Table 6.

Therapist adherence rating scale items

Item	Description
RPMG subscale
1. Warmth/interest	Nonverbal indication of therapist’s concern and interest
2. Empathic understanding	Accurate verbal reflection of affective experience
3. Foster insight	Exploratory approach to addressing problematic situation
4. Foster relational skills	Examine issues concerning interpersonal relationships
5. Foster parenting skills	Examine issues concerning parenting
6. Maintain focus	Maintain discussion focus on session topic
7. Paraphrase succinctly	Identify and clearly state core themes of discussion
8. Appropriate boundaries	Maintain structure, order, and professional stance
DC subscale
1. Expert stance	Therapist assumes expert role as an authority on all issues
2. Confrontational strategies	Direct/explicit questions and probes about drug use
3. Focus on abstinence	Maintain focus on abstinence goals and strategies
4. Focus on drug-free lifestyle	Maintain focus on substitute activities for drug use