The language of change among criminal justice clients

Counselor language, client language, and client substance use outcomes

Mayra Rodriguez, Scott T. Walters, Jon M. Houck, J. Alexis Ortiz, Faye S. Taxman

Research output: Contribution to journalArticleResearchpeer-review

1 Citation (Scopus)

Abstract

Objective: Counselor and client language have been identified as mechanisms of change in motivational interviewing (MI) counseling sessions. This study evaluated whether language patterns exhibited during MI sessions with substance users in the community would also be found during MI sessions with substance users in the criminal justice system. Method: Forty audio recordings of MI sessions with substance-using probationers were coded and analyzed sequentially using the Motivational Interviewing Skills Code (MISC) 2.5. Analyses examined the relationship between counselor and client language, and the relationship between client language and client substance use after 2 months. Results: Counselor MI inconsistent language was associated with decreased change talk (lnOR = − 0.76, p <.05) though not with increased sustain talk. Both sustain talk (b = − 4.591, t = − 18.634 p <.001) and MI inconsistent language MIIN (b = − 4.419, t = − 19.886, p <.001) were positively associated with substance use at 2 months. Sustain talk early in the session (i.e., during deciles 1 and 2) was significantly greater among clients who reported using substances at 2 months, compared to clients who did not use substances. Conclusion: These findings are broadly consistent with previous literature documenting the association between counselor language, client language, and client outcome.

Original languageEnglish
Pages (from-to)626-636
Number of pages11
JournalJournal of Clinical Psychology
Volume74
Issue number4
DOIs
StatePublished - 1 Apr 2018

Fingerprint

Criminal Law
Motivational Interviewing
Language
Counselors
Criminal Justice
Substance Use
Interviewing
Counseling

Keywords

  • addiction
  • motivational interviewing
  • substance abuse
  • treatment efficacy

Cite this

@article{0eb8f8602ccf4ccdb119993aae0d1ee2,
title = "The language of change among criminal justice clients: Counselor language, client language, and client substance use outcomes",
abstract = "Objective: Counselor and client language have been identified as mechanisms of change in motivational interviewing (MI) counseling sessions. This study evaluated whether language patterns exhibited during MI sessions with substance users in the community would also be found during MI sessions with substance users in the criminal justice system. Method: Forty audio recordings of MI sessions with substance-using probationers were coded and analyzed sequentially using the Motivational Interviewing Skills Code (MISC) 2.5. Analyses examined the relationship between counselor and client language, and the relationship between client language and client substance use after 2 months. Results: Counselor MI inconsistent language was associated with decreased change talk (lnOR = − 0.76, p <.05) though not with increased sustain talk. Both sustain talk (b = − 4.591, t = − 18.634 p <.001) and MI inconsistent language MIIN (b = − 4.419, t = − 19.886, p <.001) were positively associated with substance use at 2 months. Sustain talk early in the session (i.e., during deciles 1 and 2) was significantly greater among clients who reported using substances at 2 months, compared to clients who did not use substances. Conclusion: These findings are broadly consistent with previous literature documenting the association between counselor language, client language, and client outcome.",
keywords = "addiction, motivational interviewing, substance abuse, treatment efficacy",
author = "Mayra Rodriguez and Walters, {Scott T.} and Houck, {Jon M.} and Ortiz, {J. Alexis} and Taxman, {Faye S.}",
year = "2018",
month = "4",
day = "1",
doi = "10.1002/jclp.22534",
language = "English",
volume = "74",
pages = "626--636",
journal = "Journal of Clinical Psychology",
issn = "0021-9762",
publisher = "John Wiley and Sons Inc.",
number = "4",

}

The language of change among criminal justice clients : Counselor language, client language, and client substance use outcomes. / Rodriguez, Mayra; Walters, Scott T.; Houck, Jon M.; Ortiz, J. Alexis; Taxman, Faye S.

In: Journal of Clinical Psychology, Vol. 74, No. 4, 01.04.2018, p. 626-636.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - The language of change among criminal justice clients

T2 - Counselor language, client language, and client substance use outcomes

AU - Rodriguez, Mayra

AU - Walters, Scott T.

AU - Houck, Jon M.

AU - Ortiz, J. Alexis

AU - Taxman, Faye S.

PY - 2018/4/1

Y1 - 2018/4/1

N2 - Objective: Counselor and client language have been identified as mechanisms of change in motivational interviewing (MI) counseling sessions. This study evaluated whether language patterns exhibited during MI sessions with substance users in the community would also be found during MI sessions with substance users in the criminal justice system. Method: Forty audio recordings of MI sessions with substance-using probationers were coded and analyzed sequentially using the Motivational Interviewing Skills Code (MISC) 2.5. Analyses examined the relationship between counselor and client language, and the relationship between client language and client substance use after 2 months. Results: Counselor MI inconsistent language was associated with decreased change talk (lnOR = − 0.76, p <.05) though not with increased sustain talk. Both sustain talk (b = − 4.591, t = − 18.634 p <.001) and MI inconsistent language MIIN (b = − 4.419, t = − 19.886, p <.001) were positively associated with substance use at 2 months. Sustain talk early in the session (i.e., during deciles 1 and 2) was significantly greater among clients who reported using substances at 2 months, compared to clients who did not use substances. Conclusion: These findings are broadly consistent with previous literature documenting the association between counselor language, client language, and client outcome.

AB - Objective: Counselor and client language have been identified as mechanisms of change in motivational interviewing (MI) counseling sessions. This study evaluated whether language patterns exhibited during MI sessions with substance users in the community would also be found during MI sessions with substance users in the criminal justice system. Method: Forty audio recordings of MI sessions with substance-using probationers were coded and analyzed sequentially using the Motivational Interviewing Skills Code (MISC) 2.5. Analyses examined the relationship between counselor and client language, and the relationship between client language and client substance use after 2 months. Results: Counselor MI inconsistent language was associated with decreased change talk (lnOR = − 0.76, p <.05) though not with increased sustain talk. Both sustain talk (b = − 4.591, t = − 18.634 p <.001) and MI inconsistent language MIIN (b = − 4.419, t = − 19.886, p <.001) were positively associated with substance use at 2 months. Sustain talk early in the session (i.e., during deciles 1 and 2) was significantly greater among clients who reported using substances at 2 months, compared to clients who did not use substances. Conclusion: These findings are broadly consistent with previous literature documenting the association between counselor language, client language, and client outcome.

KW - addiction

KW - motivational interviewing

KW - substance abuse

KW - treatment efficacy

UR - http://www.scopus.com/inward/record.url?scp=85044233829&partnerID=8YFLogxK

U2 - 10.1002/jclp.22534

DO - 10.1002/jclp.22534

M3 - Article

VL - 74

SP - 626

EP - 636

JO - Journal of Clinical Psychology

JF - Journal of Clinical Psychology

SN - 0021-9762

IS - 4

ER -