Motivational interviewing and treatment adherence among psychiatric and dually diagnosed patients

Arthur J. Swanson, Michael V. Pantalon, Kenneth R. Cohen

Research output: Contribution to journalArticle

215 Scopus citations

Abstract

The effect of motivational interviewing on outpatient treatment adherence among psychiatric and dually diagnosed inpatients was investigated. Subjects were 121 psychiatric inpatients, 93 (77%) of whom had concomitant substance abuse/dependence disorders, who were randomly assigned to: a) standard treatment (ST), including pharmacotherapy, individual and group psychotherapy, activities therapy, milieu treatment, and discharge planning; or b) ST plus motivational interviewing (ST+MI), which involved 15 minutes of feedback on the results of a motivational assessment early in the hospitalization, and a 1-hour motivational interview just before discharge. Interviewers utilized motivational techniques described in Miller and Rollnick (1991), such as reflective listening, discussion of treatment obstacles, and elicitation of motivational statements. Results indicated that the proportion of patients who attended their first outpatient appointment was significantly higher for the ST+MI group (47%) than for the ST group (21%; χ2 = 8.87, df = 1, p < .01) overall, and for dually diagnosed patients (42% for ST+MI vs. 16% for ST only; χ2 = 7.68, df = 1, p < .01). Therefore, brief motivational interventions show promise in improving outpatient treatment adherence among psychiatric and dually diagnosed patients.

Original languageEnglish (US)
Pages (from-to)630-635
Number of pages6
JournalJournal of Nervous and Mental Disease
Volume187
Issue number10
DOIs
StatePublished - Oct 1 1999

ASJC Scopus subject areas

  • Psychiatry and Mental health

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