title: Getting reluctant substance abusers to engage in treatment/self-help: a review of outcomes and clinical options.
abstract: This review examines the results from 19 outcome studies, involving 1,501 cases, within 10 different clinical approaches to getting alcohol or drug abusers to engage in treatment or self-help. Each approach is summarized and its "success rate(s)" presented. Comparisons are made across various subcategories, such as alcohol vs. drug abusers, adolescents vs. adults, and experimental conditions vs. controls. A distinction is drawn between "Dual-Purpose" approaches, which combine engagement with counseling of the concerned person who originally sought help for the substance abuser, and "Engagement-Primary" approaches, which generally confine their efforts (through working with family members and others) to getting the substance abuser into treatment/self-help. "Best bet" clinical options are presented in terms of which particular approach appears to have the edge with which kind of substance abuser.
authors.affiliation: Morton Center, School of Professional Psychology, Spalding University, Louisville, Kentucky, USA.
authors.forename: M Duncan
authors.initials: MD
authors.lastname: Stanton
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000592:standards*; D003419:Crisis Intervention / Q000379:methods; D005196:Family Therapy / Q000379:methods / Q000592:standards; D006801:Humans; D008388:Marital Therapy / Q000379:methods / Q000592:standards; D017063:Outcome Assessment, Health Care; D011369:Professional-Patient Relations; D012107:Research Design; D012657:Self-Help Groups / Q000592:standards*; D019966:Substance-Related Disorders / Q000628:therapy*; D014481:United States