Motivational Interviewing at Intake vs Intake as Usual on Client Engagement in Addiction Treatment
Adapting Intake Procedures to Improve Treatment Delivery in Addiction Treatment
University of New Mexico
150 participants
Mar 16, 2022
INTERVENTIONAL
Conditions
Summary
This K23 study is an effectiveness-implementation hybrid type I design to determine the effectiveness of Motivational Interviewing at Intake (MII), relative to intake-as-usual on client engagement and mechanisms of engagement among adults seeking outpatient addiction treatment. We also will obtain personnel feedback on the feasibility of implementing MII into standard practice by having personnel from the addiction treatment study sites complete implementation climate measures before Motivational Interviewing (MI) training and post-clinical trial, as well as an individual interview on implementation feasibility post-trial.
Eligibility
Inclusion Criteria6
- English-speaking adults seeking treatment for alcohol or other drug use at one of two outpatient addiction treatment programs
- Provision of signed and dated informed consent form
- Stated willingness to comply with all study procedures
- Physically withdrawn from alcohol or other drugs
- English-speaking adults currently employed at one of the two outpatient addiction treatment programs
- Provision of electronic informed consent
Exclusion Criteria3
- Experiencing severe withdrawal symptoms
- Actively psychotic, manic, and/or suicidal
- current position: facility owner or clinical director
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Interventions
The MII will involve a goal-oriented and collaborative conversation about why the client wants treatment now, and how treatment might fit with his/her most important values. The provider will use open questions, reflective listening and autonomy support in a flexible, non-authoritative manner. Rather than asking specific questions in different life domains, the provider will explore with the client their desires, abilities, reasons, and needs for treatment, how treatment fits with their values, and what successful treatment looks like to them. The client's language about change will be strategically reinforced to increase its frequency and strength across the session.
In line with the American Society of Addiction Medicine (ASAM) guidelines, the IAU condition involves a semi-structured interview of the client's psychosocial history and clients answer a series of questions in the following domains: support system, living situation, educational, occupational, family, and medical history.
Locations(1)
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NCT05489068