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一项针对有犯罪经历的成年人药物使用问题的动机式访谈系统综述。

A Systematic Review of Motivational Interviewing to Address Substance Use with Justice-Involved Adults.

机构信息

College of Social Work, Florida State University Tallahassee, FL, USA.

出版信息

Subst Use Misuse. 2021;56(5):639-649. doi: 10.1080/10826084.2021.1887247. Epub 2021 Mar 16.

Abstract

Motivational Interviewing (MI) is widely used in substance abuse treatment, possibly due to the short sessions and the treatment's cost-effectiveness. Previous research has established the efficacy of MI among a broad range of populations and outcomes. However, there is a lack of a review of the knowledge about if MI works with justice-involved individuals who have substance use issues. This review aimed to examine the extent of the literature on MI as a treatment to decrease rates of substance use for justice-involved individuals. The databases utilized for the review include Academic Search Complete (EBSCO), PsycINFO, and ProQuest. The dates for the literature inclusion were from 2008 to March 2020. The literature search was initiated in February and was completed in March 2020. Five RCT studies were identified. Studies were conducted using populations during incarceration in prison, prior to release from jail, through probation, and those with DWI charges. However, all of the populations included were actively being monitored for substance use. All five studies found no difference between groups at the latest point in the study, which for most included the follow-up measure. Consideration for potential moderators such as severity and type of substance use, and length of treatment and follow up data are discussed. The results of the review indicated that more standardized and rigorous research is needed for exploring MI with individuals involved with the justice system with the focus of decreasing substance use.

摘要

动机访谈(MI)在物质滥用治疗中被广泛应用,可能是因为其疗程短且具有成本效益。先前的研究已经证实了 MI 在广泛的人群和结果中的疗效。然而,对于 MI 是否适用于有物质使用问题的涉及司法的个人,缺乏相关知识的综述。本综述旨在检查关于 MI 作为减少涉及司法的个人物质使用率的治疗方法的文献范围。用于综述的数据库包括 Academic Search Complete(EBSCO)、PsycINFO 和 ProQuest。文献纳入的日期为 2008 年至 2020 年 3 月。文献检索于 2020 年 2 月开始,并于 2020 年 3 月完成。确定了 5 项 RCT 研究。这些研究是在监禁期间、从监狱获释前、缓刑期间以及涉及酒后驾车指控的人群中进行的。然而,所有被纳入的人群都在积极监测物质使用情况。所有五项研究在研究的最新时间点都没有发现组间差异,对于大多数研究来说,包括后续测量。讨论了考虑潜在的调节因素,如物质使用的严重程度和类型,以及治疗和随访数据的长度。综述的结果表明,需要更标准化和严格的研究来探索涉及司法系统的个人的 MI,重点是减少物质使用。

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