5 Modalities
What does G.R.A.C.E., U.P.R., and F.O.R.M and stand for?
Generate a Gap, Roll with Resistance, Avoid Argumentation, Can-do Attitude, Express Empathy
Unconditional Positive Regard
Family, Occupation, Recreation, Motivation
Eric has been seeing you for several months and is actively working with his sponsor. He shares with you his concerns about completion of his fourth step.
What Stage of Change is Eric in?
Action
Administrative and initial assessment procedure for admission to facility
Intake
Readiness to Change
Dimension 4
FULL NAME of the Federal Law requires the creation of national standards to protect sensitive patient health information from being disclosed without the patients knowledge and consent
Health Insurance Portability and Accountability Act
Define Motivational Interviewing
Open-Ended questions used to collect information and is framed to incite internal motivation
Open Ended Questions, Affirmations, Reflective Listening, Summarize
Trevor, who is new to your caseload, after completion of his intake he comes into your office and shares his frustration about his mother, Shari, who he says is forcing him into treatment because Shari has to pick Trevor up from his friends party drunk and Trevor has shown up home, drunk on the porch on several occasions. However Trevor says his mother is over reacting because he "doesn't drink that much"
What Stage of Change is Trevor in?
Precontemplation
The procedures by which a counselor/program identifies and evaluates an individual’s strengths, weaknesses, problems and needs for the development of a treatment plan.
Assessment
Acute Intoxication and/or Withdrawal Potential
Dimension 1
5 Points of Family Contact
1. 30-Day Myth; Benefits of continuum of care
2. Disease Concept
3. Support Groups (Al-Anon/Na-Anon)
4. Multi-Family Group
5. Family Sessions (10,10,10)
Organ-Midbrain
Defect- Dopamine Receptors (Genetics, Trauma or Stress, Ongoing use)
Symptoms-Loss of Control, Cravings, Persistent Use Despite Negative Consequences
Sophie has been in treatment for nine months now and is working on her discharge plan with you. She shares her excitement with you because she has been able to complete her steps, and is now working with others.
What Stage of Change is Sophie in?
Maintenance
Those services which respond to an alcohol and/or other drug abuser’s needs during acute emotional and/or physical distress.
Crisis Intervention
Relapse, Continued Use, or Continued Problem Potential
Dimension 5
False
an approach that helps you identify irrational beliefs and negative thought patterns that may lead to emotional or behavioral issues
Rational Emotive Behavioral Therapy - R.E.B.T
Bill has been seeing you for a week now and openly shares in group and sessions about his cocaine use. He states that he is just having fun right now although he knows this may be an issue because he now has a possession charge and has recently become homeless.
What Stage of Change is Bill in?
Contemplation
Activities which bring services, agencies, resources, or people together within a planned framework of action toward the achievement of established goals. It may involve liaison activities and collateral contacts.
Case Management
Recovery/Living Environment
Dimension 6
F12.20
F13.20
Cannabis Use Disorder
Sedative Use Disorder
acknowledges the need to understand a patient's life experiences in order to deliver effective care and has the potential to improve patient engagement, treatment adherence, health outcomes, and provider and staff wellness.
Trauma Informed Care
Stanley has been working with you for a month now and reports that he has been asking other men in meetings for phone numbers in hopes for finding a sponsor. Stanley has also been searching for more meetings to attend.
What Stage of Change is Stanley in?
Preparation
Relating with in-house staff or outside professionals to assure comprehensive, quality care for the client
Consultation
Emotional, Behavioral, or Cognitive Conditions and Complications
Dimension 3
How long does medication take to be at the therapeutic level?
4-6 weeks