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Motivational interviewing in a group setting with mandated clients: a pilot study
Pat Lincour1, Thomas J Kuettel, Charles H Bombardier
1Schoharie County Program for Alcoholism Recovery, Cobleskill, NY, USA. rlincourt@aol.com
Addictive Behaviors
|July 18, 2002
Summary
A motivational enhancement group improved substance abuse treatment outcomes. Clients attending the group showed better attendance, higher completion rates, and fewer dependence criteria compared to those who did not attend.
Area of Science:
- Psychology
- Addiction Medicine
- Public Health
Background:
- Court-ordered clients often struggle to identify treatment goals, hindering therapeutic engagement.
- Lack of goal identification can negatively impact substance abuse treatment effectiveness and completion rates.
Purpose of the Study:
- To evaluate the impact of a pre-treatment motivational enhancement group on client participation and outcomes.
- To address challenges faced by clients unwilling or unable to set treatment goals in substance abuse programs.
Main Methods:
- A group-based motivational enhancement program was implemented before standard substance abuse treatment.
- 73 clients attended the motivation group, while 94 did not, over a 2-year period.
- Outcomes including dependence criteria, session attendance, and treatment completion were compared between groups.
Main Results:
- Attendance in the motivation group was associated with significantly lower likelihood of meeting substance abuse dependence criteria.
- Clients in the motivation group attended a higher proportion of treatment sessions.
- Motivational enhancement group participation correlated with higher rates of treatment completion, even after controlling for confounding factors.
Conclusions:
- A pre-treatment motivational enhancement group may improve engagement and outcomes in substance abuse treatment for clients lacking treatment goals.
- Further research is recommended to solidify these findings and explore broader applications.