Reasons for entering treatment reported by initially treatment-resistant patients with substance use disorders
Meyers,Robert J. Roozen,Hendrik G. Smith,Jane Ellen Evans,Brittany E.
Meyers,Robert J.
Roozen,Hendrik G.
Smith,Jane Ellen
Evans,Brittany E.
Abstract
Many individuals with substance use disorders are resistant to entering formal treatment, despite the negative consequences that plague their own lives and the lives of concerned significant others (CSOs). Community Reinforcement and Family Training (CRAFT) has been developed as an effective strategy for helping family members who are concerned about the alcohol/drug use of a loved one who refuses to seek treatment. The present study explored reasons and feelings that played a part in these resistant individuals' (identified patients [IPs]) decision to begin treatment. Written statements and feelings of 36 initially treatment-refusing IPs, who were engaged into treatment via their CRAFT-trained CSOs, were examined upon entering treatment. Self-report forms assessed three complementary domains about entering treatment: (1) feelings about coming for treatment, (2) important reasons for entering treatment, and (3) reasons for entering treatment narratives. It was shown that the occurrences of self-reported positive emotions and statements that expressed a positive wish for change outweighed negative feelings and statements. Although conceivably these CRAFT-exposed IPs may have provided different responses than other treatment-seeking populations, the current study's strong IP reports of positive feelings, reasons, and narrative statements regarding treatment entry nonetheless address potential concerns that treatment-refusing IPs might only enter treatment if felt coerced by family members and while experiencing salient negative feelings overall. Keywords: treatment-resistant, community reinforcement and family training, CRAFT, family, addiction, substance use disorder, recovery, evidence-based
Description
Date
2014
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Volume Title
Publisher
Research Projects
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Keywords
treatment-resistant, recovery, substance use disorder, addiction, family, community reinforcement and family training, evidence-based, CRAFT, SDG 3 - Good Health and Well-being
Citation
Meyers, R J, Roozen, H G, Smith, J E & Evans, B E 2014, 'Reasons for entering treatment reported by initially treatment-resistant patients with substance use disorders', Cognitive Behaviour Therapy, vol. 43, no. 4, pp. 299-309. https://doi.org/10.1080/16506073.2014.938358