Motivational Interviewing at Intake vs Intake as Usual on Client Engagement in Addiction Treatment

Adapting Intake Procedures to Improve Treatment Delivery in Addiction Treatment

This K23 study is an effectiveness-implementation hybrid type I design to determine the effectiveness of Motivational Interviewing at Intake (MII), relative to intake-as-usual on client engagement and mechanisms of engagement among adults seeking outpatient addiction treatment. We also will obtain personnel feedback on the feasibility of implementing MII into standard practice by having personnel from the addiction treatment study sites complete implementation climate measures before Motivational Interviewing (MI) training and post-clinical trial, as well as an individual interview on implementation feasibility post-trial.

Inclusion Criteria (client participants):

• English-speaking adults seeking treatment for alcohol or other drug use at one of two outpatient addiction treatment programs
• Provision of signed and dated informed consent form
• Stated willingness to comply with all study procedures
• Physically withdrawn from alcohol or other drugs

Inclusion Criteria (personnel participants):

• English-speaking adults currently employed at one of the two outpatient addiction treatment programs
• Provision of electronic informed consent

Exclusion Criteria (client participants):

• Experiencing severe withdrawal symptoms
• Actively psychotic, manic, and/or suicidal

Exclusion Criteria (personnel participants):

• current position: facility owner or clinical director