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Motivational Interviewing and Cognitive-Behavioral Therapy to Aid Community Integration for Veterans With Past
L Felice Reddy1,2, Shirley M Glynn2,3, Julio Iglesias2,3
1Department of Psychiatry, University of North Carolina, Chapel Hill.
Psychiatric Services (Washington, D.C.)
|May 6, 2026
Summary
This study found that motivational interviewing (MI) and cognitive-behavioral therapy (CBT) significantly improved motivational deficits in recently housed veterans experiencing homelessness. These gains were sustained post-treatment, aiding community integration.
Area of Science:
- Psychiatry and Behavioral Sciences
- Social Work and Public Health
Background:
- Community integration is crucial for individuals exiting homelessness, yet finding purpose and belonging remains challenging.
- Motivational deficits (negative symptoms) can hinder mental well-being and housing stability for recently housed individuals.
Purpose of the Study:
- To evaluate a novel psychosocial intervention combining motivational interviewing (MI) and cognitive-behavioral therapy (CBT).
- To assess the intervention's effectiveness in improving motivation and functional outcomes for community integration.
Main Methods:
- A randomized controlled trial involving 60 veterans with recent homelessness history in a supportive housing program.
- Comparison of a 12-session MI-CBT intervention against treatment as usual.
- Assessment of motivational deficits, behavioral changes, and social/work functioning over 24 weeks of treatment and 12 weeks of follow-up.
Main Results:
- Participants receiving MI-CBT demonstrated significantly greater improvement in motivational deficits compared to the control group (p<0.05).
- These improvements were maintained at the 12-week follow-up assessment.
Conclusions:
- The MI-CBT intervention effectively reduces motivational deficits in recently housed veterans.
- Further research should explore generalizing these gains to broader daily functioning and community integration domains.
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