Problem severity and motivation for treatment in incarcerated substance abusers

Subst Use Misuse. 2009;44(1):28-41. doi: 10.1080/10826080802523301.

Abstract

Studies of community-based treatment programs for substance users document that motivation for treatment is a consistent predictor of clients remaining under treatment for a longer period of time. Recent research has replicated this in prison-based treatment programs, implying that motivation is clinically important regardless of setting. The current study examines predictors of treatment motivation using data collected from 661 male drug-involved inmates during in-depth interviews that include components of the Addiction Severity Index, TCU Motivation Scale, and the Heath Services Research Instrument. Findings showed treatment motivation can be measured effectively in prison-based settings. Motivation scores were not significantly different between individuals in a prison-based treatment program and those in the general prison population. Furthermore, higher motivation for treatment scores were associated with greater levels of problem severity, suggesting that individuals with more drug-use related life problems may recognize this need and desire help for beginning long-term recovery.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Humans
  • Interviews as Topic
  • Kentucky
  • Male
  • Motivation*
  • Patient Acceptance of Health Care*
  • Prisoners / psychology*
  • Severity of Illness Index*
  • Substance-Related Disorders / therapy*