Treatment for Drug Abuse Using Motivational Interviewing

Kelman’s tripartite model organizes advances in research on social influence and clinical outcomes. Recent years have produced important advances in the field’s understanding of compliance, identification, and internalization. In compliance research, normative feedback has, under some conditions, altered clinically relevant behaviors, including drug abuse and gambling. In identification research, the therapeutic alliance has predicted 5–30 percent of the variance in clinical outcomes. Evidence suggests a causal relationship between alliance and outcomes, and that ruptured alliances can be repaired. Internalization theories from basic science have generated little recent clinical application research, but a clinician-developed approach to internalization, motivational interviewing, has generated substantial recent research. Though mixed, enough evidence supports motivational interviewing to warrant additional research.

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Motivational interview in drug abuse

European Psychiatry ◽

10.1016/j.eurpsy.2016.01.2065 ◽

2016 ◽

Vol 33 (S1) ◽

pp. S558-S558

Author(s):

H. Guillen Rodrigo ◽

R. Alonso Díaz ◽

E. Cortázar Alonso

Keyword(s):

Drug Abuse ◽

Motivational Interviewing ◽

Police Officers ◽

Motivational Interview ◽

Emotional And Behavioral Disorders ◽

Treatment Plan ◽

The Family ◽

Motivation For Change ◽

Competing Interest ◽

First Time

According to the treatment plan from the motivational interviewing model, we have worked with a 25-year-old male, single and childless. He is currently unemployed and he lives with his grandparents. His parents divorced about 20 years ago, he has a paternal brother of two years and his mother lives in Barcelona. He went to the USMC Huelva for the first time in 2014.The patient and the family reported emotional and behavioral disorders for several years, which were getting worse since 4 months. He has been convicted for rash driving and he resisted to police officers for several times. The patient was also abusing of several substances like cigarettes, cannabis, MDMA and cocaine.In order to work with the motivational interviewing with this patient, we proposed five clinical principles: express empathy, create discrepancy, avoid discussion, put a spin on his strength and promote self-efficacy.The clinical evolution of the proposed patient was positive. As we could see, the motivation for change occurred when the patient perceived a discrepancy between the place where he was and the place he wanted to get. As we saw, the important thing was to define acceptable and accessible targets that represented the progress toward recovery.In this style, we avoid the persuasion based on the discussion with the patient, instead we assume the validity of the experiences and the subjective perspectives of the patient. The motivational interview represents an alternative to unleash the change, instead of direct persuasion and aggressive confrontation.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Effect of Drug Abuse Counselling Training: Adaptation of Motivational Interviewing Strategy on Empathy, Confidence, Change Behaviour Skill and Self-Esteem among Prison Officers in Sabah

Sains Humanika ◽

10.11113/sh.v13n1.1697 ◽

2020 ◽

Vol 13 (1) ◽

Author(s):

Puteri Hayati Megat Ahmad ◽

Nurul Hudani Md Nawi ◽

Azreel Azim Abdul Alim

Keyword(s):

Drug Abuse ◽

Motivational Interviewing ◽

Correctional Officers ◽

Self Esteem ◽

Drug Abusers ◽

Training Methods ◽

Training Adaptation ◽

Positive Effects ◽

Change Behavior ◽

The Mean

The correctional officers in Sabah Prison have not received any specific training to treat drug abusers, even though they consist the highest percentages of inmates. The Adaptation of Motivational Interviewing, AMI Treatment Modules, has been used as the training module in this project. This project aims to transfer drug abuse counselling skills to 67 prison officers in Sabah. Participants were trained for 5 days with various training methods, and the instruments used were Counseling Response Questionnaires (CRQ), Confidence and Knowledge Scale (CKS), Behavior Change Counselling Index (BECCI) and Rosenberg Self-Esteem. This study uses a quasi-experimental design aimed at seeing the effectiveness of AMI's training. Result from Wilcoxon signed-ranks test showed that the mean for post-test ranks was higher than the mean pre-test ranks for empathy (z = -7.14, p .05, confidence ( z = -6.95, p .05), change behavior skill (z = -5.99, p .05) as well as self- esteem (z = -4.98, p .05). In other words, the study showed that the Drug Abuse Counselling Training: Adaptation of Motivational Interviewing Strategy can promote positive effects on subject’ empathy, confidence, change behavior skill and self-esteem. Therefore, the five-day workshop based on the AMI Treatment Modules can be used as a guideline for relevant authorities such as the Malaysia Prison Department for future training programmes particularly to correctional officers. In conclusion, this project has been able to enhance empathy, confidence and behavior-changing skills as well as self-esteem among prison officers in Sabah.

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Motivational interviewing in drug abuse services: A randomized trial.

Journal of Consulting and Clinical Psychology ◽

10.1037/0022-006x.71.4.754 ◽

2003 ◽

Vol 71 (4) ◽

pp. 754-763 ◽

Cited By ~ 131

Author(s):

William R. Miller ◽

Carolina E. Yahne ◽

J. Scott Tonigan

Keyword(s):

Drug Abuse ◽

Motivational Interviewing ◽

Randomized Trial

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The Use of Motivational Interviewing (Mi) in Preventing Relapse on Methamphetamine Drug User

‘Abqari Journal ◽

10.33102/abqari.vol25no2.463 ◽

2021 ◽

Vol 25 (2) ◽

pp. 21-35

Author(s):

Nazlan Ibrahim ◽

Mohamad Isa Amat ◽

Abdul Rashid Abdul Aziz

Keyword(s):

Drug Abuse ◽

Motivational Interviewing ◽

Drug Misuse ◽

Addictive Behaviors ◽

Direct Observations ◽

Addiction Therapy ◽

The Subject ◽

The Impact ◽

State Examination

Methamphetamine (MA) is a potent stimulant with a high potential for abuse that can be smoked, inhaled, injected or taken orally. It is easily being relapse among drug abuse. Thus, this study aims to investigate the impact of drug addiction therapy utilizing the Motivational Interviewing (MI) approach. This is a qualitative study using interview sessions as a study design. The subject is a drug misuse client undergoing imprisonment in Kajang Prison, Selangor. Client’s progression was assessed through direct observations using the Mental State Examination (MSE), client records, and client speech changes. The study revealed that client has gained mental literacy and the client needs to change his behaviors so that the misery does not recur. The use of MI strategies in treatment sessions has been able to help clients eliminate ambiguities related to addictive behaviors, clients are confident to stay recovering and now have concrete plans to not re -addict in the future. The implications of the findings of this case study suggest the MI strategy is a treatment option that counselors can use in assisting drug abuse clients.

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