Behavioral Science

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.

2011 Accomplishments

In 2011, Dr. Knudsen continued to serve as a productive member of the Department of Behavioral Science in its three core areas of research, teaching, and service. Dr. Knudsen completed her role as Principal Investigator of an R01 funded by National Institute on Drug Abuse (NIDA) on the implementation of smoking cessation services in drug abuse treatment organizations. She continued to serve as PI of a study supported by the Robert Wood Johnson Foundation’s Substance Abuse Policy Research Program (SAPRP) on the adoption of medications in addiction treatment. In addition, she collaborated as a Co-Investigator on 6 NIH studies: 1) the NIDA-funded Criminal Justice Drug Abuse Treatment Studies 2 Central States Center (Dr. Carl Leukefeld, PI), 2) four NIH-funded projects through subcontracts with the University of Georgia, and 3) an SBIR grant funded by the National Institute on Dental and Craniofacial Research (Dr. Jamie Studts, PI). In addition, Dr. Knudsen submitted two R01 grant applications to NIDA: a revised R01 application to study nurse turnover within substance abuse treatment organizations and a new R01 application to study the implementation of buprenorphine by physicians. She also collaborated on two additional grants submitted to NIDA; one is a proposed study of a pharmacy intervention for delivering buprenorphine treatment (Dr. Michelle Lofwall, PI) and the other is a STTR application to deliver smoking cessation interventions to pregnant women (Dr. Jamie Studts, PI). In 2011, Dr. Knudsen had four first-authored papers and three co-authored papers appear in print. Three first-authored publications and four co-authored articles were in press at the end of 2011. Dr. Knudsen presented her research at four national conferences and one international conference. Dr. Knudsen served as Course Director, in collaboration with Dr. Jamie Studts, for BSC732 (Interdisciplinary Protocol Development) in the spring semester of 2011. In the fall of 2011, she was Course Director, with Dr. Joshua Lile, for BSC731 (Research Methods and Technologies in Clinical and Translational Science) and served as a preceptor for MED811 (Introduction to Clinical Medicine). She continued to work as Associate Director of the Ruth L. Kirchstein Institutional Training Grant, which is housed in the Department under the direction of Dr. Craig Rush. Dr. Knudsen completed her third year of service on the UK’s College of Medicine Admissions Committee (UKCOM) in the spring of 2011, but continued to interview UKCOM applicants in the fall. Also, she joined the Admissions Committee for the Department of Behavioral Science’s new Ph.D. in Clinical and Translational Science. At the national level, Dr. Knudsen continued to work as Associate Editor of Journal of Substance Abuse Treatment and guest-edited a Special Issue of JSAT entitled, “Organizational Dynamics in Substance Abuse Treatment” which will be published in March 2012. Finally, Dr. Knudsen served as an ad-hoc grant reviewer for NIH’s Center for Scientific Review and for NIDA, participating in a total of 4 review meetings in 2011.

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.