c. Contingency management (CM) is a treatment that uses a systematic method of changing behavior by modifying through consequences. It maintains that behavior has a type of repetitiveness and can be altered by using a system of negative and positive reinforcement. These negative and positive types of consequences, if administered consistently, can result in behaviorally changes. CM is structured around four core principles; routine drug testing is arranged by the clinician to detect if clients been using specific substance regularly, if abstinence is proven the clinician implements positive reinforcement, which is accepted by the client and clinician, if a positive for drugs is disclosed the clinician denies the clients reward that was agreed upon, a negative test rewards the client with what was agreed upon. CM is an approach that is best focused on a targeted behavior such as; substance abstinence, treatment plan adherence, consistency with medication, continuous individual and group presence, and completion of specific goals. There is an assortment of reinforcement techniques that are available to use with CM like; currency, rewards, tokens, concessions, and other prizes. I would use the CM method when a client that denies that he is consuming any alcohol but shows signs of the substance abuse. This would be a good method for those who do better when they receive a reward that would more likely motivate them to accept change. Keeping the client occupied and on a “roll”
Communication: Leaders and executive must gain employee trust and confidence and communicate the execution strategy and share the expected results.
Jed, a 38 – year old welder, enrolled in the treatment center after his arrest resulting from drunken driving (DUI/DWI) (National Institute on Alcohol Abuse and Alcoholism, n.d.). His lawyer has advised him to stop drinking and get treatment until his trial date, which is in approximate two months. Jed does not believe that he will serve any jail time, but feels that treatment could help strengthen his court case (National Institute on Alcohol Abuse and Alcoholism, n.d.). In this paper, I will create a relapse prevention plan that will aid Jed as he enters into his treatment program. This paper will also show
When they begin treatment, family therapy is used to help repair these relationships. Meanwhile, contingency management helps to provide positive reinforcements to help patients to stay clean. Each patient may need one, several or all of these treatments to recover completely.
A broad range of medical and psychological therapies is currently available for people who struggle with substance addictions. The scientific community is working on evaluation of various treatments to determine which strategies offer the best chances of successful outcome. People who need treatment for alcoholism and drug use are very diverse group. Addiction is a disorder that requires an individual case approach; therefore, different ways to
The reading entitled “The Treatment Plan” focuses on developing treatment plans, particularly for those in substance abuse rehabilitation programs. First, the interdisciplinary team, which consists of a variety of professionals such as doctors, nurses, and therapists, writes a summary of the client at intake to determine the problems, how they came about, and the potential solutions. Next, a problem list is created. The problem statement is one sentence explaining the problem, which is abstract and not tangible. Therefore, signs and symptoms are also listed underneath, such as history of DUI and the blood alcohol level. These are used as evidence to back-up the problem statement. After, for each problem statement, several goals are listed that
Mr. Charles’ ability to maintain sobriety and learn a healthy lifestyle of recovery, taking into account that his drug dependence will only continue and possibly increase if untreated. Mr. Charles would benefit from an outpatient treatment program in order to become educated regarding the dangers of substance use/abuse. Mr. Charles will also be able to process his patterns of drug use and learn to recognize triggers that lead to his substance abuse. Mr. Charles will also be able to learn the effects and consequences of substance abuse and how to remain abstinent from drugs. While in group therapy, Mr. Charles will learn appropriate techniques to resist peer pressure to drug use as well as assist him in developing a supportive network to encourage him to maintain abstinence. The intervention would assist to minimize the possibility of Mr. Charles’ drug use from progressing into the late stages of chemical dependency.
Client was considered to be in semi-compliance with treatment during this reporting period. Client attended two secheduled groups with two absences. UA were negative for all tested substances. Client reported participating in self-help meeting regularly; verification was provided. Treatment attendance needs to be improved in 30 days.
In the article “Determining the Relative Importance of the Mechanisms of Behavior Change Within Alcoholics Anonymous: A Multiple Mediator Analysis” the authors conducted research to determine what techniques used in Alcoholics Anonymous (AA) aid in relapse prevention. According to the National Institute on Alcohol Abuse and Alcoholism (2016) alcohol is the fourth leading cause of death in the United States that is preventable. In 2014 alone, thirty-one percent of all traffic fatalities were alcohol related (NIAAA, 2016). The study participants suffered from Alcohol Use Disorder (AUD) and attended AA. NIAAA (2016) states the Diagnostic and Statistical Manual of Mental Disorders IV has integrated alcohol abuse and alcohol dependence into a single alcohol-related disorder, AUD with mild, moderate, and severe classifications. AUD is diagnosed when a client’s drinking causes themselves or others anguish or injury AA began in the 1930’s and is an informal organization of men/women who have a drinking problem (AA, 2016). AA is based upon anonymity along with twelve steps/principles and meetings for those seeking help with sobriety. Research has shown that participating in AA reduces risk of relapse and this article aims to understand the techniques that empowers those to remain sober.
Abstinence reinforcement interventions have been shown that although they can effectively promote abstinence from multiple drugs, it is more challenging to reinforce abstinence from multiple drugs, than it is to reinforce abstinence from a single drug (Epstein & Preston, 2008). Preston et al., (2008) conducted a carefully controlled randomized trial to directly address this subject. In this study, the goal was to conclude whether focusing on prize-based contingency management toward abstinence individually for cocaine or opiates, would be more effective for decreasing use of both drugs , rather than focusing on abstinence from only one drug. The outcome of the research conducted by Preston et al. (2008) showed that the dual contingency
Motivational Enhancement Therapy is a treatment approach I resonate with for the treatment of alcohol disorders. The use of this approach will allow the individual to engage exploring the internal motivations for their behavior and resolving any ambivalence. Using this intervention is effective but short in duration and will reduce any possible risk of abrupt termination of treatment by the client. Nonetheless, using this type of therapy will build and strengthen motivation to change drinking behavior, while achieving moving forward in set goals. In addition,
Worthington Industries Inc. is a “global, diversified, metals manufacturing company” (Worthington Industries, Inc., 2016). The business plans to continue growth by implementing more manufacturing plants in different geographic locations. To do this, the business must strategically plan the implementation of the new plants in order to maintain quality while offering affordability to existing and new customers. As part of the implementation plan the objectives, functional tactics, action items, milestones, task ownership, and resource allocation will be discussed. There will be a need in changing management strategies to enhance successful outcome of the new communities. Some key success factors to ensure success is budget and forecasted financials. If indeed the environment factors such as economic hardships arise a contingency plan will be in place.
Owning a business can have many stressors day to day. When starting a business there is a lot of planning and preparation involved. Many small businesses are owners who have put their own money into the business and look at it as an investment. Unfortunately with all the planning that goes into starting a business, one thing is often over looked. Most of the time the “what ifs”, are not part of the planning stage. One reason for this is that people do not like to think of the bad things that could or may happen. So with all the time and planning put into starting a business why not put some extra thought into a plan B if a disaster strikes? This plan B could be a business continuity plan or a disaster recovery plan. Business continuity plans are an essential part of the modern day business. There are so many potential disasters for small businesses that could seize the production or even close the business down for good. A recent study from Gartner Inc., found that “90% of companies that experience data loss go out of business within two years. It also found that 80% of company owners have not thought about how they would keep their businesses up and running if a data disaster occurs.” According to the Association of Records Managers and Administrators, “about 60 percent of businesses that experience a major disaster such as a fire close
Before one can begin the process of remaining abstinent from alcohol, the individual must first accept that there is a problem stemming from drinking alcohol. Admitting that there is something wrong about consuming too much alcohol, enables the individual to take action. Although the alcohol abusers peers may highlight the problem to the user as well, he or she is more likely to commit to quitting if the problem is acknowledged by the individual. First, the alcohol users assess his or her situation regarding alcohol abuse. Next, the individual will need to take steps to ensure his or her peers are aware and supportive of the situation. If the users, peers all abuse alcohol it may be difficult or embarrassing to acknowledge your plan to change. Now that the alcohol user has acknowledged the substance abuse problem, it’s
Cognitive and Behavioural approaches are also widely used with alcohol and drug using clients. In a meta-analysis of 17 studies Walters, Mortgenstern, & Rotgers (2003) found that behavioural self-control programs (training in drinking rate control, goal setting, identifying high risk situations, alternatives to alcohol use) were more effective than no treatment and at least as effective as abstinence based programs. CBT for substance abuse encompasses a variety of interventions that emphasize different targets. However, this essay will be focus only on motivational intervention and family therapy.
The objective of this study was to develop a strategic contingency planning model to be used to fully incorporate emergency management and business continuity into organization structures. (For the purpose of this study, Emergency Management and Business Continuity were collectively referred to as “contingency planning.”) Presently, contingency planning is mainly done on an operational or tactical level. Current thinking suggests that contingency planning should be an active part of organizations’ overall strategic planning processes as well. Organizations will ultimately be better prepared for future disasters and crises.