MOTIVATION AND READINESS FOR DRUG TREATMENT: DIFFERENCES BY MODALITY AND SPECIAL POPULATIONS

被引:19
作者
Melnick, Gerald [1 ]
Hawke, Josephine [2 ]
De Leon, George [1 ]
机构
[1] Natl Dev & Res Inst Inc, New York, NY 10010 USA
[2] Univ Connecticut, Ctr Hlth, Dept Psychiat, Farmington, CT 06032 USA
关键词
Substance abuse treatment; motivation; drug use; recovery; treatment modalities; THERAPEUTIC COMMUNITIES; RETENTION; SEVERITY; OUTCOMES;
D O I
10.1080/10550887.2014.909700
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
The purpose of this research is to expand our knowledge of motivational factors among admissions to various substance abuse treatment modalities and among those entering special programs. Differences in motivation are reported in a convenience sample of more than 6,000 admissions to 38 programs. Results from multilevel analyses show (a) an ordered increase in motivation by settings from referral to outpatient, to methadone maintenance, and to the highest levels in residential programs and (b) significantly lower motivation among admissions to programs for special populations. Results are discussed in relation to the demand characteristics of treatment and non-recovery reasons for entering treatment.
引用
收藏
页码:134 / 147
页数:14
相关论文
共 20 条
[1]  
De Leon G, 2001, RELAPSE AND RECOVERY IN ADDICTIONS, P143
[2]   Motivation for treatment in a prison-based therapeutic community [J].
De Leon, G ;
Melnick, G ;
Thomas, G ;
Kressel, D ;
Wexler, HK .
AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE, 2000, 26 (01) :33-46
[3]  
De Leon G., 2000, ADV MED SOC, V7, P103
[4]   Client matching: A severity-treatment intensity paradigm [J].
De Leon, George ;
Melnick, Gerald ;
Cleland, Charles M. .
JOURNAL OF ADDICTIVE DISEASES, 2008, 27 (03) :99-113
[5]  
DELEON G, 1994, AM J DRUG ALCOHOL AB, V20, P495
[6]   Problem Severity and Motivation for Treatment in Incarcerated Substance Abusers [J].
Hiller, Matthew L. ;
Narevic, Egle ;
Webster, J. Matthew ;
Rosen, Paul ;
Staton, Michele ;
Leukefeld, Carl ;
Garrity, Thomas F. ;
Kayo, Rebecca .
SUBSTANCE USE & MISUSE, 2009, 44 (01) :28-41
[7]   Prior treatment experience related to process and outcomes in DATOS [J].
Hser, YI ;
Grella, CE ;
Hsieh, SC ;
Anglin, MD ;
Brown, BS .
DRUG AND ALCOHOL DEPENDENCE, 1999, 57 (02) :137-150
[8]   Retention and patient engagement models for different treatment modalities in DATOS [J].
Joe, GW ;
Simpson, DD ;
Broome, KM .
DRUG AND ALCOHOL DEPENDENCE, 1999, 57 (02) :113-125
[9]  
Joe GW, 1998, ADDICTION, V93, P1177
[10]   The use of legal coercion in the treatment of substance abusers:: a An overview and critical analysis of thirty years of research [J].
Klag, S ;
O'Callaghan, F ;
Creed, P .
SUBSTANCE USE & MISUSE, 2005, 40 (12) :1777-1795