Motivational Interviewing to Enhance Treatment Initiation in Substance Abusers: An Effectiveness Study

American Journal on Addictions - Tập 10 Số 4 - Trang 335-339 - 2001
Kathleen M. Carroll1, Bryce Libby2, Joseph G. Sheehan3, Nancy Hyland4
1From the Department of Psychiatry, Division of Substance Abuse, Yale University School of Medicine, New Haven, Conn.
2Advanced Behavioral Health, Middletown, Conn.
3The Department of Children and Families, State of Connecticut, Hartford
4The Genesis Center, Manchester, Conn.

Tóm tắt

Sixty individuals referred for a substance abuse evaluation by a child welfare worker were randomly assigned to either a standard evaluation or an evaluation enhanced by Motivational Interviewing techniques, each delivered in a single session. Participants who received the enhanced evaluation were significantly more likely to attend at least one additional treatment session after the initial evaluation (59% versus 29%). This finding suggests that comparatively inexpensive modifications of “standard” initial evaluations with substance‐using parents may increase engagement of substance‐abusing parents in treatment. Moreover, this study adds to an overwhelmingly positive literature supporting Motivational Interviewing with alcohol‐using populations and extends prior findings to non‐research community settings.

Từ khóa


Tài liệu tham khảo

Child Welfare League of America, 1992, Children at the Front: A Different View of the War on Alcohol and Drugs

10.2105/AJPH.84.10.1586

Institute of Medicine, 1996, Fetal Alcohol Syndrome: Diagnosis, Epidemiology, Prevention, and Treatment

Juliana P, 1997, Comprehensive Textbook of Sub‐stance Abuse, 665

Connecticut Department of Children and Families, 1997, A Report to the General Assembly: Child Protective Services and Adult Substance Abuse Treatment

Center on Addiction and Substance Abuse at Columbia University, No Safe Haven: Children of Substance‐Abusing Parents

engagement effects at least when followed by traditional counseling techniques.Additional motivationally focused sessions or greater integration of these techniques into ongoing counseling might be associated with improved long‐term engagement.Support was provided by NIDA grants P50‐DA09241 (Bruce Rounsaville M.D.) and K05‐DA00457 (Dr. Carroll.) Project SAFE is a contract supported by the Department of Children and Families (DCF) of the State of Connecticut. The contributions of Theresa Babuscio Tami Frankforter Deborah Beckwith Mike Socha Roz Liss Cindy Morgan and the staff of the Genesis Center are gratefully acknowledged.

Miller WR, 1991, Motivational Interviewing: Preparing People to Change Addictive Behavior

10.1037/0022-006X.62.6.1127

10.1111/j.1360-0443.1993.tb00820.x

10.2105/AJPH.86.7.948

Institute of Medicine, 1998, Bridging the Gap Between Practice and Research: Forging Partnerships with Community‐Based Drug and Alcohol Treatment

10.15288/jsa.1997.58.7

10.1037/0022-006X.66.2.290