5 Modalities
Catch, Check, Change
What are the 3 C's of CBT
Harold 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 Harold 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
Anita is a 15-year-old client who is new to your caseload, after completion of her intake she comes into your office and shares her frustration about her mother, Shari, who she says is forcing her into treatment because Shari has to pick Anita up from her friends party drunk and Anita has shown up home, drunk on the porch on several occasions. However Anita says her mother is over reacting because she "doesn't drink that much"
What Stage of Change is Anita 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
Patti 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 Patti 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
The number of criteria a person must meet in order to be diagnosed by the DSM-5 with substance abuse disorder- moderate
4-5 Criteria - Moderate
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
Julies 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 Julies 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
F15.20
F18.20
Stimulant Use Disorder - Amphetamine-Type Substance
Inhalant 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
Arturo 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. Arturo has also been searching for more meetings to attend.
What Stage of Change is Arturo 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
Tuckman's 5 Stages of Group Development
Forming: establish trust between team members
Storming: a period marked by conflict and competitiveness when individuals begin to assert themselves
Norming: occurs when everyone on the team has developed a strong sense of belonging and trust. Facilitator also starts to establish rules and procedures to guide group
Performing: Members of the team are comfortable sharing information and discussing problems openly
Adjourning: achieved its goals and objectives, assignments given for next session, etc.