Clinical Assessment Of Clinical Practice

At the beginning of my training, I was hesitant to work with people struggling with addiction. However, at this point, I am excited to begin working with this population. The raw honesty presented in the group setting along with the anger at the possibility of losing a safe place created a dynamic I wanted to further explore. Research supports that individuals attending group therapy in a 12 step program format succeed if they have the proper support and motivation (Cite). The group dynamic demonstrated that recovery takes time and self-discovery, similar to other situations dealt with in therapy. Subsequently, by using my sense of self and humor with clients struggling with addiction, I can help them in their journey. Furthermore, the client needs to identify accountability at their own pace in the process and not when others dictate. This knowledge and the personalization of addiction will aid me in the future support of my

al, 2012). Social workers need to consider modifying the traditional CBT when working with the elderly who may have developmental differences in cognitive functioning and sensory capacity (Rinfrette, 2009). The CBT approaches employed in the treatment of substance abuse elders are based on Marlatt and Gordon’s 1985 relapse prevention model that is identified by the National Institute on Drug Abuse as a scientifically based treatment approach for substance use disorders (Cummings, Bride, & Rawlins-Shaw,

Psychoeducational groups relating to additions or substance abuse are designed to assist participants in their stages of change, learn about recovery, provide information to families to understand behaviors, and to assist participants with resources and skills (U.S Department of Health and Human Services, n.d). Psychoeducational groups will support participants and encourage them to take responsibility for their actions. These groups will utilize different methods to replace addictive behavior and practice mindfulness to work on any cognitive impairment that their addiction has produced (U.S Department of Health and Human Service, n.d). In addition, substance abuse or addiction psychoeducational groups provide participants support and peer confrontation. Other members are able to support the group by offering education about what has worked well for them, or what has not work well. The group processes also provides emotional support for members to assist in personal recovery.

Cognitive behavioral; therapy (CBT) was developed as an aide to prevent relapse when treating addiction. CBT is based on the principle that the learning process is important in dealing with male adaptive behaviors like

Measures used to evaluate the outcome of the evidence-based practice (EBP) change will be reviewing quarterly dashboard data. To ensure inter-rater reliability, the infection control nurse, and only the infection control nurse, will monitor ongoing efforts of data collection of CAUTI, and be an integral part of the feedback loop responsible of giving on-sight feedback to clinicians and team members. Also, the infection control nurse along with other team members will revisit the literature to see if any new knowledge focused triggers will be considered. The quarterly dashboard will inform of outcome indicators which may, or may not, affect the process indicators. Process and outcome indicators will be used for improvement purposes within the unit. The quarterly dashboard report also allows questions to be asked by team members and stakeholders, which stimulates more discussion and advanced thought toward quality improvement of the EBP change. The dashboard will assist in

Therapeutic practice focuses on the psychological, emotional, behavioural, educational and environmental development of substance abusers it uses cognitive behavioural theories in assisting clients with addiction to abstain from using drug and alcohol it does this by addressing the underlying issues users have that lead to substance abuse

For the purpose of this assignment, we interviewed Jodi Greenblatt, the Clinical Director at Community Partners (CP) and Hilary Jacques an LCSW Outpatient Therapist. I was thoroughly impressed and refreshed by the interview with Jodi. While interviewing Jodi, I felt that she had a wealth of knowledge and was very knowledgeable about the theoretical framework that Community Partners employs. Jodi explained to us that the agency does not specify any treatment modality, but the agency does have commonly used treatment modalities that include, but are not limited to, CBT, EMDR, TF-CBT, Play Therapy, Motivational Interviewing and Triple P Parenting Skills. She explained that the theoretical underpinnings of the commonly used treatment modalities are CBT and the trauma based focus of the treatment modalities. Said another way, what Jodi was describing was that the commonly used treatment modalities employed by the agency have a trauma-focused orientation and are grounded in theories of change.

Stevens, P., & Smith, R. L. (2013). Substance abuse counseling: Theory and practice (5th ed.). Upper Saddle River, NJ: Pearson Education, Inc.

Motivational interviewing is a counseling approach that was studied and understood as an applicable theory of practice that would be beneficial in the environment where I currently work which is an alcohol treatment facility. Whereas, it is understood that clinical and applied aspects of Motivational Interviewing (MI) have shown effective as a relatively brief intervention (Levensky, Cavasos, & Brooks, 2008), especially those dealing with an alcohol dependency. According to Miller and Roderick, MI, has been defined mostly as a directive, client centered counseling approach for eliciting behavior change by helping clients to explore and resolve ambivalence. In addition, with its goal-orientated approach it can help break down resistance to change (Corey, 2013, pp. 191-194). This theoretical approach is the most favored for the environment in my profession of choice, in addition, integrating it with the practice of Cognitive Behavioral Therapy (CBT) which is already in use.

I just want to let you know that I have not been granted access to you computer system yet. According to STEP 5, I am supposed to receive an email from your MCIT department trough an umich.edu account. However, I don’t have an umich.edu account. Also, I have not received a signed ID Request Form for a MCard ID badge.

Cognitive behavioral therapy (CBT) is a short-term, problem-centered therapy that is used to address psychopathology within the individual (Beck, 1995). This model of therapy is used to address issues of depression, anxiety, eating disorders, relational problems, and drug abuse, and can be utilized when working with individuals, as well as within group and family modalities. The core aspects of this therapy include collaboration and participation by the client, a strong alliance between therapist and client, and an initial focus on current problems and functioning (Beck, 1995). The theory of CBT emphasizes the relationship between the individual’s thoughts feelings and behaviors, which is seen as being the underlying cause of

The key concepts of a cognitive behavioral approach have been broken down into a four-stage process. According to Corey (2016), “the specific unique characteristics of behavior therapy include conducting a behavioral assessment, precisely spelling out collaborative treatment goals, formulating a specific treatment procedure appropriate to a particular problem, and objectively evaluating the outcomes of therapy” (p. 349). The behavioral assessment is aimed at gathering as much detailed information about the client’s problem. This part of the process will also focus on the client’s current functioning and life conditions and taking samples of his or her behaviors to provide information about how the client typically functions in various situations. Lastly, the behavioral assessment is narrowly focused and integrated with therapy.

My reflective clinical practice experience was based on my eight weeks placement in an acute mental health ward in a hospital. I was not sure of what to expect because I have never worked or placed in an acute ward and this was my second placement. Before starting my placement, I visited the ward and was inducted around the ward. This gave me a bit of confidence and reassurance about working in an acute ward.

Cognitive Behavioral Therapy (CBT) was developed as a method to prevent relapse when treating people with alcohol problems and then later it was adapted for drug-addicted individuals. Cognitive behavioral strategies are based on the theory that in the development of maladaptive behavioral patterns.

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.