Chapter five addresses different individual treatment strategies and how these strategies can assist the recovery process of substance abuse clients. The strategies are not mutually exclusive and could be combined to increase treatment efficacy. In recent times, insurance providers have considerably reduced treatment time for substance abuse. Therefore, counselors assisting clients in their recovery process need to make use of the most modern and efficient counseling techniques so the client can rehabilitate within the time frame established by the health insurers. Furthermore, the type of treatment is defined by the insurance company and the treatment decision is based on the medical model. Regardless of treatment type or strategy, an individual …show more content…
The two main reasons for using this therapy approach is to move the addict in the direction of making a positive change toward recovery, and to resolve ambivalence by increasing internal motivation and increasing self –efficacy. Motivational interviewing principles are: express empathy; roll with resistance; develop discrepancy; support self-efficacy; avoid argumentation. Gaining confidence in one’s self, or self-efficacy, is necessary so the client can develop an optimistic attitude toward recovery. Cognitive-behavioral therapies helps individuals self-restrain through self-control training. In addition, this therapy approach is effective teaching skills for coping with difficult or stressful situations, and strategies for relapse prevention. Mindful techniques held individuals acquiring control over stress and undesirable feeling that could lead to relapse. Such control is achieved through practicing “being in the moment” and meditation. Those skills allows regulation of compulsive thoughts. Pharmacotherapy uses prescription drugs for detoxification, and reducing craving and withdrawal symptoms of certain drugs. The chapter also go in details about the broad spectrum strategies mentioned above and they improve specifics areas of an individual’s life that is not impacted by the direct effect
The case scenario is of a homeless young guy named Jim who appears to have an intellectual disability. Jim is addicted to marijuana and abuses alcohol and has suicidal thoughts. He has anger control issues where he is known to verbally threaten others. He currently has a counsellor who he had established a therapeutic relationship. From these sessions, the counsellor has learned that Jim had been physically abused by his stepfather. From reading this case scenario about Jim, it is evident that he would benefit from several different approaches or interventions including motivational interviewing and cognitive behavioural therapy.
The definition of motivational interviewing (MI) has evolved and been refined since the first publications on its use as a way to deal with behaviour change. The technical therapeutic definition of motivational interviewing is a collaborative, and goal oriented method of communication with giving specific observation to the language of change. It is intended to reinforce an individual’s motivation for and development towards a particular objective by evoking and investigating the individual's own arguments for change (Miller & Rollnick, 2012). Motivational interviewing was created to enable clients to prepare for changing addictive behaviours like drug and alcohol abuse (Miller & Rollnick, 1991, 2002) and has been viable to lessen other harmful behaviours including tobacco, drugs, alcohol, gambling, treatment
What is Motivational Interviewing? Motivational interviewing (MI) is a patient-centered method for enhancing intrinsic motivation to change health behavior by exploring and resolving ambivalence. What will be discussed is how can organizations help the patients change negative behavior to a positive behavioral change, diminishing the lack of motivational behavior. (Miller & Rollnick, 2002) states that we have to help clients overcome their ambivalence or lack of motivation toward changing their behavior in positive way. Also, figuring out a solution on how to overcome this negative behavioral challenge of lack of intrinsic motivation to change. How will we overcome it? by focusing on the MI (Motivational Interviewing) approach, and finding
In the book, Addiction & Grace: Love and Spirituality in the Healing of Addictions, May explores how addiction develops and can be treated from a psychological, physiological, and spiritual standpoint. This theme is clearly shown through out the text as it shows addiction from a whole person view. The book covers the development of addiction from desire through the experience of addiction. The key focus on looking at the matter of addiction from multiple stand points in then broken down by explaining how addiction is an issue psychologically, physiologically, and spiritually. By focusing on these three areas the author is able to present the reader with a clear understanding of addiction from all sides of the problem. This is then followed by insightfully exampling the treatment process, specifically through grace as a key focus of overcoming addiction.
Relapse prevention can be defined as the set of designed coping skills or tools that can be utilized to reduce the chances that the user will resort back to unhealthy behavior or get worse through continued substance use. Knowledge or skills for relapse prevention include; identification of early signs of relapse, identifying and singling out high risk factors for a possible relapse, how to make wise daily choices that won’t lead the client back to drug abuse, and implementing early coping strategies to avoid relapse (Sofuoglu, 2010).
The traditional, abstinence-focused addiction treatment believes that recovery is only possible if the addictive substance is completely removed from the life of the individual it affects. This model is rooted in the concept of addiction as a progressive, chronic and fatal disease that emphasizes inevitable
Cognitive behavioral therapy or CBT combines both psychotherapy and behavioral therapy, in a goal-oriented treatment that attempts to change the patterns of thinking or behaviors. CBT is used to treat a wide variety of issue’s that a client may face, including substance abuse, anxiety, and/or depression. First introduced in the 1960’s by Aaron Beck who at the time noticed that clients appeared to have internal dialogues that appeared negative in nature (Martin, 2016). Beck would pick up that these negative thoughts were unrealistic in nature and attempt to dissuade the client from continuing with them and to develop strategies to address these thoughts. CBT is accomplished through short-term treatment, ranging from five to ten months on a weekly basis (Martin, 2016). The goal in utilizing CBT is to “increase control over problematic sexual interests and to equip them with the skills and attitudes necessary to achieve their goals in health and prosocial ways (Murphy, Bradford, Fedorff, 2014)”. Relapse prevention, in which our textbook briefly states as a learning to accept mistakes (Levine, 2016, p.175) does not appear to delve deeper into the treatment that is relapse prevention. In another search of this treatment method, goals of relapse prevention attempt to “identifying, anticipating, and coping with triggers that may lead to a potential relapse or re-offense (Murphy, Bradford, Fedorff,
Within this paper there will be an examination of core Biblical principles through exploring Motivational Interviewing (MI) and Alcoholics Anonymous (AA) 12 STEPS for treating individuals battling addictive behaviors and dependence. Also discussed in great detail and scriptural support is the importance of fostering healthy relationships, maintaining a strong sense of self-awareness, developing the ability to know one’s existing problems, and the value of having a dependency on God. The author will integrate a Biblical Worldview and examine the implications of incorporating a 12 STEP program and MI into counseling and the best avenue to utilize them with Non- and Christians alike. This paper closes with the writer’s personal reflections, considerations and revelations from the research done for this paper.
There are several different ways to approach substance abuse therapy but the approach must be fitting to the client and the client’s needs. The main goal of substance abuse counseling is to prevent the client from using harmful substances in excessive and potentially dangerous ways. A major portion within the therapy itself is relapse prevention. Relapse prevention is aimed at counseling the individual in such a way to prevent future relapse. The relapse prevention technique also helps the client to discover any underlying issues that may have caused them to start using drugs and alcohol in the first place. Substance abuse counseling focuses on the whole counseling technique, not just the small area of substance abuse. Because substance abuse is frequently related to other life issues, the counseling takes a more broad focus to not only help the client recover from their addictions but also to solve mental, emotional, occupational, and family issues as well. There is a growing need for substance abuse counseling in today’s society because of the more prevalent presence of drugs and alcohol. It is important to understand the different counseling techniques for substance abuse clients because of the growing number of clients in need.
Motivational interviewing (MI) is a psychotherapeutic client-centered intervention which helps clients build intrinsic motivation to change. Micro skills (e.g., open ended questions, reflective listening, using affirmations, summarizing the client’s comments) and strategies (e.g., increasing client awareness of the problem, creating discrepancies from client’s current behavior to stated goals or values), are utilized by the clinician to understand the client’s perception of their problem, help the client explore ambivalence to changing the problem behavior, and to indicate discrepancies in the client’s behaviors and stated goals. MI approaches have been adapted for people with serious mental illness and substance use disorders. The rationale for utilizing MI approaches with integrated treatment of mental illness and substance abuse is supported by studies that demonstrate: improved retention in treatment and substance abuse outcomes, positive change in client self-efficacy, and enhanced relationships. MI has also been shown to improve engagement in treatment via increasing client attendance at initial sessions and examining the client's desire for continued treatment. These studies are encouraging but there is a need for further research. This paper concludes by considering future research opportunities on specific interventions for co-occurring disorders.
In conclusion there are many interventions and strategies available to persons who suffer from drug abuse. Treatment for individuals who suffer from substance abuse must be unique and tailored made to fit the client’s needs. Clients can use group or individual counseling as well as self-help groups as possible interventions. Relapse can occur in any client’s quest to sobriety but once clients know the stages they can better prepare to fit against the symptoms and warning signs. Staying sober can be a lifelong process but with counseling and knowledge any person who suffers from addiction can break free from its grips.
Motivational interviewing is based on a client centered approach to therapy that uses open-ended questions, affirmation, reflective listening and summaries to help the client recognize the pros and cons of change and their reasons for resisting change thereby eliminating their ambivalence about change. Once the client deals with their ambivalence the Miller and Rollick believe that the client will be able to make the necessary changes. In addition, motivational interviewing gets the client to argue for change not the counselor. Furthermore, the client not the counselor is responsible for their progress.
Despite the higher cost, a high-end substance abuse treatment center does not constitute better treatment. The support of therapists, counselors, family, friends, and peers can all be important factors in the recovery process. The most significant factor for an individual in the recovery process is a desire and a willingness to change. Many options exist for individuals that want to recover from addiction. These options include substance abuse rehabilitation centers and support groups such as Alcoholics Anonymous and SMART Recovery. These programs all have the same goal but use different techniques that at times even contradict other programs. Although the approach of the programs may vary, they have all been proven to work for certain individuals.
Motivational interviewing is a more direct, client-centered approach, and is best used for clients who are showing a great deal of uncertainty about change. The goal of motivational interviewing in human service work is to help resolve the client’s uncertainty about change, encourage change in the client’s life, and motivate the client into change. This is a short term interviewing skill used to gauge where the client is at in the counseling process and where to go forward from there.
A full spectrum of rehab services with the detox along with a continuation of treating the psychological aspects of the abuse is needed. A study in the Journal of Substance Abuse Treatment suggests that usage of these programs tends to decrease over time. At first, people want and need the help. As they grow more confident of their ability to handle challenges, they tap into these resources less frequently. They are, however, considered a vital part of the recovery process. The disease of Alcoholism is a tragedy and a huge problem in America that often gets overlooked. In reality it’s negatively affecting many lives and more awareness needs to spread