Readiness to change among involuntarily and voluntarily admitted patients with substance use disorders
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(2019) 14:47
RESEARCH
Open Access
Readiness to change among involuntarily and voluntarily admitted patients with substance use disorders Anne Opsal1,2* , Øistein Kristensen2 and Thomas Clausen2,3
Abstract Background: Health care workers in the addiction field have long emphasised the importance of a patient’s motivation on the outcome of treatments for substance use disorders (SUDs). Many patients entering treatment are not yet ready to make the changes required for recovery and are often unprepared or sometimes unwilling to modify their behaviour. The present study compared stages of readiness to change and readiness to seek help among patients with SUDs involuntarily and voluntarily admitted to treatment to investigate whether changes in the stages of readiness at admission predict drug control outcomes at follow-up. Methods: This prospective study included 65 involuntarily and 137 voluntarily admitted patients treated in three addiction centres in Southern Norway. Patients were evaluated using the Europ-ASI, Readiness to Change Questionnaire (RTCQ), and Treatment Readiness Tool (TReaT). Results: The involuntarily admitted patients had significantly lower levels of motivation to change than the voluntarily admitted patients at the time of admission (39% vs. 59%). The majority of both involuntarily and voluntarily admitted patients were in the highest stage (preparation) for readiness to seek help at admission and continued to be in this stage at discharge. The stage of readiness to change at admission did not predict abstinence at follow-up. The only significant predictor of ongoing drug use at 6 months was SUD severity at baseline. Conclusions: The majority of involuntarily admitted patients scored high on motivation to seek help. Their motivation was stable at a fairly high level during their stay, and even improved in some patients. Thus, they were approaching the motivation stage similar to the voluntarily admitted patients at the end of hospitalization. Therapists should focus on both motivating patients in treatment and adapting the treatment according to SUD severity. Trial registration: ClinicalTrials.gov, NCT00970372. Registered 1 September 2008, https://clinicaltrials.gov/ct2/show/ NCT00970372. The trial was registered before the first participant was enrolled. The fist participant was enrolled September 02, 2009. Keywords: Substance use disorder, Involuntary admission to treatment, Treatment motivation
* Correspondence: [email protected] 1 University of Agder, Faculty of Health and Sport Sciences, Post-box 422, 4604 Kristiansand, Norway 2 Sørlandet Hospital, Addiction Unit, Post-box 416, 4604 Kristiansand, Norway Full list of author information is available at the end of the article © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original au
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