{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T04:00:42Z","timestamp":1790308842526,"version":"4.1.0"},"reference-count":47,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R01MH132720\u201002"],"award-info":[{"award-number":["R01MH132720\u201002"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Post\u2010traumatic stress disorder (PTSD) commonly co\u2010occurs with substance use disorders (SUD), yet few community\u2010based SUD programs incorporate evidence\u2010based trauma\u2010focused. Prolonged exposure (PE), including its massed format (M\u2010PE) with session frequency of 3\u20134 times per week, is a gold standard intervention for PTSD; however, concerns about client readiness, logistical demands and relapse risk have limited its adoption within SUD settings. This study examined staff perspectives on the feasibility and acceptability of integrating M\u2010PE into a community\u2010based SUD program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Prior to launching a Hybrid Type 1 effectiveness\u2013implementation trial (Project COMET), we conducted semi\u2010structured virtual interviews with 15 community clinic staff: providers (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20098), administrators (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20092) and peer specialists (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20095). Interviews were recorded, transcribed and analysed using a rapid qualitative analysis framework with matrix techniques to compare themes across roles.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four overarching themes captured staff perspectives on integrating M\u2010PE: (Theme 1) Prior Knowledge and Experiences: Most staff were familiar with EMDR, while direct knowledge of PE\/M\u2010PE was limited. (Theme 2) Perceptions of M\u2010PE: M\u2010PE was widely viewed as a promising, structured intervention that fits the pacing and duration of SUD care. (Theme 3) Symptom Reduction and Client Impact: Staff anticipated improvements in PTSD and SUD symptoms through trauma\u2010focused treatment. (Theme 4) Barriers and Constraints: Participants identified several potential implementation challenges, including logistical barriers and client readiness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Conclusions<\/jats:title>\n                    <jats:p>Findings suggest that staff generally viewed M\u2010PE favourably but emphasised the importance of ensuring client readiness and organisational support. Enhancing feasibility and long\u2010term sustainability may require expanded psychoeducation, targeted provider training and flexible delivery models.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial Registration:<\/jats:bold>\n                      ClinicalTrials.gov identifier: NCT06968832.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dar.70239","type":"journal-article","created":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T23:24:47Z","timestamp":1787786687000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Implementing Prolonged Exposure Therapy in a Community Substance Use Treatment Program: A Qualitative Study"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-3932-1165","authenticated-orcid":false,"given":"Steven","family":"Curto","sequence":"first","affiliation":[{"name":"Center of Alcohol and Substance Use Studies Rutgers University  Piscataway New Jersey USA"},{"name":"Graduate School of Applied and Professional Psychology Rutgers University  Piscataway New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tasha","family":"Bulgin","sequence":"additional","affiliation":[{"name":"Center of Alcohol and Substance Use Studies Rutgers University  Piscataway New Jersey USA"},{"name":"Graduate School of Applied and Professional Psychology Rutgers University  Piscataway New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3374-2313","authenticated-orcid":false,"given":"Jordan A.","family":"Gette","sequence":"additional","affiliation":[{"name":"University of Kansas Medical Center  Kansas City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Swarbrick","sequence":"additional","affiliation":[{"name":"Center of Alcohol and Substance Use Studies Rutgers University  Piscataway New Jersey USA"},{"name":"Graduate School of Applied and Professional Psychology Rutgers University  Piscataway New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Gonnella","sequence":"additional","affiliation":[{"name":"Center of Alcohol and Substance Use Studies Rutgers University  Piscataway New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise","family":"Hien","sequence":"additional","affiliation":[{"name":"Center of Alcohol and Substance Use Studies Rutgers University  Piscataway New Jersey USA"},{"name":"Graduate School of Applied and Professional Psychology Rutgers University  Piscataway New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonya B.","family":"Norman","sequence":"additional","affiliation":[{"name":"San Diego School of Medicine University of California  La Jolla California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shannon M.","family":"Kehle\u2010Forbes","sequence":"additional","affiliation":[{"name":"University of Minnesota Medical School  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,26]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920\u2010024\u201001547\u20108"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.21073"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2010.11.010"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127\u2010016\u20101208\u20105"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.158.8.1184"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.3402\/ejpt.v5.22821"},{"issue":"1","key":"e_1_2_11_8_1","first-page":"17","article-title":"Psychiatric Complications During Flooding Therapy for Posttraumatic Stress Disorder","volume":"52","author":"Pitman R. 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