Overview of Issues Related to Coercion in Substance Abuse Treatment: Part I

Darbro, Nancy

doi:10.1080/10884600802693231

Cited by 6 publications

(5 citation statements)

References 42 publications

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“…Although prior research documents the utility of external pressure for increasing treatment retention (Darbo, 2009; Fagan, 1999; Mueller & Wyman, 1997; Sindelar & Fiellin, 2001), extrinsic motivation alone is insufficient to facilitate long-term results. Intrinsic motivation is key to engagement and personal recovery, yet it is often lower among individuals mandated to treatment (Broome et al, 2001; Joe et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…Lower personal motivation for change is associated with lower therapeutic engagement (Joe et al, 2014) and is a barrier to desirable treatment outcomes (Curry et al, 1991; Deci & Ryan, 1985; DiClemente et al, 1999). Research shows that while external pressures may provide the impetus for entering and staying in treatment for justice-involved youth (Darbo, 2009; Joe et al, 2014), it is internal motivation for change that is most closely associated with during-treatment markers of recovery and sustained change (Center for Substance Abuse Treatment, 1999; Diamond et al, 2006; DiClemente & Scott, 1997; Garner et al, 2008; Garnick et al, 2012; Hiller et al, 2002; Joe et al, 2014; Joe et al, 1998; Rogers et al, 2008; Tetzlaff et al, 2005). Thus, juvenile justice–involved youth are at greater risk of experiencing poor treatment outcomes.…”

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confidence: 99%

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Effectiveness of an Intervention for Improving Intrinsic Motivation among Adolescent Males in a Secure Substance Use Treatment Setting

Knight

Joe

Becan

et al. 2018

Criminal Justice and Behavior

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Because intrinsic motivation affects substance use treatment engagement and outcomes, interventions to increase readiness for change are needed. The Treatment Readiness and Induction Program (TRIP) effectively increases intrinsic motivation among youth in community-based residential treatment, but its utility for youth in secure settings is unknown. The current study uses a sequential comparison design to examine the added benefit of TRIP over standard operating practice (SOP) among 125 male adolescents in a juvenile justice treatment facility. Youth receiving TRIP in addition to SOP showed greater increases in problem recognition and desire for help, were three times more likely to want help for emotional problems, and were four times more likely to want individual counseling. Relationships remained after controlling for age and race; however, desire for help was not significant after controlling for substance use severity. Findings document the effectiveness of TRIP for promoting readiness among adolescent males in a secure treatment setting.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Effectiveness of an Intervention for Improving Intrinsic Motivation among Adolescent Males in a Secure Substance Use Treatment Setting

Knight

Joe

Becan

et al. 2018

Criminal Justice and Behavior

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“…The paradox that Anna is granted autonomy to abort the foetus but not regarded as able to protect it will be further discussed later. The point here is that the process by which one is admitted to treatment and the style of confrontation or intervention can help or hinder treatment effectiveness (Darbro 2009).…”

Section: The Incompetence Of the Patientmentioning

confidence: 99%

Pregnancy and substance use – the Norwegian z 10–3 solution.¹ Ethical and clinical reflections related to incarceration of pregnant women to protect the foetus from harmful substances

Söderström

Skolbekken

2012

Nordic Studies on Alcohol and Drugs

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Pregnancy and substance use -the Norwegian § 10-3 solution. 1 Ethical and clinical reflections related to incarceration of pregnant women to protect the foetus from harmful substances Research report Introduction Maternal substance addiction imposes several risks on the offspring from conception on. Most chemical components of the substances pass the placental barrier and represent a developmental hazard to the growing foetus (Moe et al. 2010). Pregnant women often find themselves torn between the wish to protect the foetus and failure to do so (Söderström 2011). The situation causes worry as well as moral in-dignation, and the welfare system is urged to act. In 1996, Norway passed a unique piece of legislation, at the time § 6-2a in the Social Service Act, now § 10-3, which made it possible to incarcerate pregnant drug-addicted women in order to protect the foetus. Although the paragraph is grounded on the ethical principle of nonmaleficence, there has been raised concern for unintended negative effects such ABSTRACT AIMS -This article highlights ethical and clinical dilemmas of incarceration of pregnant drug addicts mandated by § 10-3 of the Norwegian Municipal Health and Care Services act. MATERIAL -The material consists of two cases, Siri and Anna, and the ethical dilemmas posed by the use of § 10-3 in these cases.METHODS -Semi-structured in-depth individual interviews were conducted, audio-recorded and transcribed word for word. Transcripts were coded according to converging interests and possible ethical dilemmas and described in a case format. The practical and experiential consequences of the law are discussed in relation to the four main bioethical principles: respect for autonomy, nonmaleficence, beneficence and social justice. These are supplemented by the principles of relational ethics. RESULTS -The application of § 10-3 may lead to situations which distort the psychological preparation for parenthood and strains the helping relationship. The four principles approach seems to be an insufficient tool in grasping the complexity of the situation. CONCLUSIONS -Interventions to protect the foetus from the pregnant woman's use of substances demand elevated professional awareness of ethical and relational challenges and dilemmas. Relational ethics provides a framework to enhance reflexivity and a trusting therapeutic alliance. The potential for psychological change during pregnancy should be invested in. Hence, we suggest that during incarceration according to § 10-3, foetal protection and the promotion of parental competences should be given equal priority. KEY WORDS -Addiction, coercive treatment, ethical dilemmas, motherhood, pregnancy, relational ethics.

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“…However, pressure from the legal system to enter treatment in order to avoid incarceration does not necessarily diminish motivation to attend or be successful in treatment (Prendergast, Greenwell, Farabee, Farabee, & Yih-Ing, 2009). In fact, although the criminal justice population is often reluctant to enter treatment despite the obvious need (Darbro, 2009), legally mandated treatment has been shown to increase retention rates (Perron & Bright, 2008) and can be just as successful as self-referred treatment (Snyder & Anderson, 2009). …”

Section: Introductionmentioning

confidence: 98%

Anxiety and Suicidal Ideation Predict Successful Completion of Substance Abuse Treatment in a Criminal Justice Sample

Clark

Hendricks

Brown

et al. 2014

Substance Use & Misuse

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The goal of this study was to identify predictors of successful substance abuse treatment in an out-patient clinic for individuals being monitored under community corrections supervision. Of the 615 participants, 117 (19%) successfully completed treatment. The results of a multivariate logistic regression analysis indicated that successful treatment was associated with several baseline characteristics including: older age, White race, having greater than a high school education, lower level of care, meeting criteria for an anxiety disorder, reporting suicidal ideation, and not having a history of opioid use. The value of self-report of problems and its influence on treatment in the culture of the criminal justice population is discussed in this article.

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Overview of Issues Related to Coercion in Substance Abuse Treatment: Part I

Cited by 6 publications

References 42 publications

Effectiveness of an Intervention for Improving Intrinsic Motivation among Adolescent Males in a Secure Substance Use Treatment Setting

Effectiveness of an Intervention for Improving Intrinsic Motivation among Adolescent Males in a Secure Substance Use Treatment Setting

Pregnancy and substance use – the Norwegian z 10–3 solution.¹ Ethical and clinical reflections related to incarceration of pregnant women to protect the foetus from harmful substances

Anxiety and Suicidal Ideation Predict Successful Completion of Substance Abuse Treatment in a Criminal Justice Sample

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Overview of Issues Related to Coercion in Substance Abuse Treatment: Part I

Cited by 6 publications

References 42 publications

Effectiveness of an Intervention for Improving Intrinsic Motivation among Adolescent Males in a Secure Substance Use Treatment Setting

Effectiveness of an Intervention for Improving Intrinsic Motivation among Adolescent Males in a Secure Substance Use Treatment Setting

Pregnancy and substance use – the Norwegian z 10–3 solution.1 Ethical and clinical reflections related to incarceration of pregnant women to protect the foetus from harmful substances

Anxiety and Suicidal Ideation Predict Successful Completion of Substance Abuse Treatment in a Criminal Justice Sample

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Product

Resources

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Pregnancy and substance use – the Norwegian z 10–3 solution.¹ Ethical and clinical reflections related to incarceration of pregnant women to protect the foetus from harmful substances