Development of a Psychoeducational Intervention for Community-Based Care Facilities to Substance Use Disorders in Mexico

In Mexico, there are over 2000 community-based care facilities (CRAMAAs), which use derivations of the 12-step program. Only 24% of the personnel working at these facilities have some kind of substance use disorder (SUD) care training, and manualized or evidence-based interventions for patient care are not used. The objective of this study was to describe the development of a psychoeducational intervention for SUD care at CRAMAAs. This development encompassed four stages: expert meetings, needs assessment, content development, and content validation. The intervention comprises 12 group sessions provided by a facilitator who does not require specific knowledge of SUD. Each session is structured according to five instructional events described by Gagné and to principles of adult education. The characteristics of this psychoeducational intervention allow to extend its use to public professional scenarios, whether residential or outpatient. The development of this kind of interventions reduces the gap between science and clinical practice in real treatment scenarios.