Development and initial validation of an instrument to measure perceived coercion to enter treatment for substance abuse.

@article{Klag2006DevelopmentAI,
  title={Development and initial validation of an instrument to measure perceived coercion to enter treatment for substance abuse.},
  author={Stefanie Marie Luise Klag and Peter Alexander Creed and Frances V. O'Callaghan},
  journal={Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors},
  year={2006},
  volume={20 4},
  pages={
          463-70
        }
}
  • S. Klag, P. Creed, F. O'Callaghan
  • Published 1 December 2006
  • Psychology, Medicine
  • Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors
The present study involved 3 phases that led to the development and initial validation of the Perceived Coercion Questionnaire (PCQ), a scale that researchers use to measure perceptions of coercion of drug and alcohol users to enter drug and alcohol treatment. In Phase 1, the authors used focus groups to generate 48 pilot items. In Phase 2, the items were administered to a sample of 158 drug and alcohol users who were in residential treatment within a therapeutic community setting. Item and… 
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TLDR
The authors interviewed substance abuse clients about their reasons for entering treatment and scored their responses along the dimensions of negative versus positive treatment-entry pressures, internal versus external sources of those pressures, and the life domain from which the pressures emanated.
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TLDR
Results support legal coercion as a valid motivation for treatment entry; those coerced into treatment respond in ways similar to voluntary admissions regardless of gender or ethnicity.
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TLDR
Two scales for measuring psychiatric patients' perceptions of coercion during hospital admission are presented and data is reported on the internal consistency of these scales' internal consistency.
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TLDR
Regression analyses on data for more than 2,200 individuals indicate that clients who are legally induced to seek treatment stay in treatment longer than, and do at least as well as, those who seek treatment voluntarily.
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