Motivational Interviewing as a Treatment for Substance Abuse

Motivational Interviewing as a Treatment for Substance Abuse Introduction Motivational interviewing is an evidenced-based counseling approach that health care providers can use to help patients adhere to treatment recommendations. It emphasizes using a directive, patient-centered style of interaction to promote behavioral change by helping patients explore and resolve ambivalence (Levensky et al., 2007). Motivational interviewing is a highly individualized therapeutic approach that is client centered and encourages clients to explore the reasons for any maladaptive behavior and then make changes. However, it is also a directed form of therapy, so that the counselor takes a more active role than in some forms of client-centered therapy. However, it is not a confrontational form of therapy; rather than engaging in hostile interactions with clients, the counselor takes an empathic approach and helps the client identify areas of ambivalence and make plans to change those areas. In this way, motivational interviewing can be considered a goal-directed therapy b ecause it is not sufficient for the clients to gain understanding; they are also meant to make changes based on what they find. Furthermore, while the counselor may take a passive role in some therapeutic approaches, the counselor is more active in motivational interviewing. The counselors job is to encourage the client to make changes. Motivational interviewing has been used in a variety of different areasShow MoreRelatedSubstance Abuse Among The Elderly1668 Words   |  7 Pagesmisuse alcohol, prescription drugs, or other substances (Bartel, Blow, Brockmann, 2005). In turn, substance abuse among the elder is generating major health concerns and a rapid need for prevention methods. Substance abuse among the elderly is a concealed epidemic in the United States. Alcohol and substance abuse often go unnoticed, unreported, and therefore, untreated in the elderly (Wagenaar, Mickus, Wilson, 2001). It is estimated that substance abuse issues among America’s elder population willRead MoreBenefits Of Self Efficacy High While Recovery From An Addiction1479 Words   |  6 Pagesrecovery path to knock them completely off course and they will use this as justification to return to alcohol or drug abuse. This is why it is important that people keep their self-efficacy high while recovery from an addiction. Commitment to abstinence, a motivational construct, is a strong predictor of reductions in drug and alcohol use. Level of commitment to abstinence at treatment end predicts sustained abstinence, a requirement for recovery ( Laudet, A. B., Stanick). Abstinence is the bestRead MoreThe Applications Of Motivational Interviewing And Cognitive Behavioral Therapy977 Words   |  4 Pagesapplications of motivational interviewing and cognitive behavioural therapy for individuals with unhealthy substance use disorders encompass a diversity of interventions that accentuate diverse targets. Miller and Rolnick (1991), defined motivational interviewing as a ‘directive, client-centred counselling style for eliciting behaviour change by helping clients to explore and resolve ambivalence’. As McHugh, Hearon and Otto (2010), characterizes cognitive behavioural therapy as ‘heterogeneous treatment elements†¦Read MoreAddiction Problems And The Field Of Addiction Treatment E ssay920 Words   |  4 Pagesunderstand their clients with addiction problems and motivate them to change. This model is one of the most widely used models within the field of addiction treatment initially developed to describe the process of adopting any healthy behavior. Motivational interviewing shares much in common with the trans-theoretical or Stages of Change Model of behavior change. Although not universally endorsed, the trans-theoretical model holds that at any given time, a person is at a particular stage in relationRead MoreThe Homelessness And Substance Abuse1436 Words   |  6 PagesRunning head: DIVERSITY​1 Diversity: Homelessness and substance abuse Centell Brown Kelley Peterson SW- 751 Perspectives/Chemical Dependency Professor R. Chaisson, PhD., LCSW, BACS Southern University at New Orleans December 10, 2014 Abstract ​Homelessness and substance abuse are often two problems that continue to be linked together. According to the Substance Abuse and Mental Health Administration (2011), research conducted in the past five years indicates thatRead MoreCognitive Behavioral Therapy For Substance Abuse1574 Words   |  7 PagesSubstance abuse consists of an individual exhibiting dysfunctional behavior as a result of consuming psychoactive substances that eventually culminate in adverse consequences. According to the 2013, National Survey on Drug Use and Health, approximately 24.6 million Americans over the age of 12 were current illicit drug users; moreover, 136.9 million Americans were current alcohol users, which is more than half (52.2%) of the American population (Substance Abuse and Mental Health Services AdministrationRead MoreDrug Abuse And Its Effect On Society Essay1167 Words   |  5 Pageschemical substance applied into treating, diagnosing and preventing one from disease infections o r a substance that is used by a person to enhance his or her physical and mental state in the perceived effect. Drugs used for different purposes and their effect depend on which cause for usage. It causes both positive and negative consequences directly to the user and in the long-run it affects the whole society or community. Drug addiction is the activity of uncontrollable dependence on a substance by theRead MoreMotivational Interviews : Motivational Interviewing2027 Words   |  9 PagesMotivational interviewing is a practice wherein conveying acceptance of your client, you become an aid in the process of change. Motivational interviewing fosters Carl Rogers optimistic and humanistic theories; around ones competences for employing free choice and shifting through a course of self-actualization. The therapeutic relationship for both Motivational Interviewers and Rogerians’ is a democratic partnership. The concept of Motivational Interviewing (MI) progressed from the exp erienceRead MoreSubstance Abuse Paper1198 Words   |  5 PagesSubstance abuse is one of the most common comorbid conditions among individuals diagnosed with schizophrenia (Schwartz et al., 2007). Previous studies have shown that nicotine, alcohol, and cannabis were the most frequently used substances in individuals diagnosed with schizophrenia, followed by cocaine and amphetamine. Individuals with substance use disorders have negative long-term outcomes and poorer overall quality of life. Researchers suggest that substance abuse complicates individuals withRead MoreObserving Group Observation Paper1605 Words   |  7 Pagescommunity mental health center held provided through an adult outpatient mental health program. The group I observed for this session was a counseling style group for adult outpatient mental health clients dealing with co-occurring disorders titled â€Å"Substance Abuse Recovery†. This is a closed group of about twenty members in size which is held at th e public library in a closed conference room. I was informed the group is held weekly on Thursday at the same time each week at this location for a duration of

Essay Themes in Night by Elie Wiesel - 1265 Words

THemes 1.) Man’s inhumanity to man Removal of human looks that defined who they are * Same uniform * Cut hair to remove individuality. * â€Å"In a few seconds we had ceased to be men† 37 * â€Å"I became A-7713. From then on, I had no other name†42 The harshness of the camp quickly transformed them into selfish indifferent people * â€Å"I had not even blinked, only yesterday I would have dug my nails into the criminals flesh† 39 * â€Å"you’re killing your father†101 * â€Å"The old man mumbled something, groaned and died. Nobody cared† 101 * â€Å"I shall never forgive myself. Nor shall I forgive the world for having pushed me against the wall, for having turned me into a stranger, for having awakened in me the basest, most†¦show more content†¦Without love or mercy. I was nothing but ashes now† 68 * â€Å"But as soon as he felt the first chinks in his faith, he lost all incentive to fight and opened the door to death† 77 * â€Å"I have more faith in Hitler than anybody else. He alone has kept his promises, all his promises to the Jewish people.† 81 * â€Å" I suffer hell in my soul and in my flesh†¦ how can anybody believe in this God of mercy† 3.) Kindness in adversity Helping each other out in times of need * Elie’s father made sure Elie didn’t â€Å"fall asleep forever† in the snow despite his exhaustion. Pg 88 * The French girl risked her life by saying to Elie in almost perfect German, â€Å"don’t cry. Keep your anger, your hate, for another day, for later. The day will come but not now†¦ wait. Clench your teeth and wait† * â€Å"Elie even gave his dying father extra rations, despite being told to â€Å"stop giving your ration of bread and soup too your old father... in fact you should be getting his rations.† * Working through the struggles together see father son relationships Elie and father * â€Å"No. You’re eighteen†¦ Not fifty. You’re forty. Dou you hear?Show MoreRelatedTheme Of Faith In Night By Elie Wiesel801 Words   |  4 Pagesit back. In Night by Elie Wiesel the main theme of the entire book is the human living condition. The quality of human life is overwhelming because humans have the potential to make amazing discoveries that help all humans. Elie Wiesel endures some of the most cruel living conditions known to mankind. This essay explains the themes of chapter one, chapter four, chapter eight in Night by Elie Wiesel. Nothing is lost if faith is still present. In Night by Elie Wiesel, the main theme of chapter oneRead MoreTheme Of Identity In Night By Elie Wiesel1398 Words   |  6 Pagesknown throughout the world of Eliezer Wiesel. His eye-opening story is one of millions born from the Holocaust. Elie’s identity, for which he is known by, is written out word for word his memoir, Night. Throughout his journey, Elie’s voice drifts from that of an innocent teen intrigued with the teachings of his religion to that of a soul blackened by a theoretical evil consuming that of the Nazis and Hitler’s Germany. 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In the novel Night by Elie Wiesel, the theme of night and darkness is prevalent throughout the story and is used as a primary tool to convey symbolism, foreshadowing, and the hopeless defeat felt by prisoners of Holocaust concentration camps. Religion, the various occurring crucial nights, and the many instances of foreshadowing and symbolism clearly demonstrate how the reoccurring theme of nightRead MoreThe Theme Of Peer Pressure In Night By Elie Wiesel855 Words   |  4 PagesThroughout the book Night it leads us on a path of what it was like being in the concentration camps during the Holocaust. The people in the camps such as the Jews were treated as if they were prisoners. They barely were fed, and were worked until their bodies couldnt work anymore. The times in Auschwitz were mentally and physically draining to the 1.3 million that were held in the camp. Not only did this act happen in this point of time of the Holocaust. It recently has happened in our daily societyRead MoreTheme Of Father And Son Relationships In Night By Elie Wiesel1212 Words   |  5 PagesOne of the major themes that can be found in Night, by Elie Wiesel, is one of father/son relationships. To quote a father from the book, Stein, â€Å"The only thing that keeps me alive is knowing that Reizel and the little ones are still alive.† Not all father/son relationships are as good however. Another part of the book reads, â€Å"I once saw. . . a boy of thirteen, beat his father for not making his bed properly. As the old man quietly wept, the boy was yelling, ‘If you don’t stop crying instantly, IRead MoreAnalysis Of Elie Wiesel s Auschwitz 1153 Words   |  5 PagesAuthor Elie Wiesel writes about his suffering, and doesn’t fail to include many themes, including will power and survival. Night takes place during 1940’s, which is when the genocide of the Jews occurred. The main character, Elie (also the author), shares his experience in concentration camps. He and his father underwent all sorts of misery, from starvation, to hard labor, death marches, and plenty more. Having the opportunity to share his experience, the author emphasizes certain topics. Elie WieselRead MoreElie Wiesel Night Reflection794 Words   |  4 PagesElie Wiesel was born in the Romanian town of Sighet. His parents came from Orthodox and Hasidic Jewish families. Both of hi parents died in the Nazi concentration camps, as did his younger sister; his two elder sister survived. After the war , Wiesel went an Orphanage in France, studies at the Sorbonne, and became a journalist. The name of the book is call the Night. It were written in the 1955-1958. It also were written from South America, France. The book was published in Argentina, France. 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In the memoir, Eliezer, the passionately, devoted boy with a benevolent family, is taken from his home and sent to a concentration camp. Through their unstable and dangerous journey, Elie is detached from his mother

Customer Service and Order Processors Free Essays

The Human Side of Management Assignment Repairing Jobs That Fail to Satisfy Learning Goals Companies often divide up work as a way to improve efficiency, but specialisation can lead to negative consequences. DrainFlow is a company that has effectively used specialisation to reduce costs relative to its competitors’ costs for years, but rising customer complaints suggest the firm’s strong position may be slipping. After reading the case, you will suggest some ways it can create more interesting work for employees. We will write a custom essay sample on Customer Service and Order Processors or any similar topic only for you Order Now You will also tackle the problem of finding people who are qualified and ready to perform the multiple responsibilities required in these jobs. Major Topic Areas Job design Job satisfaction Personality Emotional labour The Scenario DrainFlow is a large residential and commercial plumbing  maintenance firm that operates around the United Kingdom. It has been a major player in residential plumbing  for decades, and its familiar rhyming motto, â€Å"When  Your Drain Won’t Go, Call DrainFlow,† has been plastered  on billboards since the 1940s. Leigh Reynaldo has been a regional manager at DrainFlow for about 2 years. She used to work for a newer  competing chain, Lightning Plumber, that has been  drawing more and more customers from DrainFlow. Although  her job at DrainFlow pays more, Leigh is not happy  with the way things are going. She has noticed the work environment  is not as vital or energetic as the environment  she saw at Lightning. Leigh thinks the problem is that employees are not motivated  to provide the type of customer service Lightning  Plumber employees offer. She recently sent surveys  to customers to collect information about performance,  and the data confirmed her fears. Although 60 percent  of respondents said they were satisfied with their experience  and would use DrainFlow again, 40 percent felt  their experience was not good, and 30 percent said they  would use a competitor the next time they had a plumbing problem. Leigh is wondering whether DrainFlow’s job design  might be contributing to its problems in retaining customers. DrainFlow has about 2,000 employees in four  basic job categories: plumbers, plumber’s assistants, order  processors, and billing representatives. This structure  is designed to keep costs as low as possible. Plumbers make very high wages, whereas plumber’s assistants  make about one-quarter of what a licensed  plumber makes. Using plumber’s assistants is therefore  a very cost-effective strategy that has enabled DrainFlow  to easily undercut the competition when it comes to  price. Order processors make even less than assistants  but about the same as billing processors. All work is very  specialised, but employees are often dependent on another  job category to perform at their most efficient  level. Like most plumbing companies, DrainFlow gets  business mostly from the Yellow Pages and the Internet. Customers either call in to describe a plumbing problem  or submit an online request for plumbing services,  receiving a return call with information within 24 hours. In either case, DrainFlow’s order processors listen to the  customer’s description of the problem to determine  whether a plumber or a plumber’s assistant should  make the service call. The job is then assigned accordingly,  and a service provider goes to the location. When  the job has been completed, via mobile phone, a billing representative  relays the fee to SHR034-6, 12-13 he service rep, who presents  a bill to the customer for payment. Billing representatives  can take customers’ credit card payments by phone  or e-mail an invoice for online payment. The Problem Although specialisation does cut costs significantly, Leigh  is worried about customer dissatisfaction. According to  her survey, about 25 percent of customer contacts  ended in no service call beca use customers were confused  by the diagnostic questions the order processors  asked and because the order processors did not have  sufficient knowledge or skill to explain the situation. That means fully one in four people who call DrainFlow  to hire a plumber are worse than dissatisfied: they  are not customers at all! The remaining 75 percent of calls that did end in a customer service encounter resulted  in other problems. The most frequent complaints Leigh found in the customer  surveys were about response time and cost, especially  when the wrong person was sent to a job. A  plumber’s assistant cannot complete a more technically  complicated job. The appointment has to be rescheduled,  and the customer’s time and the staff’s time have  been wasted. The resulting delay often caused customers  in these situations to decline further contact  with DrainFlow—many of them decided to go with  Lightning Plumber. â€Å"When I arrive at a job I can’t take care of,† says  plumber’s assistant Jim Larson, â€Å"the customer gets  annoyed. They thought they were getting a licensed  plumber, since they were calling for a plumber. Telling  them they have to have someone else come out doesn’t  go over well. †Ã‚   On the other hand, when a plumber responds to a  job easily handled by a plumber’s assistant, the customer  is still charged at the plumber’s higher pay rate. Licensed plumber Luis Berger also does not like being in  the position of giving customers bad news. â€Å"If I get  called out to do something like snake a drain, the customer  isn’t expecting a hefty bill. I’m caught in a difficult situation—I don’t set the rates or make the  appointments, but I’m the one who gets it from the customer. †Ã‚  Plumbers also resent being sent to do such simple  work. Obi Ani is one of DrainFlow’s order processors. She is frustrated too when the wrong person is sent  to a job but feels she and the other order processors are  doing the best they can. We have a survey we’re supposed  to follow with the calls to find out what the problem  is and who needs to take the job,† she explains. â€Å"The  customers don’t know that we have a standard form, so  they think we can answer all their questions. Most of us  don’t know any more about plumbing than the calle r. If  they don’t use the terms on the survey, we don’t understand  what they’re talking about. A plumber would, but  we’re not plumbers; we just take the calls. † Customer service issues also involve the billing representatives. They are the ones who have to keep contacting  customers about payment. It’s not my fault the  wrong guy was sent,† says Elisabeth King. â€Å"If two guys  went out, that’s two trips. If a plumber did the work, you  pay plumber rates. Some of these customers don’t get  that I didn’t take their first call, and so I get yelled at. †Ã‚  The billing representatives also complain that they see  only the tail end of the process, so they don’t know what  the original call entailed. The job is fairly impersonal,  and much of the work is recording customer complaints. Remember—40 percent of customers are not satisfied,  and it is the billing representativ es who take the  brunt of their negative reactions on the phone. As you can probably tell, all employees have to engage  in emotional labour, as described in your textbook,  and many lack the skills or personality traits to complete  the customer interaction component of their jobs. They  are not trained to provide customer service, and they see  their work mostly in technical, or mechanical, terms. Quite a few are actually anxious about speaking directly  with customers. The office staff (order processors and  billing representatives) realise customer service is part  of their job, but they also find dealing with negative  feedback from customers and co-workers stressful. Two years ago, a management consulting  company was hired to survey DrainFlow worker attitudes. The results showed they were less satisfied than  workers in other comparable jobs. The following table  provides a breakdown of respondent satisfaction levels  across a number of categories:  Ã‚  Ã‚   SHR034-6, 12-13 DrainFlow Plumbers DrainFlow Plumber Assistants DrainFlow Office Workers Average Plumber Average Office Worker I am satisfied with the work I am asked to do. 3. 7 2. 5 2. 5 4. 3 3. 5 I am satisfied with my working conditions. 3. 8 2. 4 3. 7 4. 1 4. 2 I am satisfied with my interactions with o-workers. 3. 5 3. 2 2. 7 3. 8 3. 9 I am satisfied with my interactions with my supervisor 2. 5 2. 3 2. 2 3. 5 3. 4 The information about average plumbers and average  office workers is taken from the management consulting  company’s records of other companies. They  are not exactly surprising, given some of the complaints DrainFlow employees have made. Top managemen t is  worried about these results, but they have not been able  to formulate a solution. The traditional DrainFlow culture  has been focused on cost containment, and the  Ã¢â‚¬Å"soft areas† like employee satisfaction has not been a major  issue. The Proposed Solution The company is in trouble, and as revenues shrink and  the cost savings that were supposed to be achieved by  dividing up work fail to materialise, a change seems to  be in order. Leigh is proposing using cash rewards to improve performance  among employees. She thinks if employees  were paid based on work outcomes, they would work harder  to satisfy customers. Because it is not easy to measure  how satisfied people are with the initial call-in, Leigh  would like to give the order processors a small reward  for every 20 calls successfully completed. For the hands-on  work, she would like to have each billing representative  collect information about customer satisfaction for each  completed call. If no complaints are made and the job  is handled promptly, a moderate cash reward would be  given to the plumber or plumber’s assistant. If the customer  indicates real satisfaction with the service, a  larger cash reward would be provided. Leigh also wants to find people who are a better fit with  the company’s new goals. Current hiring procedure relies  on unstructured interviews with each location’s general manager, and little consistency is found in the way  these managers choose employees. Most lack training in  customer service and organisational behaviour. Leigh thinks  it would be better if hiring methods were standardised  across all branches in her region to help managers identify  recruits who can actually succeed in the job. Your Assignment Your task is to prepare a persuasive report for Leigh on the potential  effectiveness of her cash reward and structured interview  programmes. Make certain it is in the form of a  professional business document that you would give  to an experienced manager at this level of a fairly large  corporation. Leigh is very smart when it comes to managing  finances and running a plumbing business, but she  will not necessarily know about the organisational behaviour  principles you are describing. As any new  proposals must be passed through top management,  you should also address their concerns about cost containment. You will need to make a strong evidence-based  financial case that changing the management style will  benefit the company. When you write, make sure you touch on the following  points:  Ã‚   SHR034-6, 12-13 1. Although it is clear employees are not especially satisfied  with their work, do you think this is a reason  for concern? Does research suggest satisfied workers  are actually better at their jobs? Are any other behavioural  outcomes associated with job satisfaction? 2. Using job characteristics theory, explain why the  present system of job design may be contributing to  employee dissatisfaction. Describe some ways you  could help employees feel more satisfied with their  work by redesigning their jobs. 3. Leigh has a somewhat vague idea about how to implement  the cash rewards system. Describe some of the  specific ways you would make the reward system  work better, based on the case. 4. Explain the advantages and disadvantages of using  financial incentives in a program of this nature. What, if any, potential problems might arise if people  are given money for achieving customer satisfaction  goals? What other types of incentives might  be considered? 5. Create a specific plan to assess whether the reward  system is working. What are the dependent variables  that should change if the system works? How will  you go about measuring success? How to cite Customer Service and Order Processors, Essay examples