Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Jul 1:200:124-132.
doi: 10.1016/j.drugalcdep.2019.03.017. Epub 2019 May 15.

Beneficial effects of motivational interviewing case management: A latent class analysis of recovery capital among sober living residents with criminal justice involvement

Jane Witbrodt  1 , Doug Polcin  2 , Rachael Korcha  2 , Libo Li  3
Affiliations

Beneficial effects of motivational interviewing case management: A latent class analysis of recovery capital among sober living residents with criminal justice involvement

Jane Witbrodt et al. Drug Alcohol Depend. .

Abstract

Background: This secondary analysis uses data from a recent clinical trial conducted with probationers and parolees with substance use disorders (N = 330) residing in Sober Living Houses (SLHs). The treatment condition received Motivational Interviewing Case Management (MICM), while controls received usual care SLH residency. Both conditions improved on multiple domains, though residents randomized to MICM improved significantly more than usual care controls on criminal justice outcomes. Because MICM is designed to help ex-offenders attain more recovery capital (RC) in multiple domains, we hypothesized MICM participants that already possessed higher RC would show significantly greater improvement at follow-up than usual SLH residents with higher RC. Moreover, MICM and usual SLH residents with low RC would show no differences at 1-year follow-up.

Methods: A latent class analysis (LCA) grouped participants into two patterns of RC: those with low RC and those with high RC. These classes were interacted with study condition to predict change on six Addiction Severity Indices (ASI) at follow-up.

Results: MICM was more effective for the higher RC class, with greater improvement in drug, legal, and psychiatric outcomes for those who attended at least three MICM sessions. MICM was no more beneficial than usual care for those in a low RC class.

Conclusions: SLH operators should consider implementation of MICM for residents with more RC resources. Those with fewer recovery resources, such as a history of psychiatric problems or physical/sexual abuse, would benefit from a more intensive intervention to assist them with improving the amount and quality of their RC.

Keywords: Case management; Interventions; Motivational interviewing; Parolees; Probationers; Recovery capital; Sober living houses.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest

No conflict declared.

Figures

Fig. 1.
Fig. 1.
LCA conditional probabilities by class assignment.
See this image and copyright information in PMC

References

    1. American Psychiatric Association, 2000. Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR, 4th ed. American Psychiatric Publishing, Inc, Washington, DC.
    1. Asparouhov T, Muthén B, 2014. Auxiliary variables in mixture modeling: three-step approaches using Mplus. Struct. Equ. Modeling 21, 329–341.
    1. Asparouhov T, Muthén B, 2014. Auxiliary variables in mixture modeling: using the BCH method in Mplus to estimate a distal outcome model and an arbitrary secondary model. Mplus Web Notes 21, 22.
    1. Barnett NP, Read JP, 2005. Mandatory alcohol intervention for alcohol-abusing college students: a systematic review. J. Subst. Abuse Treat 29, 147–158. - PubMed
    1. Best D, Aston E, 2015. Long-term recovery from addiction. Criminal justice involvement and positive criminology?. In: Ronel N, Segev D (Eds.), Positive Criminology. Routledge, New York.

Publication types