Vol. 29 No. 2 (2025): December 2025

The Influence of Counselor Competence and Rehabilitation Program Quality through Learning Motivation on Client Compliance at the BNN Tanah Merah Rehabilitation Center

Authors

DOI: 

https://doi.org/10.46984/sebatik.v29i2.2682

PDF

Keywords: 

Client Adherence, Counselor Competence, Learning Motivation, Program Quality, Rehabilitation

Abstract

Client adherence during drug rehabilitation remains a critical issue in ensuring effective recovery outcomes in Indonesia. This study investigates the effects of counselor competence and rehabilitation program quality on client adherence, considering learning motivation as a mediating factor. The research was carried out at the Tanah Merah Rehabilitation Center of the National Narcotics Board (BNN) using a quantitative design and path analysis. The results indicate that both counselor competence and program quality significantly increase learning motivation, which subsequently enhances client adherence. Counselor competence directly affects adherence, while program quality influences it indirectly through learning motivation. The determination coefficient (R²) of 0.712 indicates that the proposed model explains 71.2% of the variation in client adherence. These findings emphasize the importance of strengthening counselor competence and developing rehabilitation programs that cultivate learning motivation as key strategies to improve adherence and achieve better recovery outcomes.

References

Agley, J., Gassman, R., Reho, K., Roberts, J., Heil, S. K. R., Castillo, G., & Golzarri-Arroyo, L. (2024). Continuous Quality Improvement in the Substance Abuse and Mental Health Services Administration’s Technology Transfer Center Network: A Process Evaluation. Evaluation and the Health Professions, 47(2),154–166. https://doi.org/10.1177/01632787241234882

Albert, J. M., Cho, J. I., Liu, Y., & Nelson, S. (2019). Generalized causal mediation and path analysis: Extensions and practical considerations. Statistical Methods in Medical Research, 28(6), 1793–1807. https://doi.org/10.1177/0962280218776483

Capoccia, V., Mccarty, D., Turner, J. W., & Searcy, C. M. (n.d.). The Status of Quality Standards and Quality Improvement Content in Specialty Addiction Studies Programs: What our learners are exposed to-The Status of Quality Standards and Quality Improvement Content in Specialty Addiction Studies Programs: What Our Learners are Exposed to?

Dacosta-Sánchez, D., González-Ponce, B. M., Fernández-Calderón, F., Sánchez-García, M., & Lozano, O. M. (2022). Retention in treatment and therapeutic adherence: How are these associated with therapeutic success? An analysis using real-world data. International Journal of Methods in Psychiatric Research, 31(4). https://doi.org/10.1002/mpr.1929

Faulkner, C. A., & Faulkner, S. S. (2019). Addictions counseling : a competency-based approach. Oxford University Press.

Izaac, F. A., Violita, F., Masyarakat, I. K., & Masyarakat, K. (n.d.). Analisis Faktor Kontributor Kepatuhan Pasien Napza Dalam Menjalani Proses Rehabilitasi Di Badan Narkotika Nasional Provinsi Papua (Vol. 15).

Li, C., & Song, G. (2022). A Qualitative Study of Drug Treatment Conformity Behavior among Young Drug Users Who Are in Recovery in China. International Journal of Environmental Research and Public Health, 19(22). https://doi.org/10.3390/ijerph192214832

Miller, W. R., & Rollnick, S. (2023). Motivational Interviewing: Helping People Change and Grow (4th ed.). The Guilford Press.

Nováková, E., Volfová, A., Miovský, M., & Lososová, A. (2024). Review of competency-based models and quality standards in training and education in the addiction field. In Journal of Substance Use. Taylor and Francis Ltd. https://doi.org/10.1080/14659891.2024.2417397

Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social Learning Theory and the Health Belief Model. Health Education Quarterly, 15(2), 175–183. https://doi.org/10.1177/109019818801500203

Ryan, R. M., & Deci, E. L. (2020). Intrinsic and extrinsic motivation from a self-determination theory perspective: Definitions, theory, practices, and future directions. Contemporary Educational Psychology, 61. https://doi.org/10.1016/j.cedpsych.2020.101860

Substance Abuse, & Administration, M. H. S. (2023). Addiction Counseling Competencies: The Knowledge, Skills, and Attitudes of Professional Practice (Issue TAP 21, HHS Publication No. SMA12-4171). Substance Abuse and Mental Health Services Administration. https://library.samhsa.gov/sites/default/files/sma12-4171.pdf

Tesalonika Panggabean, V., & Utama Ritonga, F. (2025). Krepa: Kreativitas Pada Abdimas. Cahaya Ilmu Bangsa, 5. https://doi.org/10.9765/Krepa.V218.3784

Thompson, R. A., Johnson, D., Ashworth, M., & Stott, M. (2024). Establishing Quality and Outcome Measures for Recovery Housing: A Tiered Approach Supporting Service Evolution. Community Mental Health Journal, 60(4), 681–690. https://doi.org/10.1007/s10597-023-01219-6