Implementation of behavioral procedures: Effects on discharge after treatment of the drug user

Abstract

Introduction. High drop-out and relapse rates are a challenge in the implementation of addiction interventions. The level at which therapists implement procedures and promote the successful discharge of the user has been little explored. Objective. To evaluate the relationship between the conclusion of intervention and the level of implementation of behavioral procedures through observation of the therapist in interaction with clients in natural settings. Method. 109 therapists and 270 clients with abuse of alcohol, marijuana or cocaine participated. The Checklist of the Level of Implementation of Brief Interventions in Addictions that identifies the percentage of implementation of procedures was designed. The therapists implemented the intervention and the sessions were videotaped after signing informed consent. An advisor observed and fed back the execution of the therapist in each session via email. Results. The therapist's implementation of the goal setting procedures, alternative behavior planning and behavioral trials predict the conclusion of the intervention. Conclusion. The results are consistent with previous literature, identifying a minimum level of implementation of specific procedures required to promote the effectiveness of the intervention.