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Analysis of videoed therapy sessions from a Project MATCH alcohol treatment trial clinic showed that whether therapists appropriately adjusted their interpersonal style to the patient mattered more than which therapy they practised.
SERIES OF ARTICLES 2006 Manners Matter 6115Kb PDF fileFive-part series not so much on what treatment services do, but how they do it. Conclusion: the same human qualities which make life better outside treatment make it better within - empathy, understanding, respect, responsiveness, caring persistence.
Part 3 of the Manners Matter series investigates motivational interviewing, the most influential counselling style in addiction treatment. At first we couldn't believe what we'd found - but it really has worked best without a manual.
Part 4 of the Manners Matter series asks whether motivational interviewing can overcome the hostile prison environment and the distrust of youngsters, drink drivers and other offenders pressured into counselling by the criminal justice system.
Do you bristle when someone else takes the lead or gladly take a back seat? In therapy too, directiveness matters, and in a surprisingly consistent way. Part 5 of the Manners Matter series unpicks the common thread from the literature.
In Canada a brief motivational intervention integrated into initial assessment substantially reduced drinking among drinkers who did not return for treatment, offering a fail-safe mechanism to cater for early drop-out.
An intervention which helps overcome the major impediments to naltrexone treatment of alcoholism – patients don't take the pills or drop out – has now been codified in a book which acts as a manual for conducting the intervention.
In the USA relatively simple extensions to induction procedures for residential rehabilitation made a radical difference to how deeply coerced and other less motivated clients engaged with the programmes.
Two simple inexpensive interventions have been shown to make a substantial difference to the rate of return for aftercare following intensive day or residential care, helping maintain the benefits especially for the most vulnerable patients.
In the US Project MATCH alcohol treatment trial, relatively brief motivational interviewing resulted in lower health care costs overall but costs incurred by poor prognosis patients were reduced most by the two more intensive (CBT and 12-step) therapies.
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