Motivational Interviewing amoung repeat DUI offenders

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Maureen Fitzgerald
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Joined: 06/04/2014 - 10:33
Motivational Interviewing amoung repeat DUI offenders

This article discusses a study (published in 2010) of using MI with repeat DUI offenders:
http://health.usnews.com/health-news/family-health/brain-and-behavior/ar...
Has anyone used MI successfully with this population?

venrrao
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Joined: 06/06/2014 - 08:29

Our hospital has a Detox unit (basically a few beds) and our efficacy using MI with this population has been about 50-50. Perhaps an acute care setting complicates the curve. It would be interesting to see the results from operational level in community setting.

bella1981inna
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Joined: 06/09/2014 - 11:59

In my experience working with the incarcerated population we use MI to elicit behavior change by helping clients explore and resolve ambivalence. The providers lead the session in a way that is subtle, gentle, responsive, and imaginative, as opposed to prescribing a solution to solve a problem.

The implicit theory behind MI is that it will lead to an increase in client's change talk which will then facilitate behavior change.

mjellison
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Joined: 06/06/2014 - 16:39

I worked at a detox in the past, part of the issue with us was the length of time for detox stays, (4-7 days). One could introduce and explore ambivalence, but to start to see some results concerning change talk, decisional balance etc... , in this setting was a bit difficult. The best was to meet them where they were at and hopefully encourage them to seek further treatment in a variety of settings available.

outreach1
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Joined: 06/06/2014 - 10:45

I have used MI in IOP treatment settings which have included repeat DUI offenders. After 6-7 weeks of treatment the client is returned to the legal system for a hearing. The agency I was with did not keep follow-up records of how many of these actually regained driving privileges. If they did return to driving it would be difficult to attribute it to the MI treatment as opposed to "maturing out". After 4-5 DUI's they might just be tired of being in the system.

tw_telehealth
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Joined: 06/06/2014 - 09:34

Maureen, Here is a online intervention I developed using MI style personalized feedback with under age drinkers and some of my online DUI clients. You can login here: http://www.outofstatedwi.com/classroom/login/index.php
Your user name is: mfitz1; Password is: student (all lowercase).
I appreciate any feedback about your UX.

Maureen Fitzgerald
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Joined: 06/04/2014 - 10:33

Hi Tom,
I apologize for not replying sooner--I missed your invitation in the thread. Please send a new username and password.
I am not a clinician but will be glad to comment on my user experience!

tw_telehealth
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Joined: 06/06/2014 - 09:34

Hi Maureen,
Just returned this afternoon from a probation and parole conference in California where I demonstrated our online substance use disorder education (ASAM level .5) classes for low risk offenders. Here is the new link for you and any members of this network that wish to try out our demo:
Login here: www.twccsolutions.com/classroom
User name is "appa, " Password is "appa2014."
Still welcome comments on your user experience.

ZMALOTT
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Joined: 09/20/2014 - 09:52

Hi Tom,

I would very much like to review your online program and would be happy to give a personal evaluation. I am interested in developing an evidence-based program to rural and isolated population to limit need for travel.