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Hannah K. Knudsen, Ph.D.

(University of Georgia, 2003)

109 Medical Behavioral Science Building
Phone: (859) 323-3947
Email: hannah.knudsen@uky.edu

Research Description

Dr. Knudsen’s research focuses on addiction treatment organizations, both as organizational contexts for client care and as the workplaces of addiction counselors. Her recent work has focused on the organizational adoption of treatment innovations with an emphasis on the availability of pharmacotherapies within the American treatment system. In addition, she has examined addiction treatment organizations as employment contexts for addiction counselors. Recent publications have considered the types of managerial practices associated with burnout and turnover intention within this occupation and how work experiences influence counselors’ attitudes toward innovations. She is currently the PI of two research projects. The first project is measuring the availability of evidence-based care for adolescent substance use disorders in large national samples of addiction treatment organizations. The second project is examining the adoption and implementation of the Public Health Service’s clinical practice guidelines for smoking cessation in the context of addiction treatment and the attitudes of counselors toward key elements of these practice guidelines.

2008 Accomplishments

In 2008, Dr. Knudsen continued to be a productive member of the Department of Behavioral Science in the areas of research, teaching, and service. Dr. Knudsen received a new three-year grant from the Robert Wood Johnson Foundation’s Substance Abuse Policy Research Program (SAPRP) to extend her previous research on the adoption of pharmacotherapies in substance abuse treatment settings. This three-year project will also examine the organizational and policy barriers to the employment of physicians in community-based treatment programs. In addition, she successfully transferred her R01 grant, supported by the National Institute on Drug Abuse (NIDA), to UK. This project is examining the adoption and implementation of the Public Health Service’s clinical practices guideline on smoking cessation in drug abuse treatment organizations. In addition to these activities as Principal Investigator, she is a Co-Investigator on the NIDA-supported Criminal Justice Drug Abuse Treatment Studies Central States Center 2, which was awarded in September. Dr. Knudsen also has subcontracts which support her work as a Co-Investigator on two NIDA-funded projects housed at the University of Georgia. In 2008, Dr. Knudsen had one first-authored paper and two co-authored papers appear in print. Dr. Knudsen has five first-authored publications in press and three additional co-authored manuscripts in press. Dr. Knudsen presented her research at four national conferences in 2008; these presentations have included two first-authored oral presentations, three first-authored poster presentations, and co-authoring three presentations. Dr. Knudsen completed her work as a preceptor for MED810 (Patients, Physicians, and Society I within the Patient-Centered Medicine course) in May, and began serving as a preceptor for MED820 (Patients, Physicians, and Society II) in August. Dr. Knudsen was appointed to the UK’s College of Medicine Admissions Committee in September. As part of this committee, Dr. Knudsen also interviewed applicants to UKCOM. At the national level, Dr. Knudsen served as an ad-hoc grant reviewer for the National Institute on Drug Abuse (NIDA), as a member of a national expert panel for the Substance Abuse and Mental Health Services Administration (SAMHSA), as a manuscript reviewer for Drug and Alcohol Dependence, Work & Occupations, and Journal of Substance Abuse Treatment, and as a member of the Editorial Board for Journal of Substance Abuse Treatment. Finally, Dr. Knudsen was accepted as a member of the 2008-2009 Circles of Power Women’s Leadership Program at UK.

Research Funding

Principal Investigator, Smoking Cessation Practices in Community Treatment Programs, National Institute on Drug Abuse, 2006-2008.

Principal Investigator, Service Delivery and Use of Evidence-Based Treatment Practices in Adolescent Substance Abuse Treatment Settings, Robert Wood Johnson Foundation’s Substance Abuse Policy Research Program, 2005-2008.

Co-Principal Investigator, Adoption of Innovations in Private Alcohol and Drug Treatment Centers, National Institute on Drug Abuse, 2006-2011.

Co-Principal Investigator, National Evaluation of the Advancing Recovery Initiative, Robert Wood Johnson Foundation, 2006-2010.

Co-Investigator, Rates and Correlates of Adoption of Evidence-Based Practices in Substance Abuse Treatment, Robert Wood Johnson Foundation, 2005-2006.

Representative Publications

Knudsen, H. K., Ducharme, L. J., & Roman, P. M. (In press). Research participation and turnover intention: An exploratory analysis of substance abuse counselors. Journal of Substance Abuse Treatment.

Knudsen, H. K., Ducharme, L. J., & Roman, P. M. (In press). Research network involvement and addiction treatment center staff: Counselor attitudes toward buprenorphine. The American Journal on Addictions.

Knudsen, H. K., Ducharme, L J., & Roman, P. M. (2007). The use of antidepressant medications in substance abuse treatment: The public-private distinction, organizational compatibility, and the environment. Journal of Health & Social Behavior, 48, 195-210.

Knudsen, H. K., Ducharme, L. J., & Roman, P. M. (2007). Job stress and poor sleep quality: Data from an American sample of full-time workers. Social Science & Medicine, 64, 1997-2007.

Knudsen, H. K., Ducharme, L. J., & Roman, P M. (2007). The adoption of medications in substance abuse treatment: Associations with organizational characteristics and technology clusters. Drug and Alcohol Dependence, 87, 164-174.

Knudsen, H. K., Ducharme, L. J., & Roman, P. M. (2007).  Controlled-release oxycodone admissions in public and private substance abuse treatment: Associations with organizational characteristics. Journal of Addictive Diseases, 26, 41-50.

Knudsen, H. K., Ducharme, L. J., & Roman, P. M. (2007). Racial and ethnic disparities in SSRI availability in substance abuse treatment. Psychiatric Services, 58, 55-62.

Ducharme, L. J., Knudsen, H. K., Roman, P. M., & Johnson, J. A. (2007). Innovation adoption in substance abuse treatment: Exposure, trialability, and the Clinical Trials Network. Journal of Substance Abuse Treatment, 32, 321-329.

Knudsen, H. K., Ducharme, L. J., & Roman, P. M.  (2006). Counselor emotional exhaustion and turnover intention in therapeutic communities. Journal of Substance Abuse Treatment, 31, 173-180.

Knudsen, H. K., Ducharme, L. J., & Roman, P. M. (2006). Early buprenorphine adoption in substance abuse treatment centers: Data from the private and public Sectors. Journal of Substance Abuse Treatment, 30, 363-373.

Ducharme, L. J., Knudsen, H. K., & Roman, P. M.  (2006). Trends in the adoption of medications for alcohol dependence. Journal of Clinical Psychopharmacology, 26, S13-S19.

Knudsen, H. K., Roman, P. M., Ducharme, L. D., & Johnson, J. A. (2005). Organizational predictors of pharmacological innovation adoption: The case of disulfiram. Journal of Drug Issues, 35, 559-574.

Knudsen, H. K., Ducharme, L. D., Roman, P. M., & Link, T. (2005). Buprenorphine diffusion: The attitudes of substance abuse treatment counselors. Journal of Substance Abuse Treatment, 29, 95-106.

Knudsen, H. K., Roman, P. M., & Ducharme, L. J. (2005). Does service diversification enhance organizational survival? Evidence from the private substance abuse treatment system. Journal of Behavioral Health Services & Research, 32, 241-252.

Knudsen, H. K., Roman, P. M., & Ducharme, L. J. (2004). The availability of psychiatric programs in private substance abuse treatment centers, 1995-2001. Psychiatric Services, 55, 270-273.

Knudsen, H. K., & Roman, P. M. (2004). Modeling the use of innovations in private treatment organizations: The role of absorptive capacity. Journal of Substance Abuse Treatment, 26, 353-361.

Knudsen, H. K., Johnson, J. A., & Roman, P. M. (2003). Retaining counseling staff at substance abuse treatment centers: Effects of management practices. Journal of Substance Abuse Treatment, 24, 129-135.
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