Date of Award


Document Type


Degree Name

Doctor of Education



First Advisor

Dr. Francesco Giuseffi

Second Advisor

Dr. Lynda Leavitt

Third Advisor

Dr. Robyne Elder


The purpose of this qualitative case study was to explore the current State Targeted Response (STR) Program in a Midwest recovery program that addressed increases in opioid abuse and barriers to recovery. The study sought to answer how substance abuse counselors detected and addressed potential barriers, if any, to addiction recovery; whether substance abuse counselors sought any need for improvements within the STR to reduce relapse; how counselors addressed the social aspects of addiction; whether counselors addressed the factors influencing addiction relapse; and whether counselors collected feedback from clients concerning their perception of the effectiveness of treatment in preventing addiction relapse. The theoretical framework of this research study was social cognitive theory, and the research methodology for the proposed study was the qualitative approach and a case study design. The researcher used the following data collection instruments: interview protocol, focus group protocol, secondary data collection form, and an audio tape. Six participants (six participants participated in one-on-one interviews and four of the six participants participated in focus group discussion) completed the study at an out-patient clinic in an urban city in the Midwest. Six themes emerged from the analysis: (1) assessments, (2) addressing barriers, (3) suggestions for improvement, (4) addressing social aspects, (5) addiction relapse, and (6) program effectiveness in preventing relapse. The study concluded with several recommendations for future research, such as studying programs in urban and rural areas and inclusion of client evaluation in the analysis.


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