Title

Factors Influencing Treatment Completion of Involuntary Groups

Department

Social Work

Date of Paper/Work

2015

Degree Name

Master of Social Work (M.S.W.)

Type of Paper/Work

Clinical research paper

Advisors

Michael Chovanec

Abstract

This qualitative study explores factors that influence treatment completion of involuntary clients. Eight professionals who have substantial experience facilitating groups with domestic abuse, substance abuse, DWI, and general offender rehabilitation programs were recruited for participation. Through semi structured interviews, professionals reflected on the factors they believed contributed to attrition and interventions they implemented to improve retention. Thematic content analysis informed by grounded theory generated several themes associated with treatment completion. Motivation, readiness, stage of change, mental health and chemical dependency were individual factors believed to influence completion. While, housing, employment, transportation, child-care, program cost, program time, program length, closed, and open group formats were noteworthy environmental factors. Engagement and facilitator bias were discussed in terms of the impact on retention. Implications for social work practice suggest the need for pre-group orientation, knowledge of Trans theoretical stages of change, and Motivational Interviewing skills to effectively work with treatment resistant clients.

Keywords

treatment completion, involuntary groups, attrition retention

Creative Commons License

Creative Commons Attribution 3.0 License
This work is licensed under a Creative Commons Attribution 3.0 License.