Attrition prevention with individuals awaiting publicly funded drug treatment

Donovan, Dennis M.; Rosengren, David B.; Downey, Lois; Cox, Gary B.; Sloan, Kevin L.

doi:10.1046/j.1360-0443.2001.96811498.x

Cited by 93 publications

(66 citation statements)

References 37 publications

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“…MI sessions did not affect the rate of treatment enrollment of street-recruited IV drug users, 23 while a single MI session (with follow-up phone calls) was no better than SC in reducing attrition among opioid-dependent people on a waiting list to begin methadone treatment. 40 Injection drug users face many structural and financial barriers to treatment that may mitigate the effectiveness of a single MI session. The city of Baltimore has significantly increased availability of drug abuse treatment, yet like many other large urban cities is still unable to offer treatment on demand.…”

Section: High Treatment Interest But Low Treatment Enrollmentmentioning

confidence: 99%

Challenges in Motivating Treatment Enrollment in Community Syringe Exchange Participants

Kidorf

2005

Journal of Urban Health: Bulletin of the New York Academy of Me

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Section: High Treatment Interest But Low Treatment Enrollmentmentioning

confidence: 99%

Challenges in Motivating Treatment Enrollment in Community Syringe Exchange Participants

Kidorf

2005

Journal of Urban Health: Bulletin of the New York Academy of Me

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“…First, although the bulk of studies evaluating MI with drug-using populations have suggested that MI is more effective than no treatment or comparison approaches (Burke et al, 2003;Dunn et al, 2001), several well-conducted studies evaluating MI with comparatively large samples of drug-using individuals have yielded few significant differences between MI and standard care comparison conditions (Miller et al, 2003;Donovan et al, 2001). Second, because the bulk of studies evaluating MI with drug users have evaluated the efficacy of adding an additional MI session to standard treatment, there are relatively few data on the effectiveness of MI under the conditions in which it is most likely to be applied in clinical practice, that is, integrating MI techniques into standard treatment approaches (Dunn et al, 2001).…”

Section: Introductionmentioning

confidence: 99%

Motivational interviewing to improve treatment engagement and outcome in individuals seeking treatment for substance abuse: A multisite effectiveness study

Carroll¹,

Ball²,

Nich³

et al. 2006

Drug and Alcohol Dependence

416

347

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Despite recent emphasis on integrating empirically validated treatment into clinical practice, there are little data on whether manual-guided behavioral therapies can be implemented in standard clinical practice and whether incorporation of such techniques is associated with improved outcomes. The effectiveness of integrating motivational interviewing (MI) techniques into the initial contact and evaluation session was evaluated in a multisite randomized clinical trial. Participants were 423 substance users entering outpatient treatment in five community-based treatment settings, who were randomized to receive either the standard intake/evaluation session at each site or the same session in which MI techniques and strategies were integrated. Clinicians were drawn from the staff of the participating programs and were randomized either to learn and implement MI or to deliver the standard intake/evaluation session. Independent analyses of 315 session audiotapes suggested the two forms of treatment were highly discriminable and that clinicians trained to implement MI tended to have higher skill ratings. Regarding outcomes, for the sample as a whole, participants assigned to MI had significantly better retention through the 28-day follow-up than those assigned to the standard intervention. There were no significant effects of MI on substance use outcomes at either the 28-day or 84-day follow-up. Results suggest that community-based clinicians can effectively implement MI when provided training and supervision, and that integrating MI techniques in the earliest phases of treatment may have positive effects on retention early in the course of treatment.

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“…While MI was originally developed to reduce problem drinking [33], it has also been effective at reducing use of substances, including cocaine [34][35][36], marijuana [37], polysubstance use [38,39], and amphetamines [40]. More recently, a single-session motivational intervention has shown promise for reducing ambivalence and increasing motivation to reduce sexual risk behaviors among people who are HIV positive [41].…”

Section: Step 3 Select Appropriate Theoretical Methods and Strategiesmentioning

confidence: 99%

Using a Modified Intervention Mapping Approach to Develop and Refine a Single-Session Motivational Intervention for Methamphetamine-Using Men Who Have Sex With Men

Coomes¹

2010

TOAIDJ

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Abstract:There is an ongoing need for the development and adaptation of behavioral interventions to address behaviors related to acquisition and transmission of infectious diseases and for preventing the onset of chronic diseases. This paper describes the application of an established systematic approach to the development of a behavioral intervention to reduce sexual risk behaviors for HIV among men who have sex with men and who use methamphetamine. The approach includes six steps: (1) a needs assessment; (2) preparing matrices of proximal program objectives; (3) selecting theory-based methods and practical strategies; (4) producing program components and materials; (5) planning for program adoption, implementation, and sustainability; and (6) planning for evaluation. The focus of this article is on the intervention development process; therefore the article does not describe steps 5 and 6. Overall the process worked well, although it had to be adapted to fit the sequence of events associated with a funded research project. This project demonstrates that systematic approaches to intervention development can be applied even in research projects where some of the steps occur during the proposal writing process rather than during the actual project. However, intervention developers must remain flexible and be prepared to adapt the process to the situation. This includes being ready to make choices regarding intervention efficacy versus feasibility and being willing to select the best intervention that is likely to be delivered with available resources rather than an ideal intervention that may not be practical.

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Attrition prevention with individuals awaiting publicly funded drug treatment

Cited by 93 publications

References 37 publications

Challenges in Motivating Treatment Enrollment in Community Syringe Exchange Participants

Challenges in Motivating Treatment Enrollment in Community Syringe Exchange Participants

Motivational interviewing to improve treatment engagement and outcome in individuals seeking treatment for substance abuse: A multisite effectiveness study

Using a Modified Intervention Mapping Approach to Develop and Refine a Single-Session Motivational Intervention for Methamphetamine-Using Men Who Have Sex With Men

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