Question #1
Pick one of the videos, either for client Eddie, Ms. Clark, or Leann. After viewing the video, answer the following questions on a new thread: Also reference DSM 5 lecture and Stages of Change/Motivational Interviewing lecture and readings.
· Name the Stage of Change for this client and if not in the Action Phase, how could you motivate this client to engage treatment?
· Barsky (2006) says, “A client could be an individual, family, group, organization, or community,” (p. 117) and provides some guidelines for you to consider when making this determination. Using these concepts of your reading, who would you define as the client? Justify your answer with the readings/lecture and information in the video. (This reading is located in Module 3 if you want a refresher.)
· As you envision this client, what resources would you use to develop an initial assessment? Who else would you want to reach out to for additional information, with client permission?
· What strengths does this client (individual, family, group, organization, or community) possess that can be mobilized to gain help and healing?
References
https://play.aetv.com/shows/intervention/season-10/episode-3
Required Text: Mack, A.H., Brady, K. T., Miller, S.I., & Frances, R. J. (2016). Clinical Textbookof Addictive Disorders (4th ed.). Guilford Press: New York.
Question #2
Clients with co-occurring disorders often encounter many barriers and stigmas when they are thinking about treatment options. After completing the readings and watching the SAMHSA webcast, what do you see as the biggest barriers to treatment and recovery in your community (or in general, if you are not sure about your community, specifically) for these individuals? How can counselors reconcile the evidence-based recommendation for integrated treatment (the “no wrong door” mindset) with the long list of barriers to treatment for individuals with co-occurring disorders? What social stigmas might these clients face in the community, and how can these stigmas be eliminated?
During your assessment of clients with co-occurring disorder or polysubstance dependence, what strategies or techniques would you use to carefully distinguish among the presenting concerns and symptoms of your clients to accurately sort out which diagnoses are appropriate for your client? Are there any combinations of disorders or substance that you feel would be particularly tricky to sort out, and why?
Reference:
Required Text: Mack, A.H., Brady, K. T., Miller, S.I., & Frances, R. J. (2016). Clinical Textbook of Addictive Disorders (4th ed.). Guilford Press: New York.
SAMHSA webcast: “At the Crossroads: Examining the Intersection of Care for Persons with Mental and Substance Use Conditions” (2006)
If you can’t access here is the transcript: https://www.mediafire.com/file/ql6au7jbo8uh7x4/SAMHSA_webcast_Transcript.docx/file
