Driving While Impaired (DWI) Intervention Service Provider Orientations: The Scales of the DWI Therapeutic Educator Inventory (DTEI)

Abstract

The therapeutic educator who provides services to driving while impaired (DWI) offenders is a unique professional hybrid, combining education and therapeutic service delivery. In an effort to understand and address this service provider, a 69-item DWI Therapeutic Educator Inventory (DTEI) was constructed. Using principal components and common factor analyses, 6 reliable DWI provider orientation styles were identified: judicial, disease, structure, relationship, interaction, and empathic-supportive. Second-order factoring identified 2 broad reliable dimensions: correctional and therapeutic. These findings further support the construct validity of the DTEI and raise a new question for research: do different provider orientations impact intervention outcomes, such as relapse and recidivism?

Keywords

Driving while impaired DWI provider orientation styles drove under the influence therapeutic education therapeutic educator correctional (society-oriented) and therapeutic (client-oriented) service delivery focus

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References

Bachelor

1991. Comparison and relationship to outcome of diverse dimensions of the helping alliance as seen by client and therapist. Psychotherapy., 28: 234–249.

Bachelor

K A

. 1995. Clients’ perception of the therapeutic alliance: a qualitative analysis. J Couns Psychol., 42: 322–337.

Barber

J P

, Connolly

M B

, Crits-Christoph

, Gladis

and Siqueland

. 2001. Alliance predicts patients’ outcomes beyond in-treatment change in symptoms. J Consult Clin Psychol., 68: 1027–1032.

Beutler

L E

, Machado

P P

and Neufeldt

S A

. 1994. “Therapist variables”. In Handbook of Psychotherapy and Behavioral Change, Edited by: Bergin

A E

and Garfield

S A

. 229–269. New York, NY: Wiley.

Connors

G J

, Carroll

K M

, DiClemente

C C

, Longabaugh

and Donovan

D M

. 1997. The therapeutic alliance and its relationship to alcoholism treatment participation and outcome. J Consult Clin Psychol., 65: 582–598.

Gaston

1990. The concept of the alliance and its role in psychotherapy: theoretical and empirical considerations. Psychotherapy., 27: 143–153.

Hartley

and Strupp

. 1983. “The therapeutic alliance: its relationship to outcome in brief psychotherapy”. In Empirical Studies of Psychoanalytic Theory, Edited by: Masling

. Vol. 1, 1–38. Hillsdale, NJ: Erlbaum.

Horvath

A O

and Symonds

B B

. 1991. Relation between working alliance and outcome in psychotherapy: a meta-analysis. J Couns Psychol., 38: 139–149.

Krupnick

J L

, Sotsky

S M

Simmens

. 1996. The role of therapeutic alliance in psychotherapy and pharmacotherapy outcome: findings in the National Institute of Mental Health Treatment of Depression Collaborative Research Program. J Consult Clin Psychol., 64: 532–539.

10.

Martin

D J

, Garske

J P

and Davis

M K

. 2000. Relation of the therapeutic alliance with outcome and other variables: a meta-analytic review. J Consult Clin Psychol., 68: 438–450.

11.

Raue

P J

and Goldfried

. 1994. “The therapeutic alliance in cognitive-behavior therapy”. In The Working Alliance: Theory, Research and Practice, Edited by: Horvath

A O

and Greenberg

L S

. 131–152. New York, NY: Wiley.

12.

Raue

P J

, Goldfried

M R

and Barkham

. 1997. The therapeutic alliance in psychodynamic-interpersonal and cognitive-behavioral therapy. J Consult Clin Psychol., 65: 582–587.

13.

Roth

and Fehr

. 2005. What Works for Whom? A Critical Review of Psychotherapy Research, 464New York, NY: Guilford Press.

14.

Wanberg

, Milkman

and Timken

. 2005. Driving with Care: Education and Treatment of the Impaired Driving Offender—Strategies for Responsible Living and Change, Thousand Oaks, CA: Sage Publications.

15.

Zuroff

D C

, Blatt

S J

Sotsky

S M

. 2000. Relation of therapeutic alliance and perfectionism to outcome in brief outpatient treatment of depression. J Consult Clin Psychol., 68: 114–124.

16.

Bohart

A C

and Greenberg

L S

. 1997. “Empathy and psychotherapy: an introductory overview”. In Empathy Reconsidered: New Directions in Psychotherapy, Edited by: Bohart

A C

and Greenberg

L S

. 3–31. Washington, DC: American Psychological Association.

17.

Washton

A M

and Zweben

J E

. 2006. Treating Alcohol and Drug Problems in Psychotherapy Practice: Doing What Works, Vol. 34, 167–207. New York, NY: Guilford Press.

18.

Beck

JS.

2005. Cognitive Therapy for Challenging Problems: What to Do When the Basics Don't Work, New York, NY: Guilford Press.

19.

Miller

W R

and Rollnick

. 1991. Motivational Interviewing: Preparing People to Change Addictive Behavior, New York, NY: Guilford Press.

20.

Miller

W R

and Rollnick

. 2002. Motivational Interviewing: Preparing People to Change Addictive Behavior, (Second Edition), New York, NY: Guilford Press.

21.

Miller

W R

. 2006. “Motivational factors in addictive behaviors”. In Rethinking Substance Abuse, Edited by: Miller

W R

and Carroll

K M

. 134–150. New York, NY: Guilford Press.

22.

Miller

W R

. 2006. “Drawing the science together”. In Rethinking Substance Abuse, Edited by: Miller

W R

and Carroll

K M

. 293–312. New York, NY: Guilford Press.

23.

Division of Highway Safety. 1980. Colorado Attacks the Drinking Driver Problem: The Evolutionary Process Leading to House Bill 1467 and Its Current Status, Denver, CO: The State of Colorado, Division of Highway Safety, Alcohol-Driving Countermeasures.

24.

Anglin

, Prendergrast

and Farabee

. 1998. The Effectiveness of Coerced Treatment for Drug-Abusing Offenders, Washington, DC: Office of National Drug Control Policy's Conference of Scholars and Policy Makers.

25.

Canadian Centre on Substance Abuse. 2006. Fact Sheet: Mandatory and Coerced Treatment, Ottawa, Canada: Canadian Centre on Substance Abuse.

26.

Frescoln

2009. Drug Treatment Courts. N C Med J., 70(1): 66–69.

27.

Minnesota Sentencing Guidelines Commission. 2008. Special Report to the Legislature: Effectiveness of Re-entry Programs and Drug Courts, Saint Paul, MN: Minnesota Sentencing Guidelines Commission.

28.

Przybylski

2009. Correctional and Sentencing Reform for Drug Offenders: Research Findings on Selected Key Issues, Denver, CO: Colorado Criminal Justice Reform Coalition.

29.

Urbanoski

2010. Coerced addiction treatment: client perspectives and the implications of their neglect. Harm Reduct J., 7: 13

30.

Simpson

, Joe

and Rowan-Szal

. 1997. Drug abuse treatment retention and process effects on follow-up outcomes. Drug Alcohol Depend., 47: 227–235.

31.

Simpson

D D

, Joe

G W

, Rowan-Szal

G A

and Greener

J M

. 1997. Drug abuse treatment process components that improve retention. J Subst Abuse Treat., 14: 565–572.

32.

DeMuro

1997. Development and validation of an instrument to measure DUI therapeutic educator style: Therapeutic Educator Countermeasures Inventory. Dissertation Abstracts International, : 11–12.

33.

Horn

J L

and Wanberg

K W

. 1969. Symptom patterns related to excessive use of alcohol. Q J Stud Alcohol., 30: 35–58.

34.

Horn

J L

, Wanberg

K W

and Foster

F M

. 1990. Guide to the Alcohol Use Inventory (AUI), Minneapolis, MN: National Computer Systems.

35.

Wanberg

KW.

1998. A Users Guide for the Adolescent Self Assessment Profile—II (ASAP-II), Arvada, CO: Center for Addictions Research and Evaluation.

36.

Dwyer

P S

. 1937. The determination of the factor loadings of a given test from the known factor loadings of the other tests. Psychometrika., 2: 173–178.

37.

Moiser

C I

. 1939. Determining a simple structure when the loadings for certain tests are known. Psychometrika., 4: 149–162.

38.

Wackwitz

J H

and Horn

J L

. 1971. On obtaining the best estimates of factor scores. Multivar Behav Res., 6: 389–408.

39.

Cronbach

L J

. 1951. Coefficient alpha and the internal structure of tests. Psychometrika., 16: 297–334.

40.

Wanberg

K W

and Milkman

H B

. 2008. Criminal Conduct and Substance Abuse Treatment: Strategies for Self-Improvement and Change, Pathways to Responsible Living, Thousand Oaks, CA: Sage Publications.

41.

Cronbach

L J

. 1989. “Construct validation after thirty years”. In Intelligence: Measurement, Theory and Public Policy, Edited by: Linn

. 147–171. Urbana, IL: University of Illinois Press.

42.

Hair

J F

, Anderson

R E

, Tatham

R L

and Black

W C

. 1995. Multivariate Data Analysis with Readings, Englewood Cliffs, NJ: Prentice Hall.

43.

Cattell

RB.

1957. Personality and Motivation Structure and Measurement, New York, NY: World Book.