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Cited by 48Substance Abuse Treatment and OutcomesPsychotherapy Techniques and ApplicationsOpioid Use Disorder Treatment

Barriers and facilitators to treatment engagement among clients in inpatient substance abuse treatment

Yang, Yang, Perkins, David R., Stearns, A. Elizabeth·2018·Qualitative Health Research
DOI 10.1177/1049732318771005
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Abstract

There is a call for drawing on client voice to provide a rich, nuanced understanding of factors influencing substance treatment engagement as to maximizing treatment benefits. We interviewed 60 clients in a short-term inpatient substance treatment program and examined facilitators and barriers to treatment engagement. Thematic analysis yielded four themes, including perceived treatment needs, trust and counselor rapport, peer inspiration, and organizational factors. Perceived treatment needs serve as both a facilitator and a barrier wherein the acknowledgment of needs led to greater treatment engagement whereas a lack of perceived needs hindered treatment engagement. The establishment of trust and counselor rapport and peer inspiration facilitated treatment engagement. Clients rated several organizational factors including a lack of treatment provision, gender-responsive treatment and infrastructure, and ineffective communication with nonclinical staff as barriers to treatment engagement. Clinical implications include enhancing treatment motivation and counselor rapport, establishing gender-responsive treatment programs, and providing trainings for staff.

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Crossref · 10.1177/1049732318771005

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  • In group intervention settings, mixed gender, pacing, different levels of commitment, and rolling admissions are group dynamics that can negatively impact retention.

    “In group intervention settings, mixed gender, pacing, different levels of commitment, and rolling admissions are all group dynamics that have the potential to negatively impact retention (Johnson et al., 2011; Roos et al., 2019; Yang et al., 2018).”

    From Feasibility and acceptability of mindful recovery opioid use care continuum (M-ROCC): A concurrent mixed methods study (2021) · cites this paper as Yang et al., 2018

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Authors
Yang, Y., Perkins, D. R., & Stearns, A. E.
Affiliations
University of Louisiana at Lafayette (US)
Corresponding author
Yang, Yang
ORCID
Venue
Qualitative Health Research
Publisher
SAGE Publications
Published
2018-04-21
Volume
28
Issue
9
Pages
1474-1485
ISSN
  • 1049-7323 (ISSN-L)
  • 1552-7557
DOI
10.1177/1049732318771005
OpenAlex
W2801654592
Cited by
46
References
67
Citations by year
2026: 2 · 2025: 9 · 2024: 11 · 2023: 6 · 2022: 1 · 2021: 10 · 2020: 5 · 2019: 2
FWCI
3.31
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Qualitative Health Research (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Keywords
treatment engagement, inpatient substance abuse treatment, barriers to treatment, voice of the customer, perceived need for treatment, trust, peer influence, gender-responsive treatment, organizational factors, treatment motivation, internal communication
MeSH terms
Adult, Female, Humans, Male, Middle Aged, Peer Group, Perception, Socioeconomic Factors, Substance Abuse Treatment Centers, Patient Satisfaction, Substance-Related Disorders, Needs Assessment, Trust, Qualitative Research

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