Motivational Interviewing is a technique of client-focused therapy that is concentrated on identifying and resolving ambivalence to achieve change. This technique is highly utilized in various therapeutic settings and is shown to be effective with a myriad of populations. Over the past twenty years, approximately, there has been a shift toward establishing therapeutic modalities that are centered on the concept of problem-oriented goal attainment that is structured and dictated by the strengths and existing network of the client. This focus on intrinsic motivation has offered modalities that are easily adaptable across settings and produce a positive return on investment for patients. It has been suggested that these forms of treatment offer
Members of the treatment centre do not only have trouble with substance abuse but may have another problem along with it such as depression. Due to this, the therapeutic community model is the main model used because it is holistic. This model is also the main model used because the program not only focuses on helping individuals recover from substance abuse but also help them be able to become employed or go back to school when they set back out into the world. According to Mr. Jurawan, the centre wants to ensure individuals are able to get back up on their feet and have a better life.
For the last six years, I have been working in the substance abuse industry in both inpatient and outpatient settings. It would be fair to say that most people that are in need of substance abuse treatment have a co-occurring disorder such as depression, bipolar disorder, schizophrenia, and anxiety. These people are diagnosed by a psychiatrist or medical doctor and are typically given medication to help the patient.
Triggers commonly cause clients to relapse and it is important for the development of self-advocacy. This advocacy can be developed by the transformation of thought through rigorous evaluation and understanding of thinking errors and cognitive distortions. CBT works towards skill building with a variety of tools and is effective because of its ability to adjust to meet the client’s needs while documenting progress. The program’s success comes from the implementation of CBT and a combination of other approaches. In alcohol and drug counseling, a client-centered approach has proven to be one of best practice. CBT can be used in partnership with many kinds of approaches to meet the client 's needs. Specific agencies such as Meridian Behavioral Health utilize Health Realization as their primary model of practice but also heavily use CBT because both practices work well together and often overlap in practice. CBT is the recognition of thought through evaluation and meditation. HR practices the three principles which are 1. Mind or intuition e.g. the intelligent, animating force that makes us alive or intelligence of all things. 2. Thought e.g. the understanding that thought dictates experiences which make you aware. 3. Consciousness e.g. understanding that you are deeper than your thoughts and consciousness being the intelligence that guides us without thought. “We go through life thinking; thought is the main catalyst that brings reality to us.” (Video: Sydney banks talks about the Three Principle 2010). Studies have shown results of CBT last long after the treatment itself and are further strengthened by the use of medications with the partnership of psychologists and psychiatrists during and after
D: Client was on time for intake appointment. Together, discussed the assessment recommendation and barriers to successful treatment outcomes. Client reviewed and signed of all treatment admission paperwork, including treatment agreement, ROIs, THS treatment policies, THS alcohol drug Services patient rights, THS patient responsibilities, THS health and safety information, THS counselor disclosure information, patient grievance procedures, THS HIV/AIDS information, THS notice of privacy practices, referral to Quit smoking, and marijuana policy. Treatment plan was developed, which was focused on Dim 4, 5, and 6; focusing on developing readiness to change, identifying relapse potential, and building a strong family and social support system.
Ms. Lewis was referred by Maricopa county correctional health services to receive an evaluation for potential to transfer to the mental health unit. She was serving a 10-year sentence for manufacturing and possession of illegal substances. She had served 1-year of her sentence and reported symptoms of anxiety, obsessive rumination, and sleep disturbances.
Fresno County is located in the central regions of California (CA). Current estimates put the population at around 965,000 which represents a huge 20% increase over the last 14 years. Most of the population growth came from the Hispanic and Asian communities, which now represent over 33% of the total population. Given the County 's proximity to both Sacramento and Los Angeles, they too suffer from a large number of crimes and death related to drug abuse and addiction.
The initial screening tools as well as the assessment process will determine the level of treatment that is required for the client system. O 'Hare (2005) asserts that there are five major areas that are the emphasis on in the substance-focused assessment. These area of focus include identifying what substances are use, how much and how often; precipitating factors appear to be associated with problem usage; and consequences (acute and chronic) of substances use across physiological, psychosocial and health domains.
Over the past few years, there has been a significant increase in maternal opioid use. Opioid use during one’s pregnancy can result in Neonatal Abstinence Syndrome (NAS). Data drawn from 28 states in America show that the overall NAS incidences in those states has increased 300% from 1999–2013 (CDC). Babies born with this syndrome are at a high risk of being born too small and underweight (MOD). The baby’s overall health is drastically affected when a woman chooses to use drugs while knowingly pregnant. The federal government should address the growing epidemic of Neonatal Abstinence Syndrome by increasing the funding for social awareness and treatment, by creating a specific program for women who are addicted to opioids before becoming
Abuse of prescription narcotics causes loss of family relations, income, and self-esteem for the addict and causes an economic burden on American society. The abuse of prescription narcotics is fast becoming an epidemic in the United States. According to the article “Opioid Abuse and Addiction,” the number of individuals abusing prescription narcotics increased from “7.8 million in 1992 to 15.1 million in 2003” (Gupta and Christo 132). Abuse is defined as the use of a prescription narcotic without having a legal prescription for that narcotic or failure to take the narcotic as directed by the prescribing physician. Most prescription narcotic addicts do not begin their addiction by buying illegal pharmaceuticals
This paper will outline what my motivation was for choosing Drug and Alcohol Counseling as a career, my understanding of transference and countertransference as well as how to avoid countertransference and set healthy boundaries to prevent countertransference if a client were to exploit my motivating passion.
137) that emphasizes a personalized approach that centers on meeting the specific needs of the affected individual and their community. Harm reduction facilitates engagement and encourages consumers to interact with treatment providers while they are actively using substances and engaged in high-risk behaviors. Because helping marginalized populations “stay alive and healthy” (Tatarsky and Marlatt, 2010, p.118) is the foremost goal of the movement, offering low-threshold services is considered the foundation for subsequent therapeutic interventions at a point in time when the client is receptive to them. Marlatt, Larimar, and Witkiewitz (2012) have identified eight fundamental principles that characterize harm
Recruitment materials will consist of beginning a database with all interested participants in this study. In order to select 200 participants, the Diagnostic and Statistical Manual will be used to diagnose potential participants with heroin dependency addition. In order to effectively measure secondary outcomes, there will be individual assessments used at the beginning and conclusion of the treatment chosen. The European Addiction Severity Index will be used for all participants before and after the treatment. (Blacken, Hendriks, Pozzi, Tempesta, Hartgers, Koeter, & Fahrner. 2015) This Index is designed to provide additional diagnostic information on the specific client. This includes the severity of substance-related problems as well as an assessment of how resistant to change the client is to predict treatment outcomes. The specific domains measured in this assessment include, current medical status, amount of chemical and illicit drug use, employment, and finally overall psychological stability. Administration of this assessment is 30-45 minutes for a skilled technician. Scoring takes 5
Taking a skills training approach, I train my clients in self-hypnosis, what are essentially self-help techniques. The techniques used are based on validated research findings, which reveal that problems or disturbances are consequences of destructive and problematic forms of self-hypnosis. Self hypnosis is that internal chattering or self-talk which we all experience in our minds. It can be referred to in a number of ways including cognitions, autosuggestion, self-talk, self-suggestion, self-statements, self-instructions, automatic thoughts etc.