A better tool to fight substance abuse

By Sally Crocker

Walters

A new article in the Journal of Substance Abuse Treatment suggests that a computer program called MAPIT, developed by a UNT Health Science Center researcher, is more effective than standard justice system remedies in prompting substance-using probationers and parolees to start their treatment plans.

“Health and justice systems are overburdened in terms of costs and resources,” said Scott T. Walters, PhD, Professor and Chair of Health Behavior and Health Systems at the School of Public Health. “Programs like MAPIT can significantly impact public safety and health without placing additional burdens on the criminal justice system.”

Funded by a grant from the National Institute on Drug Abuse, MAPIT uses voice-automated online software to stimulate the desire to begin treatment, set goals and stay motivated in recovery. The program can recognize patterns in how people respond and make suggestions for strategies that might work for them. MAPIT can even send emails or text messages to remind people of their monthly goals

With researchers from George Mason University, Dr. Walters and colleagues compared results from MAPIT to in-person motivational interviewing and standard probation intake processes for prompting individuals toward treatment.

More than 300 probationers in the cities of Dallas and Baltimore participated in the randomized, controlled study. After two months, people who were randomly assigned to MAPIT were more than twice as likely to begin treatment, compared to those routed to standard justice system processes.

Millions of probationers across the United States need substance abuse treatment yet never actually initiate or complete it, Dr. Walters said. In 2015, nearly 25 million adults in the U.S. reported illicit drug use in the prior month, and nearly 65 million reported binge alcohol episodes. Of those in need of treatment, only 14 percent actually started an intervention program.

“The start of probation is a critical time to educate and motivate individuals,” Dr. Walters said. “MAPIT provides a platform for addressing substance use and other high-risk behaviors. Its success shows that a computerized intervention as part of a screening and treatment referral program can improve treatment initiation among substance-using probationers.”

Recent News

Scott Walters
  • Our People
|Dec 7, 2022

Through NIH HEAL Initiative, Dr. Scott Walters and colleagues accelerate fight against the nation’s opioid crisis

Four years ago, the National Institutes of Health introduced the unprecedented HEAL Initiative to address the nation’s public health crisis of opioid misuse, addiction and overdose. More than $2 billion has been invested in 1,000 research projects to date, spanning basic and clinical research ...
Wellest Team
  • On Campus
|Dec 6, 2022

Wellest Inc. founder Dave Sekowski partners with HSC faculty through Techstars program

For Dave Sekowski, founder and CEO of Wellest Inc., the road to wellness has not been easy. Growing up with limited access to healthy food and education about health and nutrition, he struggled with childhood obesity. “I had to take it upon myself to figure it out,” Sekowski said. “I joined...
IHI Banner
  • Patient Care
|Dec 6, 2022

TCOM leadership presents patient safety course to 2022 IHI forum

The Texas College of Osteopathic Medicine’s innovative patient safety course and how to incorporate it into an academic curriculum was on display at the 2022 Institute for Healthcare Improvement Forum in Orlando, Florida.  Frank Filipetto, DO, CPPS, FACOFP, dean of TCOM, and Lillee Gelinas DNP...
Stephanie Ibekwe
  • Our People
|Dec 5, 2022

A voice for women in medicine

When Dr. Stephanie Ibekwe’s mother, Sarah, came home from her nursing job, she would tell her daughter stories about her patients and the conversations she had with them. “Nursing is pretty stressful, but my mom had an amazing way of handling things,” she said. “My mom really loved to bui...