The Seven Challenges® Comprehensive Counseling Program: Effectiveness for Adults with Substance Use Problems

Josephine D. Korchmaros

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

This study examined the acceptability and effectiveness of The Seven Challenges®, a comprehensive substance use counseling program focused on decision making, compared with commonly provided, or “standard,” cognitive-behavioral substance use treatment implemented with a focus on abstinence. Results, based on data from 71 adult drug court clients, indicated higher acceptability of The Seven Challenges than standard cognitive-behavioral treatment as reflected in treatment satisfaction, honesty, and disclosure, as well as perceived impact of treatment. Results also showed that The Seven Challenges was as effective as standard cognitive-behavioral treatment at improving vocational engagement and was more effective at reducing substance use, related problems, and internal mental distress. The Seven Challenges was also effective at reducing criminal activity, whereas clients of the standard cognitive-behavioral treatment appeared to increase criminal activity. These findings strengthen the existing evidence base of The Seven Challenges as a comprehensive counseling program addressing substance use, mental health problems, and criminality.

Original languageEnglish (US)
Pages (from-to)590-607
Number of pages18
JournalJournal of Drug Issues
Volume48
Issue number4
DOIs
StatePublished - Oct 1 2018

Keywords

  • The Seven Challenges
  • adult
  • mental health
  • substance abuse
  • treatment

ASJC Scopus subject areas

  • Health(social science)
  • Medicine (miscellaneous)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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