Correlates of Motivational Interviewing Use Among Substance Use Treatment Programs Serving American Indians/Alaska Natives

Daniel Dickerson; Laurie A Moore; Traci Rieckmann; Calvin D Croy; Kamilla Venner; Jacquelene Moghaddam; Rebekah Gueco; Douglas K Novins

doi:10.1007/s11414-016-9549-0

Correlates of Motivational Interviewing Use Among Substance Use Treatment Programs Serving American Indians/Alaska Natives

J Behav Health Serv Res. 2018 Jan;45(1):31-45. doi: 10.1007/s11414-016-9549-0.

Authors

Daniel Dickerson¹, Laurie A Moore², Traci Rieckmann³, Calvin D Croy², Kamilla Venner⁴, Jacquelene Moghaddam⁵, Rebekah Gueco⁶, Douglas K Novins²

Affiliations

¹ Integrated Substance Abuse Programs, Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine, University of California, Los Angeles, CA, USA. daniel.dickerson@ucla.edu.
² Centers for American Indian and Alaska Native Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
³ Oregon Health and Science University-Portland State University School of Public Health, Portland, OR, USA.
⁴ Department of Psychology and Center on Alcoholism, Substance Abuse, and Addiction, University of New Mexico, Albuquerque, NM, USA.
⁵ Department of Psychiatry and Biobehavioral Sciences, Gambling Studies Program, University of California, Los Angeles, CA, USA.
⁶ Clinical Psychology Program, California School of Professional Psychology, Alliant International University, Los Angeles, CA, USA.

Abstract

Motivational interviewing (MI) offers a treatment modality that can help meet the treatment needs of American Indians/Alaska Natives (AI/ANs) with substance use disorders. This report presents results from a national survey of 192 AI/AN substance abuse treatment programs with regard to their use of MI and factors related to its implementation, including program characteristics, workforce issues, clinician perceptions of MI, and how clinicians learned about MI. Sixty-six percent of programs reported having implemented the use of MI in their programs. In the final logistic regression model, the odds of implementing MI were significantly higher when programs were tribally owned (OR = 2.946; CI₉₅ 1.014, 8.564), where more than 50% of staff were Certified Alcohol and Drug Counselors (CADCs) (OR = 5.469; CI₉₅ 1.330, 22.487), and in programs in which the survey respondent perceived that MI fit well with their staff's expertise and training (OR = 3.321; CI₉₅ 1.287, 8.569).

MeSH terms

Adult
Alaska Natives
Attitude of Health Personnel*
Female
Health Care Surveys
Humans
Indians, North American
Male
Motivational Interviewing*
Substance Abuse Treatment Centers
Substance-Related Disorders / psychology
Substance-Related Disorders / therapy*
Workplace

Abstract

MeSH terms

Grants and funding