Enhancing readiness-to-change substance abuse in persons with schizophrenia. A four-session motivation-based intervention
- PMID: 11428245
- PMCID: PMC2435265
- DOI: 10.1177/0145445501253001
Enhancing readiness-to-change substance abuse in persons with schizophrenia. A four-session motivation-based intervention
Abstract
This article describes a four-session intervention designed for persons with co-occurring substance abuse and schizophrenia-spectrum disorders, to be administered as an add-on module to supplement ongoing mental health treatment in an outpatient setting. The intervention targets those dually diagnosed individuals with low readiness-to-change as indicated by current use, and/or low level of engagement in treatment for substance abuse. The intervention is designed to increase problem recognition, to enhance motivation to change maladaptive patterns of substance use, and to facilitate engagement in substance abuse treatment. To achieve these goals, the authors have adopted constructs from the Transtheoretical Model of Change, the authors used principles of motivational and harm reduction interventions, and tailored them to the target population.
Figures











References
-
- American Psychiatric Association . Diagnostic and statistical manual of mental disorders. fourth edition American Psychiatric Press; Washington D.C.: 1994.
-
- Bartels SJ, Teague GB, Drake RE, Clark RE, Bush PW, Noordsy DL. Substance abuse in schizophrenia: Service utilization and costs. Journal of Nervous and Mental Disease. 1993;181:227–232. - PubMed
-
- Bellack AS, DiClemente CC. Treating substance abuse among patients with schizophrenia. Psychiatric Services. 1999;50:75–80. - PubMed
-
- Bem DJ. Beliefs, attitudes, and human affairs. Brooks/Cole; Belmont, CA: 1970.
-
- Bowers MB, Mazure CM, Nelson CJ, Jatlow PI. Psychotogenic drug abuse and neuroleptic response. Schizophrenia Bulletin. 1990;16:81–85. - PubMed