Dual Diagnosis Motivational Interviewing

Martino, Steve; Carroll, Kathleen M.; Kostas, Demetrios; Perkins, Jennifer; Rounsaville, Bruce J.

doi:10.1016/s0740-5472(02)00295-7

Cited by 70 publications

(20 citation statements)

References 64 publications

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“…Two to four booster sessions tailored to the needs of the participants of 30–45 min took place during the first 6 months. The main elements of the sessions were derived from a publication on MI [21], but incorporated two significant adaptations to be more applicable for dual-diagnosis patients [22,23,24,25]. First, in an integrated dual-diagnosis approach, MI therapists strategically explored interactions between psychosis and substance use, capitalizing on the effects of recent symptoms to help patients to identify a link between cannabis use and psychotic symptoms.…”

Section: Methodsmentioning

confidence: 99%

“…MI emphasizes empathy and focuses on strengthening the patient’s own verbalized motivations for change [26]. Following the recommendations by Martino et al [23], emphasis was put on some MI microskills: (a) using simple and concise language; (b) more regular reflection; (c) using concrete metaphors; (d) summarizing frequently; (e) giving sufficient time for the patient to respond to reflections.…”

Section: Methodsmentioning

confidence: 99%

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Motivational Intervention to Reduce Cannabis Use in Young People with Psychosis: A Randomized Controlled Trial

Bonsack¹,

Manetti²,

Favrod³

et al. 2011

Psychother Psychosom

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Background: Cannabis use has a negative impact on psychosis. Studies are needed to explore the efficacy of psychological interventions to reduce cannabis use in psychosis. Our aim is to study the efficacy of a specific motivational intervention on young cannabis users suffering from psychosis. Methods: Participants (aged less than 35 years) were randomly assigned to treatment as usual (TAU) alone, or treatment as usual plus motivational intervention (MI + TAU). TAU was comprehensive and included case management, early intervention and mobile team when needed. Assessments were completed at baseline and at 3, 6 and12 months follow-up. Results: Sixty-two participants (32 TAU and 30 MI + TAU) were included in the study. Cannabis use decreased in both groups at follow-up. Participants who received MI in addition to TAU displayed both a greater reduction in number of joints smoked per week and greater confidence to change cannabis use at 3 and 6 months follow-up, but differences between groups were nonsignificant at 12 months. Conclusions: MI is well accepted by patients suffering from psychosis and has a short-term impact on cannabis use when added to standard care. However, the differential effect was not maintained at 1-year follow-up. MI appears to be a useful active component to reduce cannabis use which should be integrated in routine clinical practice.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Motivational Intervention to Reduce Cannabis Use in Young People with Psychosis: A Randomized Controlled Trial

Bonsack¹,

Manetti²,

Favrod³

et al. 2011

Psychother Psychosom

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“…While there have been extensive efforts in VHA to disseminate evidence –based treatments for PTSD in recent years (Eftekhari et al, 2013; Karlin et al, 2010) there has been far less research on the use and dissemination of psychotherapies for co-morbid substance use disorders in PTSD. Treatments such as contingency management (Higgins, Silverman, & Heil, 2008), cognitive behavioral therapy (Beck, 1999; Wright, 2001), motivational interviewing (Martino, Carroll, Kostas, Perkins, & Rounsaville, 2002; Martino, Carroll, O'Malley, & Rounsaville, 2000) and computerized therapies for substance use disorders (Carroll et al, 2008) may all have a role in the treatment of substance use in dually diagnosed patients with PTSD in specialized intensive PTSD programs. Further studies of effective medications (Sofuoglu, Rosenheck, & Petrakis, 2014) and of combinations of medications and psychotherapies (Roman, Abraham, & Knudsen, 2011) are also needed.…”

Section: Discussionmentioning

confidence: 99%

Correlates of improvement in substance abuse among dually diagnosed veterans with post-traumatic stress disorder in specialized intensive VA treatment.

Coker

Stefanovics

Rosenheck

2016

Psychological Trauma: Theory, Research, Practice, and Policy

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Substantial rates of substance use comorbidity have been observed among veterans with PTSD highlighting the need to identify patient and program characteristics associated with improved outcomes for substance abuse. Data were drawn from 12,270 dually diagnosed veterans who sought treatment from specialized intensive Veterans Health Administration PTSD programs between 1993 and 2011. The magnitude of the improvement in Addiction Severity Index (ASI) alcohol and drug use composite scores from baseline was moderate, with effect sizes (ES) of -.269 and -.287, respectively. Multivariate analyses revealed that treatment in longer-term programs, being prescribed psychiatric medication, and planned participation in reunions were all associated with slightly improved outcomes. Reductions in substance use measures were associated with robust improvements in PTSD symptoms and violent behavior. These findings suggest not only synergistic treatment effects linking improvement in PTSD symptoms with substance use disorders among dually diagnosed veterans with PTSD, but also to reductions in violent behavior. Furthermore, the findings indicate that proper discharge planning in addition to intensity and duration of treatment for dually diagnosed veterans with severe PTSD may result in better outcomes. Further dissemination of evidence-based substance abuse treatment may benefit this population.

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“…Indeed, the increase in dual disorders among adolescents is becoming a major health problem, not only for the individuals and families concerned but at the community level as well, since it generates a high social cost (EMCDDA, 2010;Martino, Carroll, Kostas, Perkins & Rounsaville, 2002).…”

Section: Recibido: Enero 2012 Aceptado: Mayo 2012mentioning

confidence: 99%

“…The introduction of family members into treatment is necessary to confront these patients with their real problems, and some resistant antisocial cases may need intensive case management or correctional treatment settings (Hawkins, 2009;Liddle, Rowe, Dakof, Henderson & Greenbaum, 2009). Cluster 2 patients (disorganized-conflictive) are usually chronic patients in need of intensive and flexible integrated treatments (Martino et al, 2002), long-term follow-up and, in some cases, therapeutic residential programs (Hawkins, 2009;Waldron & Turner, 2008). They usually require psychopharmacological treatment with antipsychotics, antidepressants or mood-stabilizers even before achieving abstinence, due to severe psychiatric symptoms that might otherwise lead to drug use for the purposes of self-medication (Kosten & Kosten, 2004).…”

Section: Notementioning

confidence: 99%

Subtipos de adolescentes con trastornos por uso de sustancias y comorbilidad psiquiátrica utilizando los análisis de cluster y discriminante de perfiles MMPI-A

et al. 2012

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The main aim of this study was to replicate and extend previous results on subtypes of adolescents with substance use disorders (SUD), according to their Minnesota Multiphasic Personality Inventory for adolescents (MMPI-A) profiles. Sixty patients with SUD and psychiatric comorbidity (41.7% male, mean age = 15.9 years old) completed the MMPI-A, the Teen Addiction Severity Index (T-ASI), the Child Behaviour Checklist (CBCL), and were interviewed in order to determine DSM-IV diagnoses and level of substance use. Mean MMPI-A personality profile showed moderate peaks in Psychopathic Deviate, Depression and Hysteria scales. Hierarchical cluster analysis revealed four profiles (acting-out, 35% of the sample; disorganized-conflictive, 15%; normative-impulsive, 15%; and deceptive-concealed, 35%). External correlates were found between cluster 1, CBCL externalizing symptoms at a clinical level and conduct disorders, and between cluster 2 and mixed CBCL internalized/externalized symptoms at a clinical level. Discriminant analysis showed that Depression, Psychopathic Deviate and Psychasthenia MMPI-A scales correctly classified 90% of the patients into the clusters obtained.

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Dual Diagnosis Motivational Interviewing

Cited by 70 publications

References 64 publications

Motivational Intervention to Reduce Cannabis Use in Young People with Psychosis: A Randomized Controlled Trial

Motivational Intervention to Reduce Cannabis Use in Young People with Psychosis: A Randomized Controlled Trial

Correlates of improvement in substance abuse among dually diagnosed veterans with post-traumatic stress disorder in specialized intensive VA treatment.

Subtipos de adolescentes con trastornos por uso de sustancias y comorbilidad psiquiátrica utilizando los análisis de cluster y discriminante de perfiles MMPI-A

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