Reference no: EM133500664

Assignment: Motivational Interviewing ASAM Case Study

Instructions:

1. This test will stress critical thinking skills. For some questions there may be multiple "right" answers that are all reasonable if grounded in the course reading and lecture material. Grading will focus on both your ability to manipulate and apply the content that you learned in the readings.

2. Questions have different point totals for a reason. Although this is not a failsafe prescription, I think that 10 point questions could be answered in a few paragraphs (<= one page), and that the two 30 point questions may take up to two pages of text for your responses to be well- developed. Writing this much, however, is no guarantee that you will get full points if there is a lot of filler content. It is important that your responses have high quality content, as evidenced by your knowledge of the subject and critical appraisal of the content.
3. You will need to use the attached mock case (Preston). This is a case Dr. Smith developed for training in an MI intervention.

Task

Question A. Note that your treatment options in your community for both outpatient and intensive outpatient mainly involve generic group therapy that focus on processes of addiction and recovery that are common to all people suffering substance use disorders. During the interview, the client expresses a very negative perception of treatment, thinking that you will refer him for AA self-help groups. Please generate ASAM ratings for the 6 ASAM dimensions, and make an overall level of care placement recommendation. Justify your placement using the assessment information, lecture notes on ASAM criteria, and any other information you research on what treatment he may need. Discuss alternatives to your selected level of care that may be viable if the client balks at what you recommend. Be sure to mention what types of specific problems should be targeted in treatment or specific treatment activities that you think may benefit this client.

Question B. What stage of change is the individual in? What barriers to engagement might you encounter? How will you address them?

Question C. What cultural, environmental, and developmental factors may be impacting the individual's substance use? Consider both protective and risk factors. How may this impact their recovery?

Question D. What assessment(s) would you utilize? Consider the individual's characteristics, DSM V criteria including groupings of symptoms, the drug of choice, and the evidence-base for the assessment.

Question E. Using a bio-psychosocial perspective, what additional information do you need for you to effectively intervene that is not present in the case study?