Alcohol Abuse
Conditions
Keywords
Inmates with heavy use of alcohol or drugs
Brief summary
Motivational Interviewing (MI) is a communication style demonstrated to decrease drug and alcohol use. A five session MI intervention (BSF) was implemented in the Swedish correctional system. The intervention was delivered by counsellors with workshop only MI training (BSF) or by counsellors with workshop MI training followed by peer group supervision based on audio taped feedback (BSF+). Aim was to examine whether BSF in prisons reduces drug and alcohol use more effectively than interviews conducted according to the usual planning interview routine (UPI).
Interventions
MI is a communication style defined as a collaborative, person-centred form of guiding to elicit and strengthen motivation to change. The method is based on four principles: showing empathy; developing discrepancy between the subject's current behaviour and an alternate, more desired, behaviour; reinforcing self-efficacy; and rolling with resistance to change. Client arguments for change are elicited and reinforced in an atmosphere that is empathic, collaborative and supportive of autonomy. The choice to change and the responsibility for change remain with the client.
Sponsors
Study design
Eligibility
Inclusion criteria
* Born between 01-01-1954 and 31-12-1984; * Conditional release no later than 30-06-2005 (this was extended to 19-09-2005 and again to 31-03-2006); * Swedish or Norwegian speaker; * Not having previously received BSF in remand or any other prison; * Heavy use of alcohol or drugs, measured by the standard prison and probation system: 1= occasional use; 2= heavy use; * ASI interview at intake; * No order for deportation after release from prison
Exclusion criteria
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Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| number of days with substance use | of the last 30 days | alcohol- or drug use as measured by the Addiction Severity Index (ASI) at intake and at 10 months after release |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| reported days of illegal activity | during the preceding 30 days | as measured by Addiction Severity Index at intake and 10 months after release |
| number of days working | during the last 30 days | as measured by the Addiction Severity Index at intake and 10 months after release |
Countries
Sweden