Motivational Interviewing And Cognitive Behavior Therapy

Your client Sue is a Social Work Assistant. In your last session she disclosed that she is concerned that on a recent home visit, herself and a senior colleague did not follow the necessary policies and procedures. They had visited a family with a history of neglect and domestic violence and did not ask to see the child or enter the home, both these actions are prescribed as appropriate as part of their work.

From the time of the advent of Sigmund Freud’s psychoanalytic theory and therapy until now, psychologists have searched for new and better ways to both understand and treat the human psyche. Many psychologists have spent their lives analyzing the complexities of human thought, behavior, and interactions with societal influences in order to find new ways to guide humans towards a more fulfilling human experience. Throughout time, various theories and models of therapy have emerged, each with their strengths and weaknesses in their efforts to help humanity live more fulfilling lives. Psychoanalytic, Adlerian, existential, person-centered, gestalt, behavior, cognitive, cognitive behavior (CBT), reality, feminist, postmodern, and family systems approaches have all made important contributions towards the evolution of psychological theory and therapy. One of the most widely accepted and practiced forms of theory and therapy in today’s world of psychology is CBT. Cognitive-Behavior Therapy has a rich and storied history, contains more inherent strengths than weaknesses, and provides effective treatment for a variety of psychological conditions.

An interview utilizing motivational interviewing techniques was conducted by a nurse practitioner student and a consenting patient. The patient is a 55-year-old, male, with occupation as a heating, ventilation, and air conditioner technician that the nurse practitioner student identified on physical examination to have mild hearing loss. Hearing protection is admittedly not worn consistently at the jobsite during the history taking portion of the exam. This paper will discuss the behavioral health problem of noncompliance with hearing protection, the evidence supporting motivational interviewing strategies to support behavior change, and a discussion of the techniques used during the interview.

CPSW did a home visit to meet with Ms. Berner and to discuss about her safety plan since the children are moving with her on10/29/16 from the foster provider. Ms. Berner was late for her appointment and CPSW waited a 40 minutes for Ms. Berner. Ms. Berner apologized for being late. CPSW explained Ms. About safety plan. Ms. Berner understood and she signed them. Ms. Berner stated that she will be doing a house arrest for two weeks and the recommendation of her criminal court is to obey law and continue taking her medication on time and seeing her therapist. Also, cooperating with her PO and CPSW. CPSW consulted with the supervisor and she has approved both children to move back with Ms. Berner. Goal 1-2

Living with her mother; however her mother asked her to leave the premises. Case Manager asked client, why her mother asked her to leave. Client stated that they got into an argument. Client stated that they have been arguing on a daily basis. Client stated that she doesn’t want to raise her child in that environment. Client stated that she has being living with her mother all her life.

Case management services were provided through an FTM (family team meting) in the youth’s home. Present at the meeting were WYP (Wraparound Youth Partner) Andy Ngo, WYP Vicky Tran, WPP (Wraparound Parent Partner) Shannon Ortiz, WCC (Wraparound care Coordinator) Jody Taylor, SSW (Social Services Worker) Stacey Padilla, the youth’s grandfather, the siblings, and the youth. The team went around sharing about the successes and the positives (what is working well), The youth is getting tutoring at school and in the home. The kids are doing their chores. The sisters look up to the youth as a role model. The youth does not have any behavior issue with WYP Ngo. The grandfather was at court on October 12th, 2016 to adopt the kids. The next court date

Client came into social service after receiving a SUS appointment slip left at the front desk by CM 10/3/17 to meet on 10/5/17 at 4pm. Client stated she only had a few minutes to talk because she had to cook dinner. Client informed CM her PA account was closed and she replied once again. Client also reports she has to visit Connecticut, PA office for a letter stating her PA case is closed in that state. Client informed her CM all documents requested will be submitted within a weeks’ time. Client reports two of her four daughters Selah McKenzie and Olivia Lue have a doctor appointment tomorrow October, 5, 2017. The other two daughters, Trinity and Nyan McKenzie have appointments next week Tuesday on October 10,

Client and this CM was able to complete all three forms. Client stated to this CM working on Friday at 12PM to Monday at 12PM each week as home health aide in New Canaan for an 89-year-old women. Client expressed happiness to be employed. Client stated being homeless since June of 2016 when due to getting kicked out of father's household. Client stated needing help to get housed is the reason for requesting case management services. Client stated to this CM being kicked out of father's house was due to drug usages. Client is currently receiving $383 monthly from SNAP and make roughly $1890 monthly from job. Client stated to this CM utilizing the Day Street Clinic in Norwalk CT as a primary care provider. Client also stated to this CM receiving therapy from Rebecca at Day Street Clinic for pass history of trauma. Client stated to this CM being raped three years ago and have a history of sexual abuse. Client stated to this CM medical history contains heart murmur. Client currently is taking 500mg of trazadone nightly. Client is diagnosed with depression and bipolar disorder. Client stated to this CM having 8 children, 6 biological and 2 adopted. Client family history contains depression and high blood pressure. Client scored 8 on the CAGE Assessment and scored 15 on the Modified

The client which I worked with, R.C. was brought in by staff at her group home with the knowledge and agreement of her brother. The client in question began having an exacerbation of her psychotic symptoms which was observed by staff at the group home where she lived as well as her visiting nurse. The behavior which was of concern included increasing self-neglect by the client who was notably not performing hygiene activities. The client was also reported to have struck her visiting nurse and to have been smearing fecal matter. The client is in her mid-sixties, divorced, and has a son, three grandchildren, and two brothers. The client 's brothers act as her guardians and are involved in her care. The client 's guardian reports that the client has struggled with mental illness throughout her life. Past medical history for the client indicates a number of past hospitalizations in a few different institutions and a diagnosis of schizoaffective disorder years prior. The client has had recent increasing difficulties with health problems not concerned with her mental illness. In addition to her diagnosis of schizoaffective disorder, the client also takes medication for hypertension, hypercholesterolemia, and asthma. The client also has a history of type two diabetes, renal insufficiency, pancreatitis, and fatty liver deposits. The patient 's chart

She no longer works, but says she is receiving unemployment. She was not able to provide proof of being in hospital. There has been positive screenings, she either doesn’t attend visits or comes an hour late. Mother says she is focused on her health (heart) because she needs surgery. Advised mother to get support from known children’s fathers. Older kids have been moved because of behavior. New group home is at least 2.5 hours away. Mother will maintain visits and they will be on weekends. In home counseling will begin instead of out of home. I believe that this case is from environment patterns. In the file it says where the mother herself was in foster care twice and the cycle is still going with her children as well. Things to be brought to her attention in a very blunt way. Unfortunately, we sometimes have to be truthful and as honest as we can without jeopardizing the rapport but getting and understanding on both ends. So that goals can be met in a decent time frame and progress is moving forward not backwards. I can clearly read between the lines and see that the mother needs to be told what is what and this is that. The mother is very inclined to not having hand- outs or asking for help. A lot of times people are reaching out for you and want you to read between the lines and pick up on the fact that they require a little more guidance

Kazemi et al. (2013) discuss the impact of motivational interviewing (MI) on the number of blackouts experienced by first-time college students who are high-risk alcoholics. Specifically, the authors conducted a study on 188 college freshmen who are high-risk alcoholics to establish the patterns of their blackouts when they are placed on MI. In this text, I will discuss why the plan by Kazemi and his coauthors was effective in the first place. Secondly, I will enumerate major issues of concern. Finally, I will suggest how I can improve the plan.

The clinical question being asked is; If primary care providers use motivational interviewing techniques to counsel pediatric patients during office visits, will patients be motivated to make lifestyle changes that will result is weight loss and decrease body mass index (BMI). Primary care providers will be educated on the benefits and the cost effectiveness of motivational interviewing. The primary care providers will also be provided with MI training prior to the implementation of the intervention. In addition to the MI training they will also have access to a MI coach who they can contact through telephone throughout project.

Client, Jennifer Ray-Spencer was raised by her grandmother on her mother side. Her mother suffers from schizophrenia illness and she believed that Jennifer was a devil child sent to harm her. She hasn’t heard from her mother in 8 years. She in now married with 5 step-children. Only one her step children live with her and her husband. She stated that the step child, Paige is 19 years of age and going to college. She states that Paige really doesn’t notice her because she is to herself. Mrs. Spencer has had a good relationship with her husband up until her Fall Semester this year. She states that her husband has been complaining to her about how she spends too much time with dealing with school work. He feels that she has been school

Th met with Cn in her home. Th husband and children was home and Cn chose to meet with Th in her living room. Th checked in with Cn and used open ended questions to engage Cn in sharing about her week and what she have been struggling with. Th used active listening and encouragement to process Cn experienced feelings. Th used collaborative

Ms. Holland was renting apartment over a bar that was not supposed to be rented. She states she paid rent for months unknowingly that the apartment was not for rent. After being put out she stayed with friends for two months until moving into Cots shelter; her and the 5 children. She worked at McDonald Until she slip and fell in the breakfast room one morning at the shelter, slip again resulting in being out of work on crutches. Client states it was hard pushing two children in the stroller and hard living in the shelter and she was afraid for her children. She kept a close watch on her children. However she states she got along with everyone.