Two personalized substance abuse assessment and feedback interventions were tested for effectiveness in engaging female domestic violence shelter residents in sub-stance abuse treatment. One hundred forty-seven residents were assessed for quantity and frequency of substance use, negative consequences due to use, motivation to change substance use behavior, and psychopathological symptoms related to sub-stance abuse. Assessment identified (33) 22% of participants as heavy substance users. Twenty of the 33 heavy-using residents received one of two personalized sub-stance use feedback interventions: face-to-face feedback or written feedback placed in shelter mailboxes. Treatment engagement was defined as attending at least one substance abuse treatment session within 30 days after the intervention. Results showed a significant difference in treatment engagement rates in favor of the face-to-face feedback group (60% vs. 0%). The results provide preliminary data suggesting that substance abuse assessment can be effectively accomplished in the shelter environment and that the face-to-face feedback procedure may be an effective intervention to bridge the service linkage problem between domestic violence services and substance abuse treatment.
Get full access to this article
View all access options for this article.
References
1.
Agostinelli, G., Brown, J. M., & Miller, W. R. (1995). Effects of normative feedback on consumption among heavy drinking college students. Journal of Drug Education, 25(1), 31-40.
2.
Baer, J. S., Marlatt, G. A., Kivlahan, D. R., Fromme, K., Larimer, M., & Williams, E. (1992). An experimental test of three methods of alcohol risk-reduction with young adults. Journal of Consulting and Clinical Psychology, 60, 974-979.
3.
Bein, T. H., Miller, W. R., & Boroughs, J. M. (1993). Motivational interviewing with alcohol out-patients. Behavioral and Cognitive Psychotherapy, 21, 347-356.
4.
Bein, T. H., Miller, W. R., & Tonigan, J. S. (1993). Brief interventions for alcohol problems: A review. Addiction, 88, 315-336.
5.
Bennett, L., & Lawson, M. (1994). Barriers to cooperation between domestic-violence and sub-stance-abuse programs. Families in Society: Journal of Contemporary Human Services, 75, 277-286.
6.
Brown, J. M., & Miller, W. R. (1993). Impact of motivational interviewing on participation and outcome in residential alcoholism treatment. Psychology of Addictive Behaviors, 7, 211-218.
7.
Center for Substance Abuse Treatment. (1999). Enhancing motivation to change in substance abuse treatment: Treatment Improvement Protocol Series, Vol. 35 (DHHS Publication No. SMA 99-3354). Rockville, MD: Public Health Service Substance Abuse and Mental Health Services Administration.
8.
Clark, A. H., & Foy, D. W. (2000). Trauma exposure and alcohol abuse in battered women. Violence Against Women, 6(1), 37-48.
9.
Collins, J. J., Kroutil, L. A., Roland, J., & Moore-Gurrera, M. (1997). Issues in the linkage of alcohol and domestic violence services. In M. Galanter (Ed.), Recent developments in alcoholism: Vol. 13. Alcoholism and violence (pp. 387-405). New York: Plenum.
10.
Dansky, B. S., Saladin, M. E., Brady, K. T., & Kilpatrick, D. G. (1995). Prevalence of victimization and post-traumatic stress disorder among women with substance abuse disorders: Comparison of telephone and in-person assessment samples. International Journal of the Addictions, 30, 1079-1099.
11.
Derogatis, L. R., & Cleary, P. A. (1977). Confirmation of the dimensional structure of the SCL-90: A study of construct validation. Journal of Clinical Psychology, 33(4), 981-989.
12.
DiClemente, C. C., Marinilli, A. S., Singh, M., & Bellino, L. E. (2001). The role of feedback in the process of health behavior change. American Journal of Health Behavior, 25(3), 217-227.
13.
Fleming, M., & Manwell, L. B. (1999). Brief interventions in primary care settings: A primary treatment method for at-risk, problem, and dependent drinkers. Alcohol Research and Health, 23(2), 128-137.
14.
Handmaker, N. S. (1995). Motivating pregnant drinkers to abstain: Prevention in prenatal clinics. Unpublished doctoral dissertation, University of New Mexico, Albuquerque.
15.
Miller, B. A. (1998). Partner violence experiences and women's drug use: Exploring the connections. In C. L. Wetherington & A. B. Roman (Eds.), Drug addiction research and the health of women (pp. 407-416). Rockville MD: USDHHS, NIH, NIDA.
16.
Miller, B. A., & Downs, W. R. (1995). Violent victimization among women with alcohol problems. In M. Galanter (Ed.), Recent developments in alcoholism: Vol. 12. Women and alcoholism (pp. 81-101). New York: Plenum.
17.
Miller, B. A., Wilsnack, S. C., & Cunradi, C. B. (2000). Family violence and victimization: Treatment issues for women with alcohol problems. Alcoholism: Clinical and Experimental Research, 24(8), 1287-1297.
18.
Miller, W. R. (1985). Motivation for treatment: A review with special emphasis on alcoholism. Psychological Bulletin, 98(1), 84-107.
19.
Miller, W. R. (2000). Rediscovering fire: Small interventions, large effects. Psychology of Addictive Behaviors, 14(1), 6-18.
20.
Miller, W. R., Benefield, R. G., & Tonigan, J. S. (1993). Enhancing motivation to change in problem drinkers: A controlled trial of two therapist styles. Journal of Consulting and Clinical Psychologist, 61, 455-461.
21.
Miller, W. R., & Rollnick, S. (1991). Motivational interviewing: Preparing people to change addictive behavior. New York: Guilford.
22.
Miller, W. R., & Sovereign, R. G. (1989). The check-up: A model for early intervention in addictive behaviors. In T. Loberg, W. R. Miller, P. Nathan, & G. A. Marlatt (Eds.), Addictive behaviors: Prevention and early intervention (pp. 219-231). Amsterdam, The Netherlands: Swets & Zeitlinger.
23.
Miller, W. R., Sovereign, R. G., & Krege, B. (1988). Motivational interviewing with problem drinkers: 2. The Drinker's Check-Up as a preventive intervention. Behavioural Psychotherapy, 16, 251-268.
24.
Miller, W. R., & Tonigan, J. S. (1996). Assessing drinkers' motivation to change: The Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES). Psychology of Addictive Behaviors, 10(2), 81-89.
25.
Miller, W. R., Tonigan, J. S., & Longabaugh, R. (1995). The Drinker Inventory of Consequences (DRINC): An instrument for assessing adverse consequences of alcohol abuse. Project MATCH Monograph Series, Vol. 4 (NIH Publication No. 95-3911). Rockville, MD: National Institute of Alcohol and Alcoholism.
26.
National Institute of Alcohol Abuse and Alcoholism. (1997). Ninth Special Report to Congress on Alcohol and Health (NIH Publication No. 97-4017). Washington, DC: USDHHS.
27.
Saunders, B., Wilkinson, C., & Phillips, M. (1995). The impact of a brief motivational intervention with opiate users attending a methadone programme. Addiction, 90, 415-424.
28.
Shepard, M. F., & Campbell, J. A. (1992). The Abusive Behavior Inventory: A measure of psychological and physical abuse. Journal of Interpersonal Violence, 7(3), 291-305.
29.
Substance Abuse and Mental Health Service Administration. (1995). National Household Survey on Drug Abuse: Main findings 1993. Rockville, MD: USDHHS.
30.
United States Department of Health and Human Services (USDHHS). (1991). Healthy people 2000: National health promotion and disease prevention objectives (DHHS Publication No. PHS 91-50212). Washington, DC: Government Printing Office.
31.
Walters, S. T. (2000). In praise of feedback: An effective intervention for college students who are heavy drinkers. Journal of American College Health, 48, 235-238.
32.
Walters, S. T., Bennett, M. E., & Miller, W. R. (2000). Reducing alcohol use among college students: A controlled trial of two brief interventions. Journal of Drug Education, 30(3), 361-372.
33.
Walter, S. T., Martin, J. M., & Noto, J. A. (1999, June). A controlled trial of two feedback-based interventions for heavy drinking college students. Poster session presented at the 22nd Annual Meeting of the Research Society on Alcoholism, Santa Barbara, CA.
