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What is motivational interviewing (MI)?
(p. 3-8) Counselor would offer empathetic, objective feedback. Counselor works with ambivalence, meets the client’s expectations. Access whether Client is ready to change, accesses Client’s barriers and strengths for recovery. Counselor reinterprets the Client’s experiences in light of the current problem. Counselor negotiates a follow up plan and provides hope. Roll with Resistance and work at finding a discrepancy between what the Client wants in their life vs what they are doing to get it by being addicted to drugs/alcohol.
How is Depression addressed in treatment?
Depression is addressed (treated) in three ways: (1) with antidepressant medication, (2) with psychotherapy, cognitive therapy, behavioral therapy, and (3) with interpersonal therapy. (p. 159)
What is the Treatment Team?
Page 50?The AMA team is a group of three of more of the treatment peers selected by the staff to help other clients who are leaving treatment early. Team members share experiences, strengths and hopes with the individual leaving in order the help them after leaving. (this AMA, or against medical advise, is the only thing I can find in the book.)
the team of professionals that combined can provide a client/addict with the necessary medical, emotional, spiritual, psychological/psychiatric, and behavioral help needed to overcome addiction.
What is a treatment team update?
The Treatment-Team Update is a conference between the therapist and the remainder of inpatient treatment team that is planned to coincide with the end of the first phase of therapy. During the treatment plan update meeting the treatment team considers and documents any changes to the treatment team update sheet, including information regarding: The status of each problem.Whether there are any new problems.The appropriateness of the long-term and short-term goals.Whether the interventions are working or whether new interventions should be included in the plan.
What is the DSM and how do we use it in treatment?
- (p. 41) The Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association. It is used to diagnose drug abuse. Insurance companies and government funding depend on the DSM diagnosis and appropriate treatment. It is needed to get insurance companies to pay for drug rehab/counseling.
- It is used to diagnose the client if they have a substance use disorder. It is used to determine proper treatment and discharge.
Know ten strategies for working with families in treatment and be able to discuss why it is important. (Essay)
1- Always involve the family. 2- Make contact with family as soon as you have consent. 3- Introduce family to al-anon for their own recovery. 4- Present family with dates on family program at treatment facility. 5- Stay in touch with family during treatment of client. 6- Very helpful to include family with client in groups at treatment facility. 7- Family group sessions can be strictly educational. 8- Families need to talk about death, losses, divorces and abuse. 9- Families need to learn about codependency and enabling. 10- Families need to learn about relapse and how they can support the client through one. 11- before client leaves treatment an agreement should be written up which includes relapse and consequences associated. Handout-”the family and recovery”
Know all the ways that treatment must be adjusted for Adolescents.
- (Pg. 197) Teenagers have not developed skills that adults have. The client’s biopsychosocial level of development must be assessed and used to develop an appropriate age level treatment plan. Adolescents are not socially and emotionally mature. Adolescents are developing identity. Only at the age of 15 does an adolescent have an idea of who he or she is. They are undergoing tremendous physiological changes occurring in their mind, body and spirit.
- There are ethical themes related to the treatment of minors included are informed consents, confidentiality, and using evidence based practices. There are familial and cultural elements and professional competence to consider. Then there is the fact that drug use and alcohol use for them is illegal, and the tensions of the family as to rights of the youth vs rights of the parents, etc. Pg. 206 Be strict with rules adolescents will constantly test the rules with each staff member. Don’t let them talk you into making any special privileges for them. Practice honesty. Show and model behavior expected of the facility. You have to have a lot of patience and not get easily intimidated.
Under what circumstances might you be required to report a coworker for unethical behavior.
If a person is selling / using his position to gain advantage over the client, if a person is involved romantically, if a person violates privacy, if a person is mean and not compassionate.
Be able to discuss issues regarding HIV and treatment.
These high risk clients should be routinely screened and educated about HIV infection and risk, particularly if they present with signs of organic psychotic impairment, fever, or weight loss. The catastrophic nature of their illness will have to be dealt with on an individual basis. These clients will be burdened with guilt, fear of death, changes in self esteem and alienation of family and friends. These clients do not require isolation and need to be dealt with on a case by case situation. Confidentiality and privacy are particularly important in these cases. pg. 184-185