Drug problem recognition, desire for help, and treatment readiness in a soup kitchen population

Subst Use Misuse. 2002 Feb;37(3):291-312. doi: 10.1081/ja-120002480.

Abstract

This study determined hypothesized predictors of three components of motivation for change--drug problem recognition, desire for help, and treatment readiness--in a high-risk, drug-using population. The sample consisted of 190 guests at two inner-city soup kitchens in Brooklyn, NY who reported drug/alcohol use and were not participating in substance dependency treatment. Ever receiving addiction treatment, having no trade/job skills, and more severe symptoms of depression were associated with greater drug problem recognition. More recent days of drug/alcohol use, intensive pattern of drug use, and greater problem recognition were associated with greater desire for help. Caring for children, more recent days of drug/alcohol use, physical health problems, and desire for help were the direct predictors of treatment readiness. Problem recognition had a strong indirect effect on readiness mediated through desire for help. Knowledge of a drug user's motivational state and the factors leading to it can help guide the development of more effective interventions.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Humans
  • Ill-Housed Persons*
  • Male
  • Middle Aged
  • Motivation
  • New York City
  • Patient Acceptance of Health Care / psychology*
  • Substance Abuse Treatment Centers
  • Substance-Related Disorders / therapy*