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Chapter 25.Motivational Enhancement

Edited by:
    https://doi.org/10.1176/appi.books.9781615373970.kb25

    Sections

    Motivational Interviewing: The Clinical Approach | Research on Motivational Interviewing | Training in Motivational Interviewing | Assessing Motivational Interviewing Fidelity: Rating Scales | Extending Motivational Interviewing Outside the Clinical Office | Conclusion | References

    Excerpt

    In the United States in 2018, approximately 7.8% of adults and 3.8% of adolescents (Substance Abuse and Mental Health Services Administration 2018) met criteria for a current substance use disorder (SUD). SUDs significantly affect the physical and psychological health of the individuals struggling with these problems and of their loved ones. Although evidence-based strategies exist for individuals seeking to change their substance misuse (National Institute on Drug Abuse 2012), only 10%–15% of individuals with a current SUD will come into contact with a treatment professional (Hasin and Grant 2015). Reasons given for not seeking treatment include limited health care coverage, cost concerns, fear that doing so may impact employment, and stigma (Substance Abuse and Mental Health Services Administration 2018). Importantly, approximately 40% of individuals with a current SUD report not being ready to stop using (Substance Abuse and Mental Health Services Administration 2018).

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