Introduction. Clients with substance abuse issues are growing at a high rate. These clients can come in to an environment where they are told to go seek treatment for their substance abuse, or they are not even told to seek treatment but they do anyway. The clients that are less motivated are often thought of as people that do not care and so they are pushed aside from those that are willing to come to treatment. This paper is going to focus on engaging clients who have a substance abuse diagnoses using Motivational Interviewing as a way to engage them in the beginning stages of treatment. These clients could be coming into either an outpatient or inpatient setting; however, the articles I chose focus on an outpatient setting. Motivational Interviewing (MI) is a tool that has been used for many decades. According to Motivational Interviewing by Hettema, Steele and Miller “Motivational interviewing (MI) was developed as a way to help people work through ambivalence and commit to change (Miller 1983). An evolution of client-centered therapy, MI combines a supportive and empathetic counseling style (Rogers 1959) with a consciously directive method for resolving ambivalence and direction of change.” MI is used only briefly, usually is one or two sessions with the client. The goal of MI is for the client to build motivation in order for themselves to make a change. The counseling profession expresses that the counselor is not the one making the change, but the client is the one who seeks to change themselves. MI requires the counselor to listen more as opposed to telling the client what to change. This approach seeks to have the client find their own motivation for change within themselves. This research is focusing on substanc... ... middle of paper ... ... because the participants are challenging and resistant. There was no strategy conducted to counteract them. The study looked at each participants demographic and substance use in each evaluation, and it also analyzed the percentage of participants who returned for one or more appointments after the evaluation. The study found that more participants, who were in the MI group, came for at least one more session after their assessment. The study documented that 59.3% of participants who received MI came to their next appointment, as opposed to only 29.2% in the standard evaluation group. Participants in the MI group continued to come back at a higher rate than those that received the standard evaluation after the first appointment. This suggests that MI is more effective in engaging clients at the assessment time, and possibly after that when continued in treatment.
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.
Steinglass, P. (2008). Family Systems and Motivational Interviewing: A Systemic-Motivational Model for Treatment of Alcohol and Other Drug Problems. Alcoholism Treatment Quarterly, 26(1/2), 9-29. doi:10.1300/J020v26n01_02
Coronary heart disease is a common term for the build-up of plaque in the heart’s arteries that could lead to heart attack (Coronary Heart Disease, 2017). Furthermore, there are many known coronary heart disease factors that can be controlled. These are high blood cholesterol, high blood pressure, diabetes and pre-diabetes, obesity, smoking, lack of physical activity, unhealthy diet and stress (Coronary Heart Disease Factors, n.d). The techniques of motivational interviewing are more persuasive than coercive and more supportive than argumentative. The motivational interviewer must advance with a firm sense of purpose, clear methods and skills for seeking that purpose, and a sense of timing to mediate in specific ways at quick brief periods of time (Miller and Rollnick, 1991). The clinician uses motivational interviewing on account of four general principles in mind. The key principles are to express empathy, avoid argument, roll with resistance and support self-efficacy (Treatment, C. for S. A.,
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
The Motivational Interviewing film was very informative. I was able to get a clear understanding of what is to be expected by the therapist during a session. The film explained the therapist should engage in reflective listening, develop a growing discrepancy, avoid arguing with clients, roll with resistance and support self-advocacy. Miller believed that this approach was far more effective than traditional methods, where the therapist pushed for change. In contrast, Miller explained that motivational interviewing focused on empowerment and helping clients to become motivationally driven to change. Also, Miller stressed the importance of working alongside clients, a term he referred to as dancing. The process in which the client leads
Therefore, when I work with substance abusers I will show empathy, encourage and validate their successes and their feelings about any failures. In addiction, I will help the person learn from their failures and normalize the situation. Furthermore, I would attempt to ensure that the person had several coping strategies in place, to help when he or she finds themselves in a difficult situation. Moreover, I intend to ensure the client has all the tools he or she needs to succeed while getting to the root of their problem through counseling.
The first part of this essay will be based on discussing the Egan Model and the Motivational Interviewing Models separately; describing what they are and how they work. Then a discussion on how they compare and how the models can be integrated into each other.
Motivation is often one of the primary obstacles in getting an individual to engage in the recovery process. Having worked in both inpatient and outpatient treatment facilities, I have experienced both motivated clients and unmotivated clients. Motivated clients enter treatment looking to change their lives. Those who are motivated have acknowledged that their lives have become unmanageable and are looking to recover. By entering treatment they are seeking professional assistance to help them overcome their addiction and get their lives back on track. The unmotivated clients may not in be denial about their problems, but quite frankly do not care at all about change and are only seeking a “break”
Ukachi, Madukwe Ann. "Motivational Interview; Evidence Based Strategy In The Treatment Of Alcohol And Drug Addiction." IFE Psychologia 21.3-S (2013): 174-196. Academic Search Complete. Web. 13 Feb. 2014.
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.
Substance abuse disorders are common in our society. It is a disorder that each one of us will most likely experience through a family member, friend, or our self. I felt very drawn to this topic due to the fact that I have a family that has background of substance abuse and I myself have battle the demon. Not until I struggled with my own addiction did I become more tolerable and understanding to those that have a substance abuse disorder. Substance abuse is not something anyone wants to have; it is a disorder that takes control of a person’s life. It is a beast that tears a person apart; from their being to the lives of their loved ones. This disorder is not biased in anyway; rich or poor, male or female, employed or unemployed, young or old, and any race or ethnicity” (E Not Alone).
The chances are that we all know or have loved ones with an addictions to either drugs or alcohol. Still today, one of the biggest challenges is being able to talk to that person about their addiction. Even though I personally have not had the opportunity to speak to a loved one or acquaintance about an addiction. Research shows when confronting a person with a problem; it takes preparation, patience, and being totally honest with that individual. Talking to someone with a dependency is something that most people avoid because people like myself would not want others mending in our lives; we, even, tend to believe that it is not our problem how much our f...
Counseling Psychology is a specialty within the professional psychology that maintains a focus on facilitating personal and interpersonal function across the life span. Those who are Counseling Psychology focuses on the clients emotional, social vocational, education health-related, developmental, and organizational concerns.
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.
Westra, H., & Aviram, A. (2013). Core skills in motivational interviewing. Psychotherapy, 50(3), 273-278. doi: 10.1037/a0032409