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REVIEW 2018 HTM file
Congruence/genuineness: a meta-analysis
Research findings amalgamated for the American Psychological Association show that in the (mainly Western) cultures where these studies have been done, outcomes improve the more therapists are seen as genuine by their clients and relating to them human to human rather than as an authority figure.
STUDY 2008 HTM file
Still hard to find reasons for matching patients to therapies
The UK Alcohol Treatment Trial has confounded expectations that a motivational approach would be preferable for unmotivated or hostile patients, while supportive social networks would be particularly important for patients lacking these to begin with.
Evidence that nine sessions of intensive motivational interviewing may help alleviate psychiatric problems among people with methamphetamine dependence.
Swiss study of brief alcohol interventions with a representative sample of heavy drinking young men exposed the determining influence on later drinking of the practitioner’s competence in motivational interviewing and how they behave in the session.
STUDY 2015 HTM file
Maintenance check-ups following treatment for cannabis dependence
Arranging aftercare check-ups to see how cannabis-dependent patients were doing and whether they needed to return to treatment helped sustain cannabis use reductions – but why did this advantage emerge even before the first check-up?
Detailed, frank and compelling account of what it takes in the real world (when implementers have to grapple with counsellors and organisations over which they have no control) to introduce a new treatment approach. Key lesson is that each organisation is different; being there, learning about that unique context, and taking it in to account, is what’s needed to give implementation a chance.
Concludes that retaining psychosocial therapy skills after the popular workshop training format requires follow-up consultation, supervision or feedback. Rather than simply ‘ticking the box’ by sending staff to one-off workshops, the implication is that services must invest much more to be confident the investment has paid off for clients.
Motivational interviewing’s originator has stressed how unexpected findings can force fruitful rethinking. This study may prove an example; designed to forefront the approach’s distinct active ingredients, other than fleetingly and non-significantly, these did not seem active at all among the stable, moderately dependent drinkers recruited to the trial.
STUDY 2008 HTM file
The effectiveness of a brief intervention for illicit drugs linked to the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) in primary health care settings: a technical report of phase III findings of the WHO ASSIST randomized controlled trial
Rare attempt at screening and brief intervention for actual or potential problems arising from illegal drug use among primary care patients suggests that screening itself reduces use levels and that further intervention might be worthwhile among high-risk populations.
Aged 16 and smoking cannabis or drinking coming up to one day in three, US youngsters identified as substance users by their schools substantially cut back in response to just two motivational counselling sessions, and even more when a third session addressed the parents at home.
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