title: Demographic and clinical correlates of client motivation among substance abusers.
abstract: Understanding the role of motivation in substance abusers' acceptance of treatment is critically important to improving treatment outcomes. To examine this phenomenon a cohort of substance abuse treatment clients was recruited from two treatment programs whose services are funded by a state managed care system. Motivation at treatment entry was examined. Better motivation was consistently associated with severity of substance use. Neither the coercion that accompanies legal system involvement nor self-referral was significantly related to measured levels of motivation. Motivation was not related to alcohol and drug use severity six months later. The severity associated with motivation at treatment entry was, for the most part, not related to clients' success six months later. Implications for social work practice with substance abusers are discussed.
authors.affiliation: Center for Interventions, Treatment and Addictions Research, School of Medicine, Wright State University, 215 Medical Sciences, 3640 Colonel Glenn Highway, Dayton, Ohio 45435, USA. richard.rapp@wright.edu
authors.forename: Richard C
authors.initials: RC
authors.lastname: Rapp
authors.forename: Li
authors.initials: L
authors.lastname: Li
authors.forename: Harvey A
authors.initials: HA
authors.lastname: Siegal
authors.forename: Richard N
authors.initials: RN
authors.lastname: DeLiberty
mesh_terms: D000328:Adult; D003710:Demography; D005260:Female; D006801:Humans; D007196:Indiana; D008297:Male; D008329:Managed Care Programs; D009042:Motivation; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D010818:Practice Patterns, Physicians'; D011640:Public Policy; D012949:Social Work, Psychiatric; D019966:Substance-Related Disorders / Q000523:psychology* / Q000534:rehabilitation; D016896:Treatment Outcome