ISBN-13: 9783639036008 / Angielski / Miękka / 2009 / 156 str.
Increased treatment retention among substance abusing individuals has been associated with reduced drug use, fewer arrests, and decreased unemployment, as well as a reduction in health risk behaviors. This longitudinal study examined the predictors of client retention for alternative-to-prison substance abuse treatment programs through assessing the roles of motivational factors and the client-worker relationship. Results support the following conclusions: Among clients in alternative-to prison programs the number of days in treatment is positively related to their motivation to change. The therapeutic alliance is not a predictor of the number of days in treatment. Motivation to change, particularly recognition of a drug problem, is positively related to the therapeutic alliance. Changes in motivation to change in response to treatment are positively related to the therapeutic alliance among clients in an alternative-to prison substance abuse treatment programs. These results carry forward prior research and have implications for social work practice, research, and social welfare policy.