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Counselor Attitudes toward the Use of Motivational Incentives in Addiction Treatment
Author(s) -
Ducharme Lori J.,
Knudsen Hannah K.,
Abraham Amanda J.,
Roman Paul M.
Publication year - 2010
Publication title -
the american journal on addictions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.997
H-Index - 76
eISSN - 1521-0391
pISSN - 1055-0496
DOI - 10.1111/j.1521-0391.2010.00081.x
Subject(s) - contingency management , ambivalence , psychology , incentive , addiction treatment , addiction , intervention (counseling) , substance abuse , motivational interviewing , clinical psychology , social psychology , psychotherapist , medical education , medicine , psychiatry , economics , microeconomics
Counselor attitudes toward evidence‐based practices, such as motivational incentives/contingency management (MI/CM), are important in bridging the gap between research and practice. Mailed surveys from 1,959 substance abuse treatment counselors showed ambivalence toward MI/CM and strong disagreement with using monetary rewards for achievement of treatment goals. Attitudes were associated with counselors’ educational attainment, a 12‐step treatment ideology, affiliation with NIDA's Clinical Trials Network, and working in opioid treatment programs. Exposure to MI/CM via training was more strongly associated with attitudes when counselors worked in programs that had adopted MI/CM. While there is substantial resistance to MI/CM, dissemination and training about the essential elements of MI/CM may enhance counselors’ receptivity toward this intervention. (Am J Addict 2010;00:1–8)