Abstract
Motivation to change substance use is hypothesized to play an important role in shaping the decision to decrease substance use. Brief motivational interventions, such as Motivational Interviewing, have been developed to target motivation to change as a way to enhance the likelihood that an individual will reduce their substance use and/or seek out additional addictions treatment. Several recent meta-analyses and empirical reviews highlight the strong existing evidence that brief motivational interventions are effective. Newer research is seeking to expand these approaches into new settings, such as primary care and the Emergency Department, with the goal of reaching more individuals who might benefit from brief interventions. Social workers employed in a number of settings (e.g., substance abuse treatment, mental health or medical settings) are well positioned to identify individuals who could be appropriate for brief motivational interventions, including those that aim to facilitate referral to specialty substance abuse treatment settings. An enhanced knowledge of these approaches could facilitate the broader utilization of brief motivational interventions within clinical practice.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Amrhein, P. C., Miller, W. R., Yahne, C. E., Palmer, M., & Fulcher, L. (2003). Client commitment language during motivational interviewing predicts drug use outcomes. Journal of Consulting and Clinical Psychology, 71, 862–878.
Apodaca, T. R., & Longabaugh, R. (2009). Mechanisms of change in motivational interviewing: A review and preliminary evaluation of the evidence. Addiction, 104, 705–715.
Babor, T., & Grant, M. (1992). Project on identification and management of alcohol related problems. Report on Phase II: A randomized clinical trial of brief interventions in primary health care. Paper presented at the World Health Organization, Geneva.
Babor, T. F., McRee, B. G., Kassebaum, P. A., Grimaldi, P. L., Ahmed, K., & Bray, J. (2007). Screening, Brief Intervention, and Referral to Treatment (SBIRT): Toward a public health approach to the management of substance abuse. Substance Abuse, 28, 7–30.
Baker, A., Kochan, N., Dixon, J., Heather, N., & Wodak, A. (1994). Controlled evaluation of a brief intervention for HIV prevention among injecting drug users not in treatment. AIDS Care, 6, 559–570.
Baker, A., Lee, N. K., Claire, M., Lewin, T. J., Grant, T., Pohlman, S., et al. (2004). Brief cognitive behavioural interventions for regular amphetamine users: A step in the right direction. Addiction, 100, 367–378.
Bazargan-Hejazi, S., Bing, E., Bazargan, M., Der-Martirosian, C., Hardin, E., Bernstein, J., et al. (2005). Evaluation of a brief intervention in an inner-city emergency department. Annals of Emergency Medicine, 461, 67–76.
Ben-Ahron, V., White, D., & Phillips, K. (1995). Encouraging drinking at safe limits on single occasions: The potential contribution of protection motivation theory. Alcohol and Alcoholism, 30, 633–639.
Bernstein, E., Bernstein, J., & Levenson, S. (1997). Project ASSERT: An ED-based intervention to increase access to primary care, preventive services, and the substance abuse treatment system. Annals of Emergency Medicine, 30, 181–189.
Bernstein, J., Bernstein, E., Tassiopoulos, K., Heeren, T., Levenson, S., & Hingson, R. (2005). Brief motivational intervention at a clinic visit reduces cocaine and heroin use. Drug and Alcohol Dependence, 77, 49–59.
Bernstein, K. T., Bucciarelli, A., Piper, T. M., Gross, C., Tardiff, K., & Galea, S. (2007). Cocaine- and opiate-related fatal overdose in New York City, 1990–2000. BMC Public Health, 7, 31.
Blow F. C., Barry K. L., Walton M. A., Maio R.F., Chermack S. T., Bingham C. R., Ignacio R. V., Strecher V. J. (2006). The efficacy of two brief intervention strategies among injured, at-risk drinkers in the emergency department: impact of tailored messaging and brief advice. Journal of Studies on Alcohol, 67(4):568–78.
Booth, B. M., Walton, M. A., Barry, K. L., Cunningham, R. M., Chermack, S. T., Blow, F. C. (2011). Substance use, depression, and mental health functioning in patients seeking acute medical care in an inner-city ED. The Journal of Behavioral Health Services and Research, 38(3):358–72.
Bradley, K. A., Bush, K. R., Davis, T. M., Dobie, D. J., Burman, M. L., Rutter, C. M., et al. (2001). Binge drinking among female Veterans Affairs patients: Prevalence and associated risks. Psychology of Addictive Behavior, 15, 297–305.
Burke, B. L., Arkowitz, H., & Menchola, M. (2003). The efficacy of motivational interviewing: A meta-analysis of controlled clinical trials. Journal of Consulting and Clinical Psychology, 71, 843–861.
Center for Disease Control and Prevention. (2009). Quick stats on binge drinking. Retrieved 4/11/2009, http://www.cdc.gov/alcohol/quickstats/binge_drinking.htm.
Chick, J., Lloyd, G., & Crombie, E. (1985). Counselling problem drinkers in medical wards: A controlled study. British Medical Journal, 290, 965–967.
Cohen, E., Feinn, R., Arias, A., & Kranzler, H. R. (2007). Alcohol treatment utilization: Findings from the National Epidemiologic Survey on Alcohol and Related Conditions. Drug and Alcohol Dependence, 86, 214–221.
Compton, P., Monahan, G., & Simmons-Cody, H. (1999). Motivational interviewing: An effective brief intervention for alcohol and drug abuse patients. Nurse Practitioner, 24, 27–38.
Dawson, D. A., & Grant, B. F. (1998). Family history of alcoholism and gender: Their combined effects on DSM-IV alcohol dependence and major depression. Journal of Studies on Alcohol, 59, 97–106.
Dunn, C., Deroo, L., & Rivara, F. P. (2001). The use of brief interventions adapted from motivational interviewing across behavioral domains: A systematic review. Addiction, 96, 1725–1742.
Dunn, C. W., & Ries, R. (1997). Linking substance abuse services with general medical care: Integrated, brief interventions with hospitalized patients. American Journal of Drug and Alcohol Abuse, 23, 1–13.
Dyehouse, J. M., & Sommers, M. S. (1995). Brief intervention as an advanced practice strategy for seriously injured victims of multiple trauma. American Association of Critical-Care Nurses, Clinical Issues, 6, 53–62.
Edlund, M., Booth, B., & Feldman, Z. (2009). Perceived need for treatment for alcohol use disorders: Results from two national surveys. Psychiatric Services, 60, 1618–1628.
Fang, X., Stanton, B., Li, X., Feigelman, S., & Baldwin, R. (1998). Similarities in sexual activity and condom use among friends within groups before and after a risk-reduction intervention. Youth & Society, 29, 431–450.
Fleming, M. F., Barry, K. L., Manwell, L. B., Johnson, K., & London, R. (1997). Brief physician advice for problem alcohol drinkers: A randomized controlled trial in community-based primary care practices. JAMA, 277, 1039–1045.
Floyd, D. L., Prentice-Dunn, S., & Rogers, R. W. (2000). A meta-analysis of research on protection motivation theory. Journal of Applied Social Psychology, 30, 407–429.
Gentilello, L. M., Rivara, F. P., Donovan, D. M., Jurkovich, G. J., Daranciang, E., Dunn, C. W., et al. (1999). Alcohol interventions in a trauma center as a means of reducing the risk of injury recurrence. Annals of Surgery, 230, 473–480.
Glass, J. E., Perron, B. E., Ilgen, M. A., Chermack, S. T., Ratliff, S., & Zivin, K. (2010). Prevalence and correlates of specialty substance use disorder treatment for Department of Veterans Affairs Healthcare System patients with high alcohol consumption. Drug and Alcohol Dependence, 112, 150–155.
Gollwitzer, P. M. (1999). Implementation intentions—Strong effects of simple plans. American Psychologist, 54, 493–503.
Grant, B. F. (2000). Estimates of US children exposed to alcohol abuse and dependence in the family. American Journal of Public Health, 90, 112–115.
Grant, B. F., Hasin, D. S., & Dawson, D. A. (1996). The relationship between DSM-IV alcohol use disorders and DSM-IV major depression: Examination of the primary-secondary distinction in a general population sample. Journal of Affective Disorders, 38, 113–128.
Greber, R. A., Allen, K. M., Soeken, K. L., & Solounias, B. L. (1997). Outcome of trauma patients after brief intervention by a substance abuse consultation service. American Journal on Addictions, 6, 38–47.
Harris, K., & Miller, W. (1990). Behavioral self-control training for problem drinkers: Components of efficacy. Psychology of Addictive Behavior, 4, 82–90.
Harvard, S. S., Hill, W. D., & Buxton, J. A. (2008). Harm reduction product distribution in British Columbia. Canadian Journal of Public Health. Revue Canadienne de Sante Publique, 99, 446–450.
Hettema, J., Steele, J., & Miller, W. R. (2005). Motivational interviewing. Annual Review of Clinical Psychology, 1, 91–111.
Houlding, C., & Davidson, R. (2003). Beliefs as predictors of condom use by injecting drug users in treatment. Health Education Research, 18, 145–155.
Ilgen, M. A., Price, A. M., Burnett-Zeigler, I., Perron, B., Islam, K., Bohnert, A. S., et al. (2011). Longitudinal predictors of addictions treatment utilization in treatment-naive adults with alcohol use disorders. Drug and Alcohol Dependence, 113, 215–221.
Lang, E., Engelander, M., & Tracey Brooke, T. (2000). Report of an integrated brief intervention with self-defined problem cannabis users. Journal of Substance Abuse Treatment, 19, 111–116.
Longabaugh, R., Woolard, R. E., Nirenberg, T. D., Minugh, A. P., Becker, B., Clifford, P. R., et al. (2001). Evaluating the effects of a brief motivational intervention for injured drinkers in the emergency department. Journal of Studies on Alcohol, 62, 806–816.
Lundahl, B., & Burke, B. L. (2009). The effectiveness and applicability of motivational interviewing: A practice-friendly review of four meta-analyses. Journal of Clinical Psychology, 65, 1232–1245.
Lundahl, B. W., Kunz, C., Brownell, C., Tollefson, D., & Burke, B. L. (2010). A meta-analysis of motivational interviewing: Twenty-five years of empirical studies. Research on Social Work Practice, 20, 137–160.
McClendon, B. T., & Prentice-Dunn, S. (2001). Reducing skin cancer risk: An intervention based on protection motivation theory. Journal of Health Psychology, 6, 321–328.
McLellan, A., Carise, D., & Kleber, H. D. (2003). Can the national addiction treatment infrastructure support the public’s demand for quality care. Journal of Substance Abuse Treatment, 25, 117–121.
McLellan, A. T., & Meyers, K. (2004). Contemporary addiction treatment: A review of systems problems for adults and adolescents. Biological Psychiatry, 56, 764–770.
Mello, M. J., Nirenberg, T. D., Longabaugh, R., Woolard, R., Minugh, A., Becker, B., et al. (2005). Emergency department brief motivational interventions for alcohol with motor vehicle crash patients. Annals of Emergency Medicine, 45, 620–625.
Midanik, L. T., & Greenfield, T. K. (2000). Trends in social consequences and dependence Âsymptoms in the United States: The National Alcohol Surveys, 1984–1995. American Journal of Public Health, 90, 53–56.
Miller, W. R. (1998). Why do people change addictive behavior? The 1996 H. David Archibald Lecture. Addiction, 93, 163–172.
Miller, W. R., & Rollnick, S. (1991). Motivational Interviewing: Preparing people to change addictive behaviors. New York: Guilford Press.
Miller, W. R., & Rose, G. S. (2009). Toward a theory of motivational interviewing. American Psychologist, 64, 527–537.
Miller, W. R., Zweben, A., DiClemente, C. C., & Rychtarik, R. G. (1992). Motivational-enhancement therapy manual: A clinical research guide for therapists treating individuals with alcohol abuse or dependence. Rockville, MD: National Institute on Alcohol Abuse and Alcoholism.
Mulia, N., Ye, Y., Greenfield, T. K., Zemore, S. E. (2009). Disparities in alcohol-related problems among White, Black, and Hispanic Americans. Alcoholism, Clinical and Experimental Research, 33(4):654–62. Epub 2009 Jan 15.
National Institute on Alcohol Abuse and Alcoholism. (2005). Helping patients who drink too much: A clinician’s guide. Bethesda, MD: National Institute on Alcohol Abuse and Alcoholism.
Project MATCH. (1993). Project MATCH (Matching Alcoholism Treatment to Client Heterogeneity): Rationale and methods for a multisite clinical trial matching patients to alcoholism treatment. Alcohol Clinical and Experimental Research, 17, 1130–1145.
Project MATCH Research Group. (1997). Matching alcoholism treatments to client heterogeneity: Project MATCH Posttreatment drinking outcomes. Journal of Studies on Alcohol, 58, 7–29.
Project MATCH Research Group. (1998). Matching alcoholism treatments to client heterogeneity: Project MATCH three-year drinking outcomes. Alcohol Clin Exp Res, 22, 1300–1311.
Reid, R. D., Tulloch, H., Kocourek, J., Morrin, L. I., Beaton, L. J., Papadakis, S., et al. (2007). Who will be active? Predicting exercise stage transitions after hospitalization for coronary artery disease. Canadian Journal of Physiology and Pharmacology, 85, 17–23.
Rogers, R. W. (1975). A protection motivation theory of fear appeals and attitude change. Journal of Psychology: Interdisciplinary and Applied, 91, 93–114.
Rogers, R. W., & Prentice-Dunn, S. (1997). Protection motivation theory. In D. Gochman (Ed.), Handbook of health behavior research. Vol. 1: Determinants of health behavior: Personal and social (Vol. 1, pp. 113–132). New York, NY: Plenum.
Runge, C., Prentice-Dunn, S., & Scogin, F. (1993). Protection motivation theory and alcohol use attitudes among older adults. Psychological Reports, 73, 96–98.
SAMHSA. (2007). Results from the 2006 National Survey on Drug Use and health: National Findings. Rockville: SAMHSA. Retrieved from http://www.oas.samhsa.gov/.
SAMHSA. (2010). Results from the 2009 national Survey on Drug Use and health; SMA 10-4856. Rockville, MD: SAMHSA.
Schober, R., & Annis, H. M. (1996). Barriers to help-seeking for change in drinking: A gender-focused review of the literature. Addictive Behaviors, 21, 81–92.
Schomerus, G., Lucht, M., Holzinger, A., Matschinger, H., Carta, M. G., & Angermeyer, M. C. (2011). The stigma of alcohol dependence compared with other mental disorders: A review of population studies. Alcohol and Alcoholism, 46, 105–112.
Smedslund, G., Berg, R. C., Hammerstrøm, K. T., Steiro, A., Leiknes, K. A., Dahl, H. M., & Karlsen, K. (2011). Motivational interviewing for substance abuse. Cochrane Database Syst Rev, 11(5):CD008063.
Smith, S. M., Dawson, D. A., Goldstein, R. B., & Grant, B. F. (2010). Examining perceived alcoholism stigma effect on racial-ethnic disparities in treatment and quality of life among alcoholics. Journal of Studies on Alcohol and Drugs, 71, 231–236.
Smith, M. J., Whitaker, T., & Weismiller, T. (2006). Social workers in the substance abuse treatment field: A snapshot of service activities. Health and Social Work, 31, 109–115.
Stotts, A. L., Schmitz, J. M., Rhoades, H. M., & Grabowski, J. (2001). Motivational interviewing with cocaine-dependent patients: A pilot study. Journal of Consulting and Clinical Psychology, 69, 858–862.
Vasilaki, E. I., Hosier, S. G., & Cox, W. M. (2006). The efficacy of motivational interviewing as a brief intervention for excessive drinking: A meta-analytic review. Alcohol and Alcoholism, 41, 328–335.
Wallace, P., Cutler, S., & Haines, A. (1988). Randomised controlled trial of general practitioner intervention in patients with excessive alcohol consumption. British Medical Journal, 297, 663–668.
Weaver, M. F., Jarvis, M. A., & Schnoll, S. H. (1999). Role of the primary care physician in problems of substance abuse. Archives of Internal Medicine, 159, 913–924.
Welte, J. W., Perry, P., Longabaugh, R., & Clifford, P. R. (1998). An outcome evaluation of a hospital-based early intervention program. Addiction, 93, 573–581.
Wood, M. E. (2008). Theoretical framework to study exercise motivation for breast cancer risk reduction. Oncology Nursing Forum, 35, 89–95.
World Health Organization. (2010). World health statistics. New York, NY: World Health Organization.
Wu, Y., Stanton, B. F., Li, X., Galbraith, J., & Cole, M. L. (2005). Protection motivation theory and adolescent drug trafficking: Relationship between health motivation and longitudinal risk involvement. Journal of Pediatric Psychology, 30, 127–137.
Acknowledgements
We would like to thank Michelle Sanborn for her help preparing and editing this manuscript.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer Science+Business Media New York
About this chapter
Cite this chapter
Ilgen, M.A., Glass, J.E. (2012). Brief Motivational Interventions to Change Problematic Substance Use. In: Vaughn, M., Perron, B. (eds) Social Work Practice in the Addictions. Contemporary Social Work Practice. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-5357-4_6
Download citation
DOI: https://doi.org/10.1007/978-1-4614-5357-4_6
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4614-5356-7
Online ISBN: 978-1-4614-5357-4
eBook Packages: Humanities, Social Sciences and LawSocial Sciences (R0)