A Pilot Study of a Brief Motivational Intervention for Incarcerated Drinkers
Open accessAbstract
Almost half of convicted jail inmates have an alcohol use disorder and many are released to environments that put them in contact with network members and cues that make them more likely to relapse on alcohol or drugs. Given the high-risk period immediately following release, the purpose of this study was to examine the efficacy of a brief motivational intervention administered just prior to release to increase substance use treatment entry and attendance, decrease alcohol and drug use, and change social networks for inmates with alcohol use disorders. Forty adult male inmates with AUDs were consented into the study and randomized to a motivational intervention or the control condition (an educational intervention), and then were contacted to do a 1-month follow-up interview (62.5% completed this interview). Results indicated that conducting these interventions was feasible and considered extremely helpful by participants. Although there were no significant group differences, medium to large effect sizes suggest possible benefits from the motivational intervention in decreasing days of alcohol and drug use and increasing abstinence, and reducing the proportion of heavy drug users or users of any kind in the social network. Future studies should replicate these findings in larger sample sizes and over longer follow-up time periods. Results may have implications for the use of brief intervention strategies at jails for inmates with AUDs.
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ACT compared with CBT for prisoners with polysubstance use showed greater results in abstinence rates.
“Another pilot study41, 21 compared ACT with CBT for prisoners with polysubstance use and demonstrated that ACT showed greater results than CBT in abstinence rates.”
From Psychosocial Interventions for Prisoners with Mental and Substance Use Disorders: A Systematic Review (2022) · cites this paper as [21]
The Results (§4.3.2; page unavailable) describe a comparison of motivational intervention (MI) with educational intervention (EI), not ACT with CBT, and report that study condition did not significantly predict abstinence. The Abstract likewise identifies inmates with alcohol use disorders as the study population; it does not describe a trial of ACT versus CBT for prisoners with polysubstance use. (LLM, conf=0.90)
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Experimental — accuracy not yet measuredThe included studies were heterogeneous in outcome variables, outcome assessment, and intervention duration, so meta-analysis was not conducive.
“though interventions were similar in a few studies,17–21 the outcome variables, outcome assessment, and duration of the intervention were heterogeneous and therefore not conducive for a meta-analysis.”
From Psychosocial Interventions for Prisoners with Mental and Substance Use Disorders: A Systematic Review (2022) · cites this paper as [21]
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Motivational interviewing for substance use reduction
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“Another pilot study 41,21 compared ACT with CBT for prisoners with polysubstance use and demonstrated that ACT showed greater results than CBT in abstinence rates.”
BackgroundMethodResultInfluential
- Authors
- Owens, M. D., & McCrady, B. S.
- Affiliations
- University of New Mexico (US)
- Corresponding author
- Owens, Mandy D.
- Venue
- Journal of Substance Abuse Treatment
- Publisher
- Elsevier BV
- Published
- 2016-09
- Volume
- 68
- Pages
- 1-10
- ISSN
- 0740-5472 (ISSN-L)
- PMC
- PMC4955738
- OpenAlex
- W2401132290
- Cited by
- 23
- References
- 56
- Citations by year
- 2026: 3 · 2025: 3 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 1 · 2019: 2 · 2018: 3 · 2017: 2 · 2016: 1 · 2015: 1
- FWCI
- 2.50
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Substance Abuse Treatment (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (F31-AA023414)
- Graduate Professional and Student Association at the University of New Mexico
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Sociology and Political Science › Criminal Justice and Corrections Analysis
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- motivational interventions, alcoholism, incarcerated individuals, jail inmates, brief intervention, treatment attendance, alcohol and drug use, social networks, relapse, abstinence, incarcerated men
- MeSH terms
- Adult, Alcohol Drinking, Follow-Up Studies, Humans, Male, Middle Aged, Pilot Projects, Prisoners, Prisons, Social Support, Treatment Outcome, Substance-Related Disorders, Alcohol-Related Disorders, Young Adult, Motivational Interviewing, Alcohol Abstinence
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