Demographic and Clinical Correlates of Client Motivation among Substance Abusers

Understanding the role of motivation in substance abusers' acceptance of treatment is critically important to improving treatment outcomes. To examine this phenomenon a cohort of substance abuse treatment clients was recruited from two treatment programs whose services are funded by a state man...

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Bibliographic Details
Published in:Health & social work 2003-05, Vol.28 (2), p.107-115
Main Authors: Rapp, Richard C., Li, Li, Siegal, Harvey A., DeLiberty, Richard N.
Format: Article
Language:English
Subjects:
Addiction
Adult
Care and treatment
Caseworker Approach
Client Characteristics
Client Characteristics (Human Services)
Clients
Cocaine
Compliance
Criminals
Demographic aspects
Demographics
Demography
Drug abuse
Drug abusers
Drug addicts
Drug Use
Environmental Influences
Female
Health
Health Insurance
Help Seeking
Humans
Indiana
Individual Characteristics
Male
Managed Care Programs
Methods
Motivation
Motivation (Psychology)
Outcomes
Outcomes of Treatment
Patient Acceptance of Health Care - psychology
Practice
Practice Patterns, Physicians
Psychological aspects
Public Policy
Referral
Self Disclosure (Individuals)
Self Motivation
Social case work
Social Policy
Social Work
social work practice
Social Work, Psychiatric
Statistics
Substance Abuse
Substance abuse treatment
Substance-Related Disorders - psychology
Substance-Related Disorders - rehabilitation
Treatment
Treatment Compliance
Treatment Outcome
Treatment Outcomes
Treatment Programs
U.S.A
USA
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Description
Summary:Understanding the role of motivation in substance abusers' acceptance of treatment is critically important to improving treatment outcomes. To examine this phenomenon a cohort of substance abuse treatment clients was recruited from two treatment programs whose services are funded by a state managed care system. Motivation at treatment entry was examined. Better motivation was consistently associated with severity of substance use. Neither the coercion that accompanies legal system involvement nor self-referral was significantly related to measured levels of motivation. Motivation was not related to alcohol and drug use severity six months later. The severity associated with motivation at treatment entry was, for the most part, not related to clients' success six months later. Implications for social work practice with substance abusers are discussed.
ISSN:0360-7283
1545-6854
DOI:10.1093/hsw/28.2.107