Improving linkage with substance abuse treatment using brief case management and motivational interviewing

Rapp, Richard C.; Otto, Amy L.; Lane, D. Timothy; Redko, Cristina; McGatha, Sue; Carlson, Robert G.

doi:10.1016/j.drugalcdep.2007.11.012

Cited by 72 publications

(82 citation statements)

References 35 publications

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“…The benefit of case management to persons who were out of treatment was in facilitating linkage with treatment and was demonstrated in several settings (Morgenstern et al, 2006;Rapp et al, 2008;Scott et al, 2002;Sorensen et al, 2005). Case management's primary benefit to intreatment populations was to improve retention (Siegal et al, 2002).…”

Section: Case Management: Treatment Tasks and Personal Functioning Oumentioning

confidence: 99%

The efficacy of case management with persons who have substance abuse problems: A three-level meta-analysis of outcomes.

Rapp

Noortgate

Broekaert

et al. 2014

Journal of Consulting and Clinical Psychology

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Objective: Case management has been widely used as an intervention in the treatment of substance abuse problems. Its effectiveness has been associated with over 450 outcomes, some consistent with case management's traditional functions of linking (treatment tasks) and others typical of treatment outcomes such as substance use (personal functioning). Method: Meta-analyses were conducted on 21 randomized clinical trials in which we compared the efficacy of case management with standard-of-care conditions and active interventions. Characteristics of case managementincluding targeted outcomes, case management model, location on the treatment continuum, and intervention quality-were treated as moderators, as were 2 study features, length of follow-up, and methodological quality. Results: Results showed that case management was efficacious across all targeted outcomes when compared with standard of care (␦ ϭ 0.15, SE ϭ 0.037), although the overall effect was weak. There was a significant difference, F(1, 429) ϭ 25.26, p Ͻ .0001, between case management's effect on treatment task outcomes such as linking with and staying in treatment (␦ 2 ϭ .29, p ϭ .001) and improving individuals' functioning of persons with substance abuse problems in areas such as substance use and HIV risk behaviors (␦ 1 ϭ 0.06, p ϭ .05). Moderator analyses demonstrated that (a) 4 case management models were more effective than standard of care in improving treatment task outcomes and (b) case management was effective either in or out of treatment. Conclusions: Our results demonstrate that case management is effective across a wide range of treatment task outcomes, but more limited in its effectiveness with personal functioning outcomes.

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Section: Case Management: Treatment Tasks and Personal Functioning Oumentioning

confidence: 99%

The efficacy of case management with persons who have substance abuse problems: A three-level meta-analysis of outcomes.

Rapp

Noortgate

Broekaert

et al. 2014

Journal of Consulting and Clinical Psychology

Self Cite

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“…18,20 Using MI techniques with a group of 678 individuals showed that social problems must also be considered during the treatment sessions, as the individuals who had problems, such as transport difficulties, dependent minors, or problematic employment situations, abandoned the treatment despite having high levels of motivation to reduce or stop the drug consumption, concluding that although it is an effective strategy, MI should be linked to social support measures. 27 Motivational interviewing has proven to be an effective intervention method with adolescents, not only in the field of alcohol and other drugs, as observed in two studies conducted in the United Kingdom. 17,24 Concerning the number of sessions required for a good result, this is variable and can be from one to five.…”

Section: -Encourage the Person To Discuss The Ad-mentioning

confidence: 99%

“…Furthermore, it is a low cost strategy, with easy access to training for the therapists demonstrating a very good cost-benefit. 7,10,21,27 In a study performed with 50 adolescent offenders who used alcohol and other drugs, the individuals underwent five MI sessions. All the individuals who completed the process used cannabis at the time of the initial evaluation and, at the re-evaluation, 64% of them were abstinent, which was confirmed by toxicological testing.…”

Section: Fifth and Sixth Stages (Knowledge Synthesis Interpretation mentioning

confidence: 99%

Estratégias e possibilidades da entrevista motivacional na adolescência: revisão integrativa

Claro

Aparecida

Oliveira

et al. 2013

Texto contexto - enferm.

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An increase in drug use by adolescents can be observed, as well as the emergence of studies that show the Motivational Interview as a possible therapy for this population. This study aims to review information in the literature regarding the effectiveness of the Motivational Interview for use with adolescent users of alcohol and other drugs. An integrative review of national and international literature was conducted, using the keywords "motivational interviewing" and "adolescents", providing a total of 22 articles that were included in the analysis. The studies show that the motivational interview is a promising technique, evidencing a decrease in the pattern of drug use by the adolescents studied. This technique was shown to be efficient for use with adolescents, however, studies on this subject are very scarce and recent, suggesting the need for further research in this area. DESCRIPTORS:Adolescents. Motivation. Substance-related disorders. ESTRATÉGIAS E POSSIBILIDADES DA ENTREVISTA MOTIVACIONALNA ADOLESCÊNCIA: REVISÃO INTEGRATIVA RESUMO: Observa-se o aumento de uso de drogas por adolescentes e o surgimento de estudos que apresentam a Entrevista Motivacional como possibilidade terapêutica para esta população. Este estudo objetiva revisar na literatura informações acerca da eficácia da Entrevista Motivacional para uso com adolescentes usuários de álcool e outras drogas. Foi realizada uma revisão integrativa da literatura nacional e internacional, utilizando-se os descritores motivational interviewing e adolescents, e foram incluídos na análise um total de 22 artigos. Estudos apontam a Entrevista Motivacional como técnica promissora, revelando diminuição do padrão de uso de drogas pelos adolescentes estudados. Esta técnica mostrou-se eficaz para uso com adolescentes, entretanto estudos sobre esta temática são muito recentes e escassos, o que sugere novas investigações. DESCRITORES:Adolescentes. Motivação. Transtornos relacionados ao uso de substâncias. ESTRATEGIAS Y POSIBILIDADES DE LA ENTREVISTA MOTIVACIONAL EN LA ADOLESCENCIA: REVISIÓN INTEGRADORA RESUMEN:Observamos un aumento en el consumo de drogas por los adolescentes y la aparición de estudios que muestran la Entrevista Motivacional como una posibilidad de tratamiento a esta población. Este estudio tiene como objetivo revisar la información en la literatura sobre la eficacia de la Entrevista Motivacional para el uso con los adolescentes que usan alcohol y otras drogas. Se realizó una revisión integradora de la literatura nacional y internacional, utilizando los descriptores motivational interviewing y adolescents, y un total de 22 artículos fueron incluidos en el análisis. Los estudios demuestran que la entrevista motivacional es una técnica prometedora, que muestra la disminución del patrón de consumo de drogas por los adolescentes estudiados. Esta técnica es eficiente para el uso con los adolescentes, pero los estudios sobre este tema son muy escasos y recientes, lo que sugiere una mayor investigación en esta área. DESCRIPTORES:Adolescentes. M...

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“…Cucciare & Timko [2] described case management and telephone monitoring as candidate interventions to evaluate in medical settings that could incorporate referral to treatment (RT). Saitz also describes case management [2], reminding readers that such interventions are being developed to offer addiction treatment within the medical setting [6,7]. Perhaps, combining these approaches would be appropriate: patients with alcohol use disorders who are identified by screening could receive case management.…”

Section: Challenges Ahead In Developing and Testing Referral To Treatmentioning

confidence: 99%

“…In addition, brief case management, consisting of assessment, planning, monitoring and advocacy, along with teaching patients how to leverage existing skills and strengths to promote treatment linkage, can also improve linkage to addiction treatment effectively among substance-abusing individuals compared to a single session of motivational interviewing or standard care [7]. Although probably requiring more resources to implement, brief case management may help medical settings to overcome patient-and system-level barriers to care, such as difficulties accessing addiction treatment and limited availability of treatment options.…”

Section: Bridging the Gap Between Medical Settings And Specialty Addimentioning

confidence: 99%

Bridging the gap between medical settings and specialty addiction treatment

Cucciare

Timko

2015

Addiction

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Improving linkage with substance abuse treatment using brief case management and motivational interviewing

Cited by 72 publications

References 35 publications

The efficacy of case management with persons who have substance abuse problems: A three-level meta-analysis of outcomes.

The efficacy of case management with persons who have substance abuse problems: A three-level meta-analysis of outcomes.

Estratégias e possibilidades da entrevista motivacional na adolescência: revisão integrativa

Bridging the gap between medical settings and specialty addiction treatment

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