Increasing Substance Abuse Treatment Compliance for Persons With Traumatic Brain Injury.

Department of Physical Medicine and Rehabilitation, Ohio State University, Columbus, 43210, USA.
Psychology of Addictive Behaviors (Impact Factor: 2.09). 07/2005; 19(2):131-9. DOI: 10.1037/0893-164X.19.2.131
Source: PubMed


This study compared 3 methods of increasing participation in substance abuse treatment for clients with traumatic brain injury. Participants (N = 195) were randomly assigned to 4 conditions: (a) motivational interview, (b) reduction of logistical barriers to attendance, (c) financial incentive, and (d) attention control. Four interviewers conducted structured, brief telephone interventions targeting the timeliness of signing an individualized service plan. Participants assigned to the barrier reduction (74%) and financial incentive (83%) groups were more likely to sign within 30 days compared with the motivational interview (45%) and attention control (45%) groups. Similar results were observed for time to signing, perfect attendance at appointments, and premature termination during the following 6 months. Extent of psychiatric symptoms was the only significant covariate.

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    • "However, when informed of a patient's cognitive abilities, therapists rate participation and therapeutic alliance higher and patients stay in treatment longer (Grohman and Fals-Stewart, 2004). Corrigan et al. (2005) also observed that reducing logistical barriers to treatment attendance and providing financial incentives can be used to improve rates of treatment engagement in drug abusers with cognitive impairment caused by traumatic brain injury. Such techniques may potentially enhance engagement of clients who have alcohol-and drug-related cognitive impairment of mixed causes. "
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