TY - JOUR
T1 - Motivational interviewing and treatment adherence among psychiatric and dually diagnosed patients
AU - Swanson, Arthur J.
AU - Pantalon, Michael V.
AU - Cohen, Kenneth R.
PY - 1999/10
Y1 - 1999/10
N2 - The effect of motivational interviewing on outpatient treatment adherence among psychiatric and dually diagnosed inpatients was investigated. Subjects were 121 psychiatric inpatients, 93 (77%) of whom had concomitant substance abuse/dependence disorders, who were randomly assigned to: a) standard treatment (ST), including pharmacotherapy, individual and group psychotherapy, activities therapy, milieu treatment, and discharge planning; or b) ST plus motivational interviewing (ST+MI), which involved 15 minutes of feedback on the results of a motivational assessment early in the hospitalization, and a 1-hour motivational interview just before discharge. Interviewers utilized motivational techniques described in Miller and Rollnick (1991), such as reflective listening, discussion of treatment obstacles, and elicitation of motivational statements. Results indicated that the proportion of patients who attended their first outpatient appointment was significantly higher for the ST+MI group (47%) than for the ST group (21%; χ2 = 8.87, df = 1, p < .01) overall, and for dually diagnosed patients (42% for ST+MI vs. 16% for ST only; χ2 = 7.68, df = 1, p < .01). Therefore, brief motivational interventions show promise in improving outpatient treatment adherence among psychiatric and dually diagnosed patients.
AB - The effect of motivational interviewing on outpatient treatment adherence among psychiatric and dually diagnosed inpatients was investigated. Subjects were 121 psychiatric inpatients, 93 (77%) of whom had concomitant substance abuse/dependence disorders, who were randomly assigned to: a) standard treatment (ST), including pharmacotherapy, individual and group psychotherapy, activities therapy, milieu treatment, and discharge planning; or b) ST plus motivational interviewing (ST+MI), which involved 15 minutes of feedback on the results of a motivational assessment early in the hospitalization, and a 1-hour motivational interview just before discharge. Interviewers utilized motivational techniques described in Miller and Rollnick (1991), such as reflective listening, discussion of treatment obstacles, and elicitation of motivational statements. Results indicated that the proportion of patients who attended their first outpatient appointment was significantly higher for the ST+MI group (47%) than for the ST group (21%; χ2 = 8.87, df = 1, p < .01) overall, and for dually diagnosed patients (42% for ST+MI vs. 16% for ST only; χ2 = 7.68, df = 1, p < .01). Therefore, brief motivational interventions show promise in improving outpatient treatment adherence among psychiatric and dually diagnosed patients.
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U2 - 10.1097/00005053-199910000-00007
DO - 10.1097/00005053-199910000-00007
M3 - Article
C2 - 10535657
AN - SCOPUS:0032849663
SN - 0022-3018
VL - 187
SP - 630
EP - 635
JO - Journal of Nervous and Mental Disease
JF - Journal of Nervous and Mental Disease
IS - 10
ER -