Assessment of coercive and noncoercive pressures to enter drug abuse treatment

Douglas B. Marlowe, Kimberly C. Kirby, Lynda M. Bonieskie, David J. Glass, Lawrence D. Dodds, Stephen D. Husband, Jerome J. Platt, David S. Festinger

Research output: Contribution to journalArticlepeer-review

60 Scopus citations

Abstract

This paper reports preliminary data derived from a standardized interview scoring procedure for detecting and characterizing coercive and noncoercive pressures to enter substance abuse treatment. Coercive and noncoercive pressures stemming from multiple psychosocial domains are operationalized through recourse to established behavioral principles. Inter-rater reliability for the scoring procedure was exceptional over numerous rater trials. Substantive analyses indicate that, among clients in outpatient cocaine treatment, 'coercion' is operative in multiple psychosocial domains, and that subjects perceive legal pressures as exerting substantially less influence over their decisions to enter treatment than informal psychosocial pressures. Implications for drug treatment planning, legal and ethical issues, and directions for future research are proposed.

Original languageEnglish (US)
Pages (from-to)77-84
Number of pages8
JournalDrug and Alcohol Dependence
Volume42
Issue number2
DOIs
StatePublished - Oct 1996

All Science Journal Classification (ASJC) codes

  • Toxicology
  • Pharmacology
  • Psychiatry and Mental health
  • Pharmacology (medical)

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