The addiction field lacks an accepted definition and reliable measure of confrontation. The Alcohol and Drug Confrontation Scale (ADCS) defines confrontation as warnings about the potential consequences of substance use. To assess psychometric properties, 323 individuals entering recovery houses in U.S. urban and suburban areas were interviewed between 2003 and 2005 (20% women, 68% white). Analyses included test-retest reliability, confirmatory factor analysis, and measures of internal consistency. Findings support the ADCS as a reliable way of assessing two factors: internal support and external intensity. Confrontation was experienced as supportive, accurate and helpful. Additional studies should assess confrontation in different contexts.
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References
1.
BeattieM.C.LongabaughR.ElliottG.StoutR.L.1993Effect of social environment on alcohol involvement and subjective well-being prior to alcoholism treatment. Journal of Studies on Alcohol, 54 (3), 283–296.
2.
BrownB.S.O'GradyK.E.BattjesR.J.KatzE.C.2004The Community Assessment Inventory: Client views of supports to drug abuse treatment. Journal of Substance Abuse Treatment, 27, 241–251.
3.
FarabeeD.PrendergastM.AnglinD.1998The effectiveness of coerced treatment for drug-abusing offenders. Federal Probation, 62, 3–10.
4.
GeorgeA.TuckerJ.1996Help-seeking for alcohol-related problems: Social contexts surrounding entry into alcoholism treatment or Alcoholics Anonymous. Journal of Studies on Alcohol, 57, 449–457.
5.
GoehlL.NunesE.QuitkinF.HiltonI.1993Social networks and methadone treatment outcome: The costs and benefits of social ties. The American Journal of Drug and Alcohol Abuse, 19, 251–262.
6.
GogineniA.SteinM.D.FriedmannP.G.2001Social relationships and intravenous drug use among methadone maintenance patients. Drug and Alcohol Dependence, 64, 47–53.
7.
HasinD.S.1994Treatment/self-help for alcohol-related problems: Relationship to social coercion and alcohol dependence. Journal of Studies on Alcohol, 55, 660–666.
8.
HavassyB.WassermanD.HallS.1995Social relationships and abstinence from cocaine in an American treatment sample. Addiction, 90, 699–710.
9.
MarloweD.B.MerikleE.P.KirbyK.C.FestingerD.S.McLellanA.T.2001Multidimensional assessment of perceived treatment-entry pressures among substance abusers. Psychology of Addictive Behaviors, 15, 97–108.
10.
MatzgerH.KaskutasL.A.WeisnerC.2005Reasons for drinking less and their relationship to sustained remission from problem drinking. Addiction, 100, 1637–1646.
11.
McLellanA. T.2006What are the evidence-based administrative practices? Systems issues that impede delivery of effective treatment. Paper presented at The 11th. International Conference on Treatment of Addictive Behaviors. Santa Fe, New Mexico, January 29-February 6.
12.
MillerW. R.BenefieldR. G.ToniganJ. S.1993Enhancing motivation for change in problem drinking: A controlled comparison of two therapist styles. Journal of Consulting and Clinical Psychology, 61 (3), 455–461.
13.
MillerW.R.BrownJ.M.SimpsonT.L.HandmakerN.S.BienT.H.LuckieL.F.MontgomeryH.A.HesterR.K.ToniganJ.S.1995What works? A methodological analysis of the alcohol treatment outcome literature. In HesterR.K.MillerW.R. (Eds.), Handbook of alcoholism treatment approaches: Effective alternatives. Boston, MA: Allyn & Bacon.
14.
MillerN.S.FlahertyJ.A.2000Effectiveness of coerced addiction treatment (alternative consequences): A review of the clinical research. Journal of Substance Abuse Treatment, 18, 9–16.
15.
MoyersT.B.MillerW.R.HendricksonS.2005How does motivational interviewing work? Therapist interpersonal skill predicts client involvement within motivational interviewing sessions. Journal of Clinical and Consulting Psychology, 73 (4), 590–598.
16.
MuthénL. K.MuthénB.2006Mplus version 4.1. Los Angeles, CA, Muthén & Muthén.
17.
PolcinD.L.2001Drug and alcohol offenders coerced into treatment: A review of modalities and suggestions for research on social model programs. Substance Use and Misuse, 36, 589–608.
18.
PolcinD.L.2009aWho receives confrontation in recovery houses and when is it experienced as supportive?Addiction Research and Theory.
19.
PolcinD.L.2009bA model for sober housing during outpatient treatment. Journal of Psychoactive Drugs.
20.
PolcinD.L.BeattieM.2007Relationship and institutional pressure to enter treatment: Differences by demographics, problem severity and motivation. Journal of Studies on Alcohol and Drugs, 68 (3), 428–436.
21.
PolcinD.L.GallowayG.BostromA.GreenfieldT.K.2007Factor analysis of the Alcohol and Drug Confrontation Scale (ADCS). Addictive Behaviors, 32, 2274–2280.
22.
PolcinD.L.GallowayG.P.GreenfieldT.K.2006Measuring Confrontation during Recovery from Addiction. Substance Use and Misuse, 41, 1–24.
23.
PolcinD.L.GallowayG.P.TaylorK.Benowitz-FredericksA.2004Why we need to study sober Living houses. Counselor: The Magazine for Addiction Professionals, 5 (5), 36–45.
24.
PolcinD.L.GreenfieldT.K.2006Confrontation about potential harm related to substance use: Changes in and correlates of confrontation in sober living houses. Therapeutic Communities, 27 (3), 373–386.
25.
PolcinD.L.HendersonD.2008A clean and sober place to live: Philosophy, structure, and purported therapeutic factors in sober living houses. Journal of Psychoactive Drugs, 40 (2), 153–159.
26.
PolcinD.L.WeisnerC.1999Factors associated with coercion in entering treatment for alcohol problems. Drug and Alcohol Dependence, 54, 63–68.
27.
RigdonE. E.1996CFI versus RMSEA: A comparison of two fit indexes for structural equation modeling. Structural Equation Modeling, 3 (4), 369–379.
28.
RoomR.1989The U.S. general population's experiences of responding to alcohol problems. British Journal of Addiction, 84, 1291–1304.
29.
RoomR.BondyS.FerrisJ.1996Determinants of suggestions for alcohol treatment. Addiction, 91 (5), 643–655.
30.
RoomR.GreenfieldT.WeisnerC.1991People who might have liked you to drink less: Changing responses to drinking by U.S. family members and friends, 1979–1990. Contemporary Drug Problems, 18 (4), 573–595.
