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Why people enter treatment for alcohol problems: Findings from UK Alcohol Treatment Trial pre-treatment interviews

Orford, JF; Kerr, C; Copello, A; Hodgson, R; Alwyn, T; Black, R; Smith, M; ... Slegg, G; + view all (2006) Why people enter treatment for alcohol problems: Findings from UK Alcohol Treatment Trial pre-treatment interviews. Journal of Substance Use , 11 (3) pp. 161-176. 10.1080/14659890500246540.

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Abstract

Aim: To develop a model of why people seek professional treatment for drinking problems, grounded in what clients say about the process at treatment entry. Participants: Three sets of consecutive entrants to the UK Alcohol Treatment Trial, sets commencing at intervals during trial recruitment (total n=98). Location: Statutory and non-statutory alcohol problem treatment agencies in three areas of England and Wales. Data: Open-ended interviews according to a brief interview guide, leading to 400-800-word post-interview reports used for analysis (tape recordings used for auditing the interview and analysis process). Analysis: Reports analysed by a team according to grounded theory principles, involving an iterative process with successive refinement of interviewing and analysis with each successive set of data. Findings: A model of professional treatment entry was developed, refined and "tested" with the last set of data. The process of seeking professional treatment was depicted in the model as involving a realization of worsening, accumulating and multiple problems related to drinking, especially in health and family domains; in conjunction with, in most cases (but not all), a trigger event and/or family or professional influence; combined with rejection of the possibility of unaided change or non-professional help; leading to the seeking or accepting of professional help. Conclusions: The findings support conclusions already in the literature about the process of seeking professional help for a drinking problem, but provide further refinement of existing ideas: for example regarding the accumulation of drinking-related problems, the ways in which a realization of those problems combines with triggers or pressure, and the complex role of the family and primary care professionals in assisting motivation to seek treatment. © 2006 Taylor & Francis.

Type: Article
Title: Why people enter treatment for alcohol problems: Findings from UK Alcohol Treatment Trial pre-treatment interviews
DOI: 10.1080/14659890500246540
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health
URI: http://discovery.ucl.ac.uk/id/eprint/183224
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