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.
Depending on their conditions, many people resort to substances to help them cope. These substances are widely abused and are unhealthy. The British Journal of Social Work surveyed three different rehabilitation centers. They came to the conclusion that “There is a very large international body of research on substance use and abuse, ranging from problem etiology to treatment (Valtonen 59)”. This suggests that because of what people are dealing with, they often resort to substance abuse. However, there are many better ways to cope. People use substances to try and figure out their diagnoses. During the surveys of the rehabilitation centers, they found out some other coping mechanisms. Some of these coping mechanisms are sleeping, eating, smoking, and drinking. These mechanisms are not a healthy way to deal with the situation at hand. This study shows that people who avoid substances to cope and instead talk to a therapist have better outcomes. This is also true with people who go to focus groups and verbally discuss their problems rather than resorting to
Fortinash, K. M., & Holoday Worret, P. A. (Eds.). (2012). Substance-related disorders and addictive behaviors. Psychiatric mental health nursing (5th ed., pp. 319-362). St. Louis, MO: Elsevier Mosby.
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
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
I met with Christine, an acquaintance I know through members of a twelve step program. We met for about 20 minutes over coffee. As we spoke, I asked the questions that I prepared, omitting some and adding others based on the responses given. The list of questions in reproduced in the last section of this work. Christine works at an inpatient drug and alcohol rehabilitation center in New Jersey, the specifics of which have been intentionally omitted. Her interest in the field is identical to mine; she has a personal history of substance abuse. After obtaining sobriety, she wished to help others with her experience. This similarity is the primary reason I wanted to discuss this topic with her.
233). From this, clients should want to change as well as believe in their capacity for change. For Jim, he can benefit from motivational interviewing since it can be used to help him overcome ambivalence to change. A collaborative, and nonconfrontational relationship are part of motivational interviewing. This is important for the client Jim in order to respect and encourage his self-determination. Motivational interviewing gives clients like Jim the opportunity to discover their own reasons for making change. One of the principles for motivational interviewing is expressing empathy where it gives clients the chance to freely explore their values, perceptions, goals and the implications of their present situation without being judged. The counsellor who is working with Jim can use active listening skills for expressing empathy in order for Jim to feel like he is being heard. The second principle is developing
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.
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.
“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:
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.
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.
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...
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