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
Smyth, N. (1994). Addictions counseling: a practical guide to counseling people with chemical and other addictions/The addiction process: effective social work approaches/Clinical work with substance-abusing clients (book). Social Work, 39(5), 616.
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
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
Richard A. Brown, David R. Strong, Ana M. Abrantes, Mark G. Myers, Susan E. Ramsey, Christopher W. Kahler, Effects on substance use outcomes in adolescents receiving motivational interviewing for smoking cessation during psychiatric hospitalization, Addictive Behaviors, Volume 34, Issue 10, Research Advances in Comorbidity of Substance Misuse and Mental Disorders, October 2009, Pages 887-891, ISSN 0306-4603, DOI: 10.1016/j.addbeh.2009.03.003.
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 client must take the tools and techniques they learned in therapy and apply them in order to successfully abstain from substance use.
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,
People with addiction may seek counseling to help them recover from drug usage. Using motivational interviewing can help find out how motivated the client is to staying clean and what will encourage them to stay away from drugs. The clients also needs to see how the addiction is effecting their lives and the lives of their loved ones.
Overcoming an addiction to alcohol can be a long and bumpy road. Many people feel that it is impossible to overcome an alcohol addiction. Many people feel that is it easier to be an addict than to be a recovering addict. However, recovering from alcoholism is possible if one is ready to seek the help and support they need on their road to recovery. Recovery is taking the time to regain one’s normal mind, health and strength. Recovery is process. It takes time to stop the alcohol cravings and pressure to drink. For most, rehab and professional help is needed, while others can stop drinking on their own. Recovery never ends. After rehab, professional help or quitting on your own, many people still need help staying sober. A lot of time, recovering
Empirical research is needed on how heroin-dependent adults can begin to improve impulse control and decision-making. Increased impulsivity increases the chances that an individual will be able to remain abstinent from heroin. If the meditation technique implemented in this study significantly improves impulse control, the results should be replicated and clinical application of meditation focusing on resisting urges should be applied in clinical settings.
Nobody denies that every client and situation is unique, but there is a general layout out of a treatment plan that can be used thought out the facility to ensure success for the client. The first step in the treatment plan is to screen clients to determine if he/she meets the criteria of the facilities drug, or alcohol program. The facility will use the standard CAGE, of the Substance Abuse Subtitle Screening Inventory questioner as a screening tool. These two screening tools are consist of few questions and require only short answers to determine (American Society of Addiction Medicine, 2012). These tools are easy to use and can be done by any qualified staff according to the ASAM. If more through information is needed then the client will go under an assessment.
“Motivational interviewing was introduced by Dr. William R. Miller in 1983, to help problem drinkers prepare for treatment and has been developed in collaboration with Dr. Stephen Rollnick. Motivational interviewing is a client centered directive method of communication for enhancing intrinsic motivation to change by helping people to explore and work through ambivalence. (Miller &Rollnick,2002).” This definition simply means that motivational interviewing is a method that uses the techniques taught by Carl Rodgers, such as empathy, positive regard, and congruence all of which lead to a collaborative relationship between the counselor and the client. This supportive and collaborative relationship will enable the client to open up and have honest discussions with the counselor. Therefore, the counselor will be able to help the client recognize:
Cognitive behavior therapy has been proven to work in many different areas and presenting problems. One area that was not mention above that would significantly improve the outcome of any given therapy is the willingness of the client to accept treatment. The goal of cognitive behavior therapy is to focus on the present and to help the client identify their own strengths, learn new tools or techniques that they can use on their everyday life, and to be able to identify the different thought, emotional, and behavioral patterns that lead to undesirable
Substance abuse complicates almost every aspect of care for the person with a mental disorder. When drugs enter the brain, they can interrupt the work and actually change how the brain performs its jobs; these changes are what lead to compulsive drug use. Drug abuse plays a major role when concerning mental health. It is very difficult for these individuals to engage in treatment. Diagnosis for a treatment is difficult because it takes time to disengage the interacting effects of substance abuse and the mental illness. It may also be difficult for substance abusers to be accommodated at home and it may not be tolerated in the community of residents of rehabilitation programs. The author states, that they end up losing their support systems and suffer frequent relapses and hospitalizations (Agnes B. Hatfield, 1993).
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.