dci 54 generaluse3

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Copyright 2006 by Phoenix House Foundation, Inc.(All rights reserved.)

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Dimensions of Change Instrument (DCI)

Please mark whether you agree not at all, alittle, somewhat, a great deal or completelywith each statement below. Mark only one

box on each row. Not at All A Little Somewhat

A Great

Deal Complete

1. Program meetings are helpful to therecovery of people in treatment here.

2. Its important to have male and femalefriends.

3. When people confront me in groups, ithelps me understand my problemsbetter.

4. Encounter groups are helpful to therecovery of people in treatment here.

5. People in treatment here take an active

part in things like groups anddiscussions.

6. When I need something I go through thestructure.

7. People in treatment here listen to eachother when they need to talk about theirfeelings.

8. Requirements for program completionare clear.


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Please mark whether you agree not at all, alittle, somewhat, a great deal or completelywith each statement below. Mark only onebox on each row. Not at All A Little Somewhat

A GreatDeal Complete

9. Making the program work requires

everyone to do their share of work.

10. This program is a safe place for peoplein treatment here.

11. I support other people in treatment hereduring encounter group.

12. Keeping my room neat is an importantpart of being a good community member.

13. I feel responsible for other people in theprogram.

14. People in treatment here can support

one another despite conflict.

15. I believe I should do every job I am givento the best of my ability.

16. There are people in treatment here withwhom I can share my feelings.

17. It is safe for people in treatment here toshare their innermost feelings.

18. I share my experiences to help others.


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19. I use the group process to talk about my

personal problems.

20. People in treatment here give advice toeach other.

21. People in treatment here enjoy their workor school.

22. There is a clear understanding here ofwhat this treatment program is all about.

23. People in treatment here know what isexpected of them.

24. People in treatment here take pride in

this program.

25. This program is helpful overall to therecovery of people in treatment here.

26. When I've broken a rule, I admit it toother people in the program.

27. The structure and order here make mefeel safe.

28. I recognize how negative behaviorsaffect the community.


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29. What happens to me today depends on

me.

30. I think of myself as a person who can livewithout any alcohol or drugs.

31. I can do just about anything I really setmy mind to today.

32. There are people outside the program tohelp me understand a problem.

33. I feel it is good to look inside myself.

34. I can distinguish between right andwrong behaviors in myself.

35. My attitudes, feelings, or behaviors cancause problems with my relations withother people in treatment here.

36. I feel more able to change my behaviorsnow.

37. I feel that I have a number of goodqualities.

38. I can change many of the importantthings in my life by working on themtoday.


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39. I am committed to right living.

40. There are people outside the program tolove and make me feel wanted.

41. I try to understand myself.

42. I pay attention to what I am feeling.

43. My attitudes, feelings, or behaviors cancause problems with my physical health.

44. Today, when I feel like using alcohol ordrugs I choose not to.

45. My attitudes, feelings, or behaviors cancause problems with going to school orvocational classes.

46. I feel that I am a person of worth, at leaston an equal basis with others.

47. I spend time thinking about my feelings.

48. My attitudes, feelings, or behaviors cancause problems with my relations withfamily.


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49. When I must make a decision, I carefully

think over the options andconsequences.

50. I am able to control myself in situationsthat make me angry.

51. I have much to be proud of.

52. My attitudes, feelings, or behaviors cancause problems with my attention andconcentration.

53. There are people outside the program tohave a good time with.

54. I believe that being honest with myself isvery important.


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Appendix A

Item content of 8 DCI factors

Community Responsibility

Making the program work requires everyone to do their share of work

Keeping my room neat is an important part of being a good community member

I believe I should do every job I am given to the best of my ability

I recognize how negative behaviors affect the community

Clarity and Safety

Requirements for program completion are clear

There is a clear understanding here of what this treatment program is all about

People in treatment here know what is expected of them

This program is helpful overall to the recovery of people in treatment here

This program is a safe place for people in treatment here

The structure and order here make me feel safe

Group Process

Program meetings are helpful to the recovery of people in treatment here

Encounter groups are helpful to the recovery of people in treatment here

I share my experiences to help others

When people confront me in groups, it helps me understand my problems better

I support other people in treatment here during encounter group

I use the group process to talk about my personal problems

Resident Sharing, Support and Enthusiasm

There are people in treatment here with whom I can share my feelings

People in treatment here take an active part in things like groups and discussions

People in treatment here enjoy their work or school

People in treatment here take pride in this program

People in treatment here listen to each other when they need to talk about their feelings

People in treatment here can support one another despite conflict

People in treatment here give advice to each other

It is safe for people in treatment here to share their innermost feelings

Introspection and Self-management

I try to understand myself

I pay attention to what I am feeling

I spend time thinking about my feelings

I have much to be proud of

I can distinguish between right and wrong behaviors in myself

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When I must make a decision, I carefully think over the options and consequences

I am able to control myself in situations that make me angry

Positive Self-Attitude and Commitment to Abstinence

I think of myself as a person who can live without any alcohol or drugs

I am committed to right living

I feel that I have a number of good qualities

I feel that I am a person of worth, at least on an equal basis with others

I can do just about anything I really set my mind to today

I can change many of the important things in my life by working on them today

I feel it is good to look inside myself

I feel more able to change my behaviors now

I believe that being honest with myself is very important

Problem Recognition

My attitudes, feelings, or behaviors can cause problems with

...my relations with other people in treatment here

...my physical health

...going to school or vocational classes

...my relations with family

...my attention and concentration

Social Network

There are people outside the program to

...help me understand a problem

...love and make me feel wanted

...have a good time with

Note. This 8-factor solution excludes six of the 54 DCI items.

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References

1. Orlando, M., Wenzel, S.L., Ebener, P., Edwards, M.C., Mandell, W., & Becker, K. (2006) Thedimensions of change in therapeutic community treatment instrument. Psych. Assessment 18(1), 118-122.

2. Edelen, MO, Tucker J S, Wenzel S L, Paddock S. (2007) Treatment process in the therapeuticcommunity: associations with retention and outcomes among adolescent residential clients. Journal of

Substance Abuse Treatment, 32, 415-421.3. Paddock, SM, Edelen, MO, Wenzel, SL, Ebener, P, Mandell, W, Dahl, J. (2007) Measuring changes in

client-level treatment process in the therapeutic community with the dimensions of change instrument.American Journal of Drug and Alcohol Abuse, 33 (4) 537-546.

4. Mandell, W, Edelen, MO, Wenzel SL, Dahl, J and Ebener P. (2008) Do dimensions of therapeuticcommunity treatment predict retention and outcomes? Journal of Substance Abuse Treatment, 35(3),223-231.

5. Edelen, MO, Miles, JN, Osilla, KC, Wenzel, SL (2008) Further validity evidence for the dimensions ofchange in therapeutic community treatment instrument. American Journal of Drug and Alcohol Abuse,34(3), 285-292.

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