Date on Master's Thesis/Doctoral Dissertation


Document Type

Doctoral Dissertation

Degree Name

Ph. D.


Social Work

Committee Chair

Huber, Ruth

Author's Keywords

Alcohol addiction; Addiction; HIV/AIDS; Motivational interviewing; Drug addicted; Retention; Outpatient


Behavior therapy; Substance abuse--Patients--Counseling of; Substance abuse--Treatment


This dissertation is a post-test only comparison group study. It tests the effects of additional Motivational Interviewing sessions during the first two weeks in an intensive outpatient clinic. The object is to learn whether these additional sessions will help to increase rates of treatment retention and completion with alcohol and other drug addicted individuals as well as those who are dually diagnosed with HIV/AIDS infection and addiction. It begins with the problems associated with alcohol and other drugs followed by problems related to HIV/AIDS and treatments for both illnesses. It uses Transtheoretical Stages of Change Model as a guide for intervention development. The latter part of the dissertation describes the method used to study this population and the results. The dissertation is divided into five chapters. Chapter I discusses the problems associated with alcohol and other drug addiction and HIV/AIDS followed by treatments related to those illnesses. Chapter II begins with reviewing the literature linked to treatment retention. This chapter identifies the theoretical perspectives of treatment retention and completion followed by an intervention development using Motivational Interviewing sessions as a means to address treatment retention and completion. While Chapters I and II are descriptive and theoretical in nature, Chapter III focuses on designing a study to test the effects of an intervention on retention and completion. It lays out the methodology of the study such as its purpose, design, instruments, sample and variables. Chapter IV discusses the results of the study and Chapter V discusses the implications of the results.