The impact of a brief motivational intervention with opiate users attending a methadone programme

Abstract

During the 1980sMotivational Interviewing emerged as one of the memes of the addictions field. This occurred despite the lack of scientific evidence supporting its utility. In this paper findings of a controlled trial of a brief motivational intervention with illicit drug users (n = 122) attending a methadone clinic are reported. Clients who met the study's inclusion criteria were randomly allocated to either a motivational (experimental, n = 57) or educational (control, n = 65) procedure. Over the 6-month follow-up period the motivational subjects demonstrated a greater, immediate, commitment to abstention, reported more positive expected outcomes for abstention, reported fezver opiate-related problems, were initially more contemplative of change, complied with the methadone programme longer and relapsed less quickly than the control group. There was, however, no difference in terms of the severity of reported opiate dependence and the control group fared better on reported self-efficacy. It was concluded that motivational interventions of the type investigated are useful adjuncts to methadone programmes.

Community reinforcement and family training (CRAFT): engaging unmotivated drug users in treatment

“…Phase II treatment began with Motivational Enhancement Therapy (MET: two to four sessions), which is designed to strengthen the IP's intrinsic motivation and commitment to change. Personal assessment results were given as motivational feedback, which have been shown in a series of randomized trials to suppress substance use (Miller et al, 1988Bien et al, 1993;Brown and Miller, 1993;Saunders et al, 1995). From this point onward, Phase II therapists followed CRA treatment strategies (8 ±11 sessions) using both a standard set of core procedures and a menu of optional treatment modules matched to clients' needs (Meyers and Smith, 1995).…”

A Motivational Interviewing Course for Pharmacy Students

“…[7][8][9][10][11][12][13][14][15][16] Motivational interviewing has been defined as a directive, client-centered counseling style for eliciting behavior change by helping clients explore and resolve ambivalence. 17 Unlike more authoritative counseling styles, motivational interviewing is a positive, empathetic, and nonconfrontational approach where patients are assisted in articulating and resolving their ambivalence about specific health behavior changes.…”

Revisão sistemática sobre tratamentos psicológicos para problemas relacionados ao crack

“…A costura dessas abordagens num mesmo grupo passa por embasamentos teóricos comuns, expressos nos fundamentos da entrevista motivacional 16,[32][33] , com os estágios de motivação para mudança de comportamento [34][35] do Modelo Transteórico de Mudança 36 e do estudo de crenças 14 , entre outros elementos da Teoria Cognitivo-Comportamental.…”