Engagement and adherence issues in treating persons with non-psychosis dual disorders

Treatment of persons with non-psychosis dual disorders (NPDD) is complicated by population heterogeneity, complexity of needs, and low treatment participation. While it is important to be familiar with the range of psychiatric and substance use disorders, as well as interventions to target specific symptoms and behaviors, clinicians will be most effective if they are prepared to address common issues that emerge across diagnoses and disabilities, most saliently treatment entry and adherence. This paper presents a model of Motivational Therapy designed to provide clinicians with a conceptual structure and specific strategies to enhance problem and treatment acceptance, and thus improve adherence.