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Drug Alcohol Depend. 2003 Mar 1;69(2):197-203.

Brief motivational feedback improves post-incarceration treatment contact among veterans with substance use disorders.

Author information

1
Center of Excellence in Substance Abuse Treatment and Education, VA Puget Sound Health Care System, Seattle, WA 98108, USA. tania.davis@med.va.gov

Abstract

OBJECTIVES:

To test the efficacy of providing brief motivational feedback to increase post-incarceration substance use disorders (SUD) treatment contact.

DESIGN:

Randomized clinical trial (feedback vs. control) with a 2-month post-incarceration follow-up.

PARTICIPANTS:

Veterans (N = 73) incarcerated in a county jail system who met SUD diagnostic criteria.

MEASURES:

Baseline assessment included the Addiction Severity Index, the Form-90 assessment of recent alcohol use, and a DSM-IV SUD criteria checklist. The primary outcome was Veterans Administration (VA) appointments. Secondary outcomes were the Addiction Severity Index-Followup and the Treatment Services Review.

INTERVENTION:

All participants received baseline assessment. The feedback condition received personalized feedback and encouragement to explore ambivalence about change and treatment in a single interview.

RESULTS:

Participants receiving feedback were more likely to schedule appointments at a VA addictions clinic within 60 days of their jail release dates (67 vs. 41%; P < 0.03). Though differences were not statistically significant, more feedback participants attended addictions clinic appointments (47 vs. 32%; ns) and were retained in addictions treatment at 90 days (31 vs. 14%; P < 0.08). Treatment appointments were more likely when intervention occurred close to release. Loss of participants to post-release follow-up interviews was >50%, limiting power to detect significant differences by self-report.

CONCLUSION:

Brief motivational feedback shows promise as a way to link incarcerated individuals to SUD treatment services.

PMID:
12609701
DOI:
10.1016/s0376-8716(02)00317-4
[Indexed for MEDLINE]

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