Rachael A Korcha, Douglas L Polcin, Kristy Evans, Jason C Bond, Gantt P Galloway
{"title":"Intensive Motivational Interviewing for Women with Alcohol Problems.","authors":"Rachael A Korcha, Douglas L Polcin, Kristy Evans, Jason C Bond, Gantt P Galloway","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Motivational interviewing (MI) for the treatment of alcohol and drug problems is typically conducted over 1 to 3 sessions. This paper reports on an evaluation of an intensive 9-session version of MI (IMI) compared to a standard single MI session (SMI). Although no differences between IMI and SMI were found for methamphetamine use, there was an unexpected finding that women but not men with co-occurring alcohol problems in the IMI condition reduced the severity of their alcohol problems significantly more than those in the SMI condition at 4- and 6-month follow-up. Stronger perceived alliance with the therapist was associated with better outcome. Findings indicate that alcohol outcomes for women might be improved with the addition of more MI sessions. A current study is assessing the impact of IMI for women with more serious alcohol problems. Qualitative interviews are being conducted with women to better understand how IMI is helpful and why it appears to add benefit for women but not men.</p>","PeriodicalId":91063,"journal":{"name":"Counselor (Deerfield Beach, Fla.)","volume":"16 3","pages":"62-69"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4517598/pdf/nihms649033.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34060670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Danica K Knight, Jennifer E Becan, Patrick M Flynn
{"title":"The Impact of Staff Turnover on Workplace Demands and Coworker Relationships.","authors":"Danica K Knight, Jennifer E Becan, Patrick M Flynn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Turnover among clinical staff can have detrimental effects on service provision and organizational efficiency. But how does it affect staff who remain employed at the agency? Researchers at the Institute of Behavioral Research at Texas Christian University sought to answer this question by examining the impact of staff turnover on perceptions of workplace demands and support among 353 clinical staff members from 63 outpatient substance abuse treatment programs. Study results documented that counselors in high-turnover programs reported higher demands (job stress, inadequate staffing) and lower support (communication, collaboration) within their organization, even after controlling for other factors such as decreasing budgets, increasing census, and individual measures of workload. Findings underscore the need to intentionally promote workplace communication and collaboration among staff following the departure of a coworker in order to reduce stress and minimize subsequent turnover among remaining clinical staff.</p>","PeriodicalId":91063,"journal":{"name":"Counselor (Deerfield Beach, Fla.)","volume":"14 3","pages":"20-23"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4986917/pdf/nihms-808474.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34320106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Chronic Addiction and Recovery Management: Implications for Clinical Practice.","authors":"Christy Scott, William White, Michael L Dennis","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":91063,"journal":{"name":"Counselor (Deerfield Beach, Fla.)","volume":"8 2","pages":"22-27"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6345257/pdf/nihms961829.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36891542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
William L White, Christy K Scott, Michael L Dennis, Michael G Boyle
{"title":"It's Time to Stop Kicking People Out of Addiction Treatment.","authors":"William L White, Christy K Scott, Michael L Dennis, Michael G Boyle","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Interventions by professional helpers that are later recognized as ineffective or even harmful have a long and colorful history. Some of the most widely practiced of such interventions have left later generations pondering, \"What on earth were they thinking?\" Lectures on the history of addiction treatment stir feelings of enlightened condescension amidst tales of treating morphine addiction with cocaine and other such idiocies, but occasionally a conference attendee asks the tough question: \"How will the current era of addiction treatment be judged in the future?\" And, of course, that is the rub, because it is so difficult to clearly see our own professional miscues and mistakes without the benefit of historical hindsight. This essay explores one practice-administratively discharging clients from addiction treatment-that we suspect will be judged harshly by historians of the not so distant future.</p>","PeriodicalId":91063,"journal":{"name":"Counselor (Deerfield Beach, Fla.)","volume":"6 2","pages":"12-25"},"PeriodicalIF":0.0,"publicationDate":"2005-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6338434/pdf/nihms961577.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36923361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}