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DOCUMENT 2013 HTM file
When confrontation was challenged
Focus is on a seminal study from motivational interviewing’s originator which more than any other heightened the profile of the therapist’s interpersonal style in substance use counselling, seeming to confirm that heavy drinkers react best to non-confrontational nudging rather than the more bludgeoning style typical of the time.
STUDY 2010 HTM file
Long-term effect of community-based treatment: evidence from the adolescent outcomes project
The title speaks of long-term effects but in fact there were none from sending young US substance users to a youth therapeutic community specialising in substance use problems compared to non-specialist group homes; early gains had all eroded, an instance of the general difficulty of sustaining youth treatment outcomes.
DOCUMENT 2012 HTM file
Improving outcomes and supporting transparency part 1: A public health outcomes framework for England, 2013–2016
Sets out the structure and objectives of the public health system for England effective from April 2013 and how progress against these objectives will be measured, including addiction treatment completions, alcohol-related hospital admissions, and prisoners identified as needing treatment for alcohol/drug problems.
STUDY 2010 HTM file
Effect of motivational interviewing on reduction of alcohol use
At Californian methadone clinics, group education sessions led by a nurse and focused on the risks of aggravating hepatitis infection led to the same substantial reductions in drinking as one-to-one or group motivational interviewing conducted by highly trained counsellors, offering a cost-effective means to reduce alcohol-related risks.
STUDY 2010 HTM file
Gender differences in client-provider relationship as active ingredient in substance abuse treatment
From the comprehensive treatment process data collected by a major national US study emerges the important lesson that retention in itself is not an active ingredient in post-treatment outcomes but reflects influences such having one's needs met (especially important for women) and developing a good relationship with the service and your key worker.
STUDY 2005 HTM file
How does motivational interviewing work? Therapist skill predicts client involvement within motivational interviewing sessions
Analysis of counselling session recordings from therapists trained in motivational interviewing suggests that the important quality of seeming 'genuine' can suffer if training mandates unnaturally withholding normal responses; however, departing from these tenets is risky unless done by a socially skilled therapist.
STUDY 2004 HTM file
An evaluation of workshop training in motivational interviewing for addiction and mental health clinicians
US study suggests that when it comes to choosing therapists, choosing the 'right' people who have not been trained in motivational interviewing would be better than choosing the 'wrong' people who have been trained; the former not only start at a higher level, but are more able to benefit from and retain training.
DOCUMENT 2013 HTM file
Alcohol treatment in England 2011–12
More problem drinkers started specialist treatment in 2011/12 but more successfully completed it, slightly reducing the overall numbers; scope for more to benefit from treatment is indicated by the low levels of referrals from primary medical services.
REVIEW 2011 HTM file
Motivational interviewing for substance abuse
Across the most rigorous studies, this synthesis of the research finds therapies based on motivational interviewing better than doing nothing, but no more effective than usual/other treatments for problem drinkers and drugtakers – powerful further support for the 'Dodo bird' verdict that all bona fide therapies are equivalent.
DOCUMENT 2012 HTM file
Substance misuse among young people 2011–12
Documents trends towards more successful specialist treatment of children with alcohol and drug problems in England. Patient numbers have fallen in line with trends among young adult patients and the general population, a sign of fewer drug problems generally, though cannabis bucked the downward trend.
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