Correlates of Motivational Interviewing Use Among Substance Use Treatment Programs Serving American Indians/Alaska Natives

The objective of this study is to provide insights into substance users’ beliefs about the causes of substance use, in order to expand the current understanding of the significance of the client’s change-related talk during motivational interviewing (MI) sessions. In particular, it focuses on what kind of causes the substance-using clients attribute their substance use to in change talk during MI. The analyses are based on videotaped and transcribed data consisting of 98 MI sessions in the Finnish Probation Service. By applying Peirce’s semiotic theory of signs, this study investigates clients’ change talk utterances about causal attributions of substance use as an indexical sign. The results show that the clients attributed various causes to substance use, and that five main causes can be discerned: cultural factors, significant others, personal properties, working life, and lifestyle. The study displays that both sociocultural and psychological causes play an important role in substance users’ change talk. Thus, it is suggested that contextual factors should not be overlooked in MI and other substance use treatment.

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COVID-19 vaccine trust among clients in a sample of California residential substance use treatment programs

Drug and Alcohol Dependence ◽

10.1016/j.drugalcdep.2021.108812 ◽

2021 ◽

pp. 108812

Author(s):

Carmen L. Masson ◽

Caravella McCuistian ◽

Elana Straus ◽

Sania Elahi ◽

Maggie Chen ◽

...

Keyword(s):

Substance Use ◽

Treatment Programs ◽

Substance Use Treatment

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Is Treatment Readiness Associated With Substance Use Treatment Engagement? An Exploratory Study

Journal of Drug Education ◽

10.1177/0047237918759955 ◽

2017 ◽

Vol 47 (1-2) ◽

pp. 51-67 ◽

Cited By ~ 3

Author(s):

Lincoln B. Sloas ◽

Michael S. Caudy ◽

Faye S. Taxman

Keyword(s):

Substance Use ◽

Treatment Process ◽

Treatment Engagement ◽

Binary Logistic Regression ◽

Treatment Programs ◽

Substance Use Treatment ◽

Data Set ◽

Treatment Readiness ◽

Complete Treatment ◽

Relative Salience

With nearly 8.2% of Americans experiencing substance use disorders (SUDs), a need exists for effective SUD treatment and for strategies to assist treatment participants to complete treatment programs (Chandler, Fletcher, & Volkow, 2009). The purpose of the current research is to contribute to an emerging knowledge base about treatment readiness and its utility for predicting substance use treatment process performance measures. The study examines the relative salience of treatment readiness as a predictor of treatment engagement. Data are derived from adult cases included in the 2012 Global Appraisal of Individual Needs-Intake data set ( n = 5,443). Binary logistic regression was used to identify if treatment readiness predicts substance use treatment engagement. The findings of this study do not provide support for treatment readiness significantly predicting substance use treatment engagement. Further research is needed to better understand treatment engagement.

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Clinical trials and American Indians/Alaska Natives with substance use disorders: identifying potential strategies for a new cultural-based intervention

Journal of Public Mental Health ◽

10.1108/jpmh-01-2014-0003 ◽

2014 ◽

Vol 13 (4) ◽

pp. 175-178 ◽

Cited By ~ 1

Author(s):

Daniel L. Dickerson ◽

Kamilla L. Venner ◽

Bonnie Duran

Keyword(s):

Clinical Trial ◽

Substance Abuse ◽

Clinical Trials ◽

Substance Use ◽

Focus Groups ◽

Substance Use Disorders ◽

American Indians ◽

Alaska Natives ◽

Treatment Setting ◽

Content Type

Purpose – The purpose of this paper is to address a significant public mental health disparity affecting American Indians/Alaska Natives (AI/ANs): the shortage of clinical trials research analyzing the benefits of AI/AN traditional-based treatments, e.g. drumming. Design/methodology/approach – A total of four focus groups were conducted among outpatient and inpatient AI/AN substance abuse patients and providers serving AI/ANs. The purpose of these focus groups was to obtain insights relating to the recent challenges of conducting a clinical trial within the outpatient treatment setting seeking to analyze the benefits of a new substance abuse treatment intervention utilizing drumming for AI/ANs [Drum-assisted Recovery Therapy for Native Americans (DARTNA)] and to obtain recommendations to successfully conduct a similar study within an inpatient treatment setting. Findings – The most prevalent barriers to conducting a clinical trial within an outpatient setting were transportation and child care issues. Recommendations were obtained with regard to optimizing recruitment and retention for a future study within an inpatient setting. Originality/value – This research offers the field rare information that helps toward identifying strategies to successfully conduct clinical trials investigating the benefits of culturally-appropriate treatments for AI/ANs with substance use disorders.

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