IC&RC LCDC EXAM Domain I (Screening, Assessment and Engagement) Motivational Interviewing Terms 100% Correct

IC&RC LCDC EXAM Domain I (Screening, Assessment and Engagement) Motivational Interviewing Terms 100% Correct FRAMES Approach of Motivational Interviewing Feedback, Responsibility, Advice, Menus, Empathetic Counseling, Self-efficacy The F in FRAMES Feedback regarding personal risk or impairment is given to the client following assessment of substance use and associated problems The R in FRAMES Responsibility for change is placed squarely and explicitly on the client and with respect for the clients right to make choices for himself The A in FRAMES Advice about changing-reducing or stopping- substance use is clearly given to the client by the clinician in a nonjudgmental manner The M in FRAMES Menus of self directed change options and treatment alternative are offered to the client The E in FRAMES Empathetic counseling-showing warmth, respect adn understanding is emphasized The S in FRAMES Self-effacey or optimistic empowerment is engendered int eh client to encourage change. PIES Approach Created in WWI for soldiers Proximity, Immediacy, Expectancy, Simplicity THE P in THE PIES APPROACH Proximity- Provide treatment where you are THE I in THE PIES APPROACH Immediacy- Intervene and treat as soon as the problem is noticed. THE E in THE PIES APPROACH Expectancy Expect the intervention to be successful and return the person to duty THE S in THE PIES APPROACH Simplicity simply listening showing empathy and demonstrating understanding works best. 6 Stages of Change in TIP 35 (5 in others) 1) Pre-contemplation, 2) Contemplation 3) Preparation 4) Action 5) Maintenance 6) Recurrence Pre-contemplation The client is not yet considering change or is unwilling or unable to change Contemplation The client acknowledges concerns and is considering the possibility of change but is ambivalent and uncertain Preparation The client is committed to and planning to make a change in the near future but is still considering what to do. Action The client is actively taking steps to change but has not yet reached a stable state. Maintenance he client has achieved initial goals such as abstinence and is not working to maintain goals. Recurrence The client has experienced a recurrence of symptoms and must now cope with consequences and decide what to do next. Motivational strategist for the stage of Pre-contemplation Establish rapport, ask for permission and build trust. raise doubts or concerns in the client about use and patterns. Explore what events brought the client to you. Elicit perceptions of the problem. Offer information on risk about use. Help S/O intervene. Examine discrepancies in perceptions of the problem Express concerns and keep the door open. Motivational strategist for the stage of Contemplation Normalize ambivalence. Help the client tip the decisional balance scales toward change. Change extrinsic to intrinsic motivations for change. Examine the clients personal; values in relation to change. Emphasize the clients free choice, responsibility and Self-efficacy. Elicit motivational statements of intent and commitment. Elicit ideas regarding the clients perceived self efficacy and expectations regarding treatment. Summarize self motivational statements. Motivational strategist for the stage of Preparation Clarify the clients own goals and strategies for change. Offer a menu of options for change or treatment With permission give advice. negotiate change plan/behavior contract. Consider and lower barriers to change. Help the client enlist social support. Explore the clients role. See what has worked in the past. Help client negotiate finances and other potential barriers. Motivational strategist for the stage of Action Engage the client in treatment and reinforce the importance of staying in recovery. Support realistic view of change through small steps. Acknowledge difficulties for the client in early recovery. Help the client identify high risk situations through a functional analysis and develop appropriate coping strategies to overcome these.Help the client assess support systems. Motivational strategist for the stage of Maintenance Help the client identify and sample drug free sources of pleasure ( new reinforcers). Support lifestyle changes. Affirm the clients resolve and self efficacy. Help the client practice and use new coping strategies to avid a return to use. Maintain supportive contact. Develop a fire escape plan. Review long-term goals. Motivational strategist for the stage of Recurrence Help the client reenter the change cycle and commend any willingness to reconsider positive change. Explore the meaning and reality of the recurrence as a learning opportunity. Assist the client in finding alternative coping strategies. Maintain supportive contact. Catalyst in the stage of Pre-Contemplation Consciousness raising Environmental reevaluation Emotional arousal and dramatic relief. Catalyst in the stage of Contemplation Self-reevaluation Emotional arousal and dramatic relief Environmental reevaluation Catalyst in the stage of Preparation Self-liberation Counter conditioning Helping relationships Catalyst in the stage of Action Helping relationships Environmental reevaluation Self-Liberation Reinforcement Management. Axis I Clinical Syndromes Axis II Personality disorder or mental retardation Axis III General medical condition Axis IV Psycho-social/environmental issue Axis V Global Assessment of Functioning 0-100 (40 Detox) What Axis do LCDC/AODC work with Axis I What Axis do medical doctors work with Axis III What Axis do psychologist/psychiatrist/therapist/counselors work with Axis II What Axis do Social workers work with Axis IV What Axis states a persons basic ability to function in the world Axis V