Motivational Enhancement Therapy (MET), according to the National Institute on Drug Abuse, “is a counseling approach that helps individuals resolve their ambivalence about engaging in treatment and stopping their drug use.” It is a method offering more to the substance abuser than simply the traditional 12-step programs of Alcoholics or Narcotics Anonymous (AA, NA). “This approach aims to evoke rapid and internally motivated change, rather than guide the patient stepwise through the recovery process.” MET is based on principles of Motivational Interviewing (an approach developed by William R. Miller and Stephen Rollnick, clinical psychologists treating problem drinkers). It elicits self-motivational statements in early discussion sessions. …show more content…
((As such, it evokes the work of educator John Dewey and psychologist Carl Rogers.)) In uniquely not reiterating the 12-step approach, it can appeal to those having problems following a rote program that does not fully speak to them. After all, the 12-step approach doesn’t work for everyone. Developing problem-solving and interpersonal skills is a core component of the therapy. Often, this is introduced early on, in order to initially get past the denial of any substance abuse problem. In a sense, the therapist is guiding the patient to see for himself that there is a problem — all based on discovering what motivates the individual to live life as he or she is currently. Enlightenment can only occur if an individual wants to learn (John Dewey), and MET is centered around this insight. Once initial resistance has been countered — by reflecting back the patient’s own statements about desiring better outcomes — learning can really take off. An introduction of behavioral techniques can be nicely mixed in to support the patient’s ability to better fend for himself when tempted by chemical or old, bad habitual
Objective Relapse prevention "I think that this is my number one objective. If I feel like I am going to use, then I am going to use. " I will participate in daily didactic groups to increase my awareness of my triggers and relapse warning signs. Inter Process group/didactic This counselor will facilitate daily CBT
Identification of a Clinical Problem: Transition Skills Therapy The Institute of Medicine focuses on patient safety in order to promote policies and best practices that create safe and high-quality health care environments. Developing a pre-community discharge program would impact patient safety and quality of care both in the facility and post discharge for optimal safety and success in the community setting. The steps required to ensure quality of life in the community, relies heavily on a pre-discharge plan. [Here, a comma separates the subject from its verb and the rest of the sentence. This can confuse the reader by creating a false break in the idea.
In many cases, therapists using the MDFT approach identify the client has a problem with substance abuse, and also learn it is comorbid with other disorders. Clients are not eager to accept they are dealing with a serious issue, and in turn, distance themselves from the truth. "This is a complex reaction that is the product of psychological and physiological factors, especially those concerned with memory and the influence of euphoria produced by the substance of abuse" (Rockville 2004). Resistance on the contrary, is simply not wanting to do a task the client is being told to complete. Many therapists struggle with this concept in the intervention.
This was helpful because with me planning to use this in order to determine where a client stands in the processes of change, it was beneficial that the article explained what to expect in each stage and made suggestions in order for the client to experience each stage to its full potential. An example being the Self-Reevaluation stage, which suggested value clarification, healthy role models, and imagery are techniques that can move people evaluatively. Therefore, exposing the clients to others who have succeeded in overcoming substance abuse and has developed a better life in doing so may encourage them to change their habits rather than having to verbally recommend why changing their habits is necessary. Overall this was an article that supplied great information and will not only be a reference I use in intervention, but will also be something I use in my personal
Using data collected from 23 randomized control trials that compared CM to various nonspecific or specific therapy groups the results concluded that participants who had received CM were 1.22 times more likely to be abstinent. It also highlights the importance of providing the appropriate duration and reinforcer magnitude to ensure maximum effectiveness of the treatment. This study provides great information on a highly effective form of treatment in regards to substance abuse disorder. This form of intervention could have been an effective option that A-Train’s girlfriend or Brother could have used in conjunction with the help of a professional to treat A-trains substance abuse disorder.
In general, the target population of Motivational Interviewing, in relation to substance abuse, is anyone that has a substance use disorder or even problematic behaviors with a substance no matter where they are on the stages of change. Though there are some variations Motivational Interviewing is very similar no matter what populations you are working with and is based on the same foundational ideas. As mentioned previously, this intervention has been found to work well with various populations on its own or in combination with other techniques. Motivational Interviewing is now even being combine with other interventions such as, Cognitive Behavioral Therapy and providing feedback, to make the effects longer and work more effectively with specific populations. Motivational Interviewing plus Feedback is one of the interventions that had been found to have
Positive Behavior Support (PBS) is a proven, evidence-based intervention that can help reduce disruptive and aggressive behavior in classrooms. PBS has been found to be an effective intervention for a variety of problems, including aggression and chronic misbehavior. This school-based intervention is based on a science of behavior known as Applied Behavior Analysis (ABA). Through ABA, children learn new behaviors by imitating and reinforcing positive behaviors and encouraging the removal of negative behaviors. In this post, I will explain the importance of implementing a PBS program in the classroom setting.
The text book, The Theory and Practice of Group Psychotherapy by Irvin D. Yalom with Molyn Leszcz begins with the preface of the fifth edition. In the preface, Irvin D. Yalom introduced Molyn Leszcz as his collaborator and how they met at Stanford University in 1980. He then discussed how they both worked hard collaboratively to combine old and new material to make this edition. Their goals for this edition were to prepare student therapists for the present-day workplace and to keep the current methods from decaying, so that students can gather wisdom and techniques of the field when they get the opportunity to utilize those methods as therapists. Yalom briefly talked about what each chapter in the text would discuss.
The treatment of substance abuse can be divided into 5 treatment models. The first treatment model is Psychoeducational. The purpose of the Psychoeducational model is education. The Psychoeducational model is used to teach not only addicts, but everyone about the dangers and repercussions of substance abuse. This models is setup to encourage addicts to seek help with their substance abuse issues.
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
This assignment will be explaining the 6 psychological perspectives in health and social care. I will explain in detail and assess the different psychological approaches and explain the behaviours on how we feel and why we behave the way we do. The behaviourist theory: The main idea of the behaviourist approach is that we can understand types of behaviours by looking at what a person has been taught and what they have learnt.
In turn, as a cognitive message, CBT and a client centered approach helped clients to also identify and respond to not only their individual need but the needs of others in a more empathic, compassionate, and accepting way. Each article includes a randomized cohort but combined the interventions and adaptation of CBT and a client centered approach in order to examine research and provide feedback to substance abuse clients. As we concluded in class often and integration of different models or techniques can play an important role in the application and delivery of a therapeutic intervention and after reading the articles I believe the integration was effective and helped limit the amount of drugs clients used during therapy. In the end, CBT and a client centered approach both take into consideration the conscious mind while allowing clients to examine their individual problems at hand and use of drugs. From what we covered in class and from reading the articles the evidence goes hand in hand and explores how these combined therapies help individuals explore they have the ability to determine their own futures and are not necessarily a product of their past or previous
At the Guidance Center, the goal is for each client to receive the necessary treatment to overcome their addiction or problems with
It helps them to make positive behavioral and psychological changes when combined with other standard psychosocial interventions (Rohsenow et al., 2001). They last one to four sessions and are aimed at maximizing the patient’s intrinsic desire to change or enhancing a patient’s adherence to more intensive or extended treatment. Motivational approaches have been found to be efficacious (Dunn et al. 2001; Miller and Wilbourne 2002; Project MATCH Research Group 1993, 1997, 1998). At least 32 trials show that it effectively improves treatment adherence and drinking outcomes (Hettema et al., 2005) as well as in reducing hazardous alcohol consumption (Vasilaki et al., 2006; Smedslund et al.,
Most people want to improve themselves in some way, whether it is to lose weight or give up smoking or increase their confidence. Self-improvement is something that we carry out over a life time, but it is a task that can require a lot of motivation. Keeping your motivation levels up and steady can be a job in itself. In order to achieve the motivation required for self-improvement, we need to look at the three keys that will help us succeed in our goals. 1) INSPIRATION