MI (Motivational Interviewing) to Improve Treatment Engagement and Outcome in Subjects Seeking Treatment for Substance Abuse
Kathleen Carroll, Ph.D. Lead Investigator Department of Psychiatry VA CT Healthcare Center (151D) 950 Campbell Ave. West Haven, CT 06516 kathleen.carroll@yale.edu

This study aims to evaluate the efficacy of Motivational Interviewing (MI) relative to the standard intake/orientation/evaluation procedures at community treatment centers, in enhancing treatment engagement and retention as well as in reducing substance use. It will also evaluate the durability of MI relative to standard treatment through a 3 month follow-up. Secondary aims of this study are to explore patient characteristics associated with outcome, to evaluate the ability of clinicians at the treatment programs to learn and effectively implement MI techniques, and to conduct process analyses which will assess and evaluate multiple aspects of this treatment approach.

Primary Findings: Participants assigned to MI had significantly better retention -- a key component of success -- through the 28-day follow-up than those assigned to the standard intervention. There were no significant effects of MI on substance use outcomes at either the 28-day or 84-day follow-up. Results suggest that community-based clinicians can effectively implement MI when provided training and supervision, and that integrating MI techniques into the earliest phases of treatment may have positive effects on retention early in the course of treatment. Source: Carroll K, et al. Motivational interviewing to improve treatment engagement and outcome in individuals seeking treatment for substance abuse: A multisite effectiveness study. Drug and Alcohol Dependence 2006;81:301-312. [get article]

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