The SIDE workshop: examining the influence of a substance abuse intervention on the readiness for change of men who are incarcerated

Substance abuse;Therapeutic confrontation;Incarceration;Workshop

Flores, Michelle P

关键词: Substance abuse;    Therapeutic confrontation;    Incarceration;    Workshop;   

Others  :  https://www.ideals.illinois.edu/bitstream/handle/2142/93042/FLORES-DISSERTATION-2016.pdf?sequence=1&isAllowed=y

美国|英语

来源: The Illinois Digital Environment for Access to Learning and Scholarship

【 摘 要 】

Substance abuse is rapidly and steadily becoming the highest behavioral health concern in the United States (SAMHSA, 2012). The impact of substance abuse is especially evident in the criminal justice system. Although an estimated 45%-53% of people who are incarcerated meet criteria for a substance abuse disorder, only one-fifth of these individuals receive treatment (NIDA, 2006; Welsh & Zajac 2004). Possible reasons for the dearth of services includes correctional settings’ limited ability to fund behavioral health programs as well as lack of appropriate training in implementing evidence based treatment. The current study examined the utility of a low-cost, single-session intervention (SIDE) in promoting readiness for change by using therapeutic confrontation. The sample consisted of 33 incarcerated men who were randomly assigned to one of two treatment conditions: a standard psychoeducation and process group (i.e., SIDE-S) and a similar condition that included confrontation exercises (i.e., SIDE-C). In contrast to previous findings that suggest that confrontation is ineffective and harmful (e.g., Miller & Rose, 2009), results from this study further support the assertion that therapeutic confrontation can be effectively used to promote readiness for change (Clark, 2012; Polcin, 2003). Implications for the clinical use of therapeutic confrontation as well as future directions for research are discussed.