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This chapter describes the Marijuana Check-Up (MCU), a low-cost and low-demand intervention designed to attract adult marijuana users who are experiencing some negative consequences but who are not necessarily committed to change. The Drinkers' Check-Up (DCU) provided a model for the MCU, but adapting it for marijuana users required considerations on how to promote or market it, the nature of the assessment data and its presentation in the personal feedback report (PFR), and therapeutic issues unique to marijuana. The chapter reviews these issues and describes the decisions made in constructing the initial version of the MCU. Therapists were trained to use motivational interviewing techniques as the PFR was reviewed with the client. Offering a MCU raises several clinical issues that are relatively specific to marijuana-focused interventions and a potential ethical dilemma related to "check-up" studies in general.
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