D. (2013) Improving the Quality of Addiction Treatment. In P. Miller (Editor) Interventions for Addiction: Comprehensive Addictive Behaviors and Disorders, Volume 3. (Chapter 60: pp 579 – 588). Amsterdam, NL: Elsevier. DOI: 10.1016/B978-0-12-398338-1.00060-9
- Molfenter T., Kim J.S., Quanbeck A., Patel-Porter T., Starr S., McCarty D. (2013). Testing use of payers to facilitate evidence-based practice adoption: protocol for a cluster-randomized trial. Implementation Science, 8 (1), 50. PMCID: PMC3666944
- Molfenter T. (2013). Reducing appointment no-shows: going from theory to practice. Substance Use & Misuse 48 (9), 743–749. PMCID: PMC3962267
- Molfenter T., McCarty D, Capoccia V, Gustafson D. (2013). Development of a multilevel framework to increase use of targeted evidence-based practices in addiction treatment clinics. Public Health Frontier, 2(1):11–20. PMCID: PMC4063314
- Quanbeck, A., Wheelock, A., Ford II, J. H., Pulvermacher, A., Capoccia, V., & Gustafson, D. (2013). Examining access to addiction treatment: Scheduling processes and barriers. Journal of Substance Abuse Treatment, 44(3):343-8. PMCID: PMC3616751. doi: 10.1016/j.jsat.2012.08.017
2012
- Hoffman, K. A., Green, C. A., Ford II, J. H., Wisdom, J. P., Gustafson, D. H., & McCarty, D. (2012). Improving quality of care in substance abuse treatment using five key process improvement principles. The Journal of Behavioral Health Services & Research, 39(3), 234–
- Molfenter T., Capoccia V.A., Boyle M.G., Sherbeck C.K (2012. The readiness of addiction treatment agencies for health care reform. Substance Abuse Treatment, Prevention, and Policy, 7 (1), 16. PMCID: PMC3439296
- Quanbeck, A. R., Madden, L., Edmundson, E., Ford, J. H., McConnell, K. J., McCarty, D., & Gustafson, D. H. (2012). A business case for quality improvement in addiction treatment: evidence from the NIATx collaborative. The Journal of Behavioral Health Services & Research, 39(1), 91–
- Schmidt LA, Rieckmann T, Abraham A, Molfenter T, Capoccia V, Roman P, Gustafson DH, McCarty D. (2012). Advancing recovery: Implementing evidence-based treatment for substance use disorders at the systems level. Journal of Studies on Alcohol and Drugs, 73 (3),413–422. PMCID: PMC3594882
- Wexler, H. K., Zehner, M., & Melnick, G. (2012). Improving drug court operations: NIATx organizational improvement model. Drug Court Review, 8(1), 80-95.
2011
- Daley, M., Shepard, D. S., Tompkins, C., Dunigan, R., Reif, S., Perloff, J., … & Horgan, C. (2011). Randomized trial of enhanced profiling in substance abuse treatment. Administration and Policy in Mental Health and Mental Health Services Research, 38(2), 96–
- Gustafson, D. H., K. A. Johnson, V. Capoccia, F. Cotter, I. I. Ford, D. Holloway, D. Lea, D. McCarty, T. Molfenter, and B. Owens. The NIATx model: Process improvement in behavioral health. Madison, WI: University of Wisconsin-Madison. Madison(2011).
- Hoffman, K. A., Ford, J. H., Tillotson, C. J., Choi, D., & McCarty, D. (2011). Days to treatment and early retention among patients in treatment for alcohol and drug disorders. Addictive Behaviors, 36(6):643–7. PMCID: PMC3070832. doi: 10.1016/j.addbeh.2011.01.031
- McCarty, D., Capoccia, V.A. & Gustafson, D.H. (2011) (Summary author C.A. Cavacuiti). Quality improvement in addiction treatment. In Christopher A. Cavacuiti Principles of Addiction Medicine: The Essentials. (Chapter 31: pp. 149–152). Philadelphia: Lippincott, Williams & Wilkins. (Edited and Abridged from the 2009 chapter.)
- Molfenter T., Ford II J.H,, Bhattacharya A. (2011). The development and use of a model to predict sustainability of change in healthcare settings. International Journal of Information Systems and Change Management, 5(1):22–35. PMCID: PMC3260322
- Rieckmann, T., Fussell, H., Doyle, K., Ford, J., Riley, K. J., & Henderson, S. (2011). Adolescent substance abuse treatment: Organizational change and quality of care. Journal of Addictions & Offender Counseling, 31(2):80-93. PMCID: PMC3673735. doi: 10.1002/j.2161-1874. 2011.tb00069.x
- Roosa, M., Scripa, J. S., Zastowny, T. R., & Ford II, J. H. (2011). Using a NIATx based local learning collaborative for performance improvement. Evaluation and Program Planning, 34(4), 390–
2010
- Rutkowski BA, Gallon S, Rawson RA, Freese TE, Bruehl A, Crevecoeur-MacPhail D, Sugita W, Molfenter T, Cotter F. (2010) Improving client engagement and retention in treatment: the Los Angeles County experience. Journal of Substance Abuse Treatment, 39(1):78–86. doi:10.1016/j.jsat.2010.03.015
2009
- McCarty, D., Capoccia, V.A. & Gustafson, D.H. (2009). Quality improvement in addiction treatment. In Richard Ries, David Fiellin, Shannon Miller and Richard Saitz (Eds.). Principles of Addiction Medicine: Fourth Edition. (Chapter 31: pp. 433–440). Philadelphia: Lippincott, Williams & Wilkins.
- McCarty, D., Gustafson, D., Capoccia, V. A., & Cotter, F. (2009). Improving care for the treatment of alcohol and drug disorders. The Journal of Behavioral Health Services & Research, 36(1), 52–
- McCarty, D. (2009). Network for the Improvement of Addiction Treatment. In G.L. Fisher & N.A. Roget (Eds.) The Encyclopedia of Substance Abuse Prevention, Treatment, and Recovery. Thousand Oaks, CA: Sage Publications
2008
- Hoffman, K. A., Ford II, J. H., Choi, D., Gustafson, D. H., & McCarty, D. (2008). Replication and sustainability of improved access and retention within the Network for the Improvement of Addiction Treatment. Drug and Alcohol Dependence, 98(1-2), 63–
- Wisdom J.P., Hoffman K., Rechberger E., Seim K., Owens B. (2008). Women–focused treatment agencies and process improvement: strategies to increase client engagement. Women & Therapy, 32(1):69-87
2007
- Capoccia V.A., Cotter F., Gustafson D.H., Cassidy E.F., Ford J.H., 2nd, Madden L., Owens B.H., Farnum S.O., McCarty D., Molfenter T.(2007). Making stone soup: improvements in clinic access and retention in addiction treatment. Joint Commission Journal on Quality and Patient Safety / Joint Commission Resources, 33(2), 95–103.
- Evans, A., Rieckmann, T., Fitzgerald, M., & Gustafson, D. (2007). Teaching the NIATx Model of Process Improvement as an Evidence-Based Process. Journal of Teaching in the Addictions, 6 (2).
- Ford J.H., 2nd, Green C.A., Hoffman K.A., Wisdom J.P., Riley K.J., Bergmann L., Molfenter T.(2007). Process improvement needs in substance abuse treatment: admissions walk-through results. Journal of Substance Abuse Treatment, 33(4), 379-389. PMCID: PMC2151921
- McCarty D, Gustafson DH, Wisdom JP, Ford J, Choi D, Molfenter T, Capoccia V, Cotter F. (2007). The Network for the Improvement of Addiction Treatment (NIATx): enhancing access and retention. Drug and Alcohol Dependence, 88(2-3):138– PMCID: PMC1896099