Motivational Interviewing (MI) is a multiphase modality based upon facilitating and engaging intrinsic motivation with the client in order to elicit behavioral changes. Furthermore, building on a patient empowerment perspective by supporting autonomy and self-efficacy. This client-centered counseling approach, which Hanson and Gutheil (2004) refer to as” “phase one in which motivation for change is built, and phase two in which commitment to change is strengthened” (p.1), is based on this multiphase approach. Historically, MI was a counseling approach in part developed by clinical psychologists Professor William R. Miller Ph.D. and Professor Stephen Rollnick, Ph.D. However, although MI lacks a coherent theoretical framework,
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Motivational interviewing focuses on mobilizing the client 's own resources for change. Historically, the older population exhibits an abundance of resiliency. With most experiencing the effects and fallouts of multiple war time events, the Depression, and so on.
• Compatibility with health care delivery. Motivational interviewing does not assume a long-term client-therapist relationship. Even a single session has been found to invoke behavior change, and motivational interviewing can be delivered within the context of larger health care delivery systems. Even more, I feel the older population, often given their short attention span, and likely accompanied by embarrassment and shame of having an SUD, would feel more comfortable receiving 1:1 inpatient care from a therapist, rather than within a group setting.
• Emphasizing client motivation. Client motivation is a strong predictor of change, and this approach puts primary emphasis on first building client motivation for change. Thus, even if clients do not stay for a long course of treatment (as is often the case with substance abuse), they have been given something that is likely to help them within the first few …show more content…
al 1998) will be utilized by social workers so as use to guide their work with elderly clients:
1. Social workers should routinely suspect substance abuse in the elderly.
2. Criteria for the presence of a substance-related disorder should be based on the effect AOD use has on the elder’s biopsychosocial functioning rather than the quantity of substances used or the medical consequences of substance use.
3. The social worker should screen for mood, anxiety, and other psychiatric disorders. Also, consider using CAGE, MAST-G, one of which target the older population. If such a disorder is detected, the client should be referred immediately to appropriate mental health professionals for assessment and treatment.
4. When talking with the elderly person about his or her substance abuse problem, the social worker should frame it in terms of difficulty coping with aging.
5. Outreach and follow-up should be provided to help elderly substance abusers obtain services and re-engage with treatment if and when they miss appointments the social worker can detect signs of substance abuse in the client’s history, using clues such as frequent falls, injuries, bruises, and emergency room or emergency center visits.
Motivational interviewing focuses on mobilizing the client 's own resources for change. Historically, the older population exhibits an abundance of resiliency. With most experiencing the effects and fallouts of multiple war time events, the Depression, and so on.
• Compatibility with health care delivery. Motivational interviewing does not assume a long-term client-therapist relationship. Even a single session has been found to invoke behavior change, and motivational interviewing can be delivered within the context of larger health care delivery systems. Even more, I feel the older population, often given their short attention span, and likely accompanied by embarrassment and shame of having an SUD, would feel more comfortable receiving 1:1 inpatient care from a therapist, rather than within a group setting.
• Emphasizing client motivation. Client motivation is a strong predictor of change, and this approach puts primary emphasis on first building client motivation for change. Thus, even if clients do not stay for a long course of treatment (as is often the case with substance abuse), they have been given something that is likely to help them within the first few …show more content…
al 1998) will be utilized by social workers so as use to guide their work with elderly clients:
1. Social workers should routinely suspect substance abuse in the elderly.
2. Criteria for the presence of a substance-related disorder should be based on the effect AOD use has on the elder’s biopsychosocial functioning rather than the quantity of substances used or the medical consequences of substance use.
3. The social worker should screen for mood, anxiety, and other psychiatric disorders. Also, consider using CAGE, MAST-G, one of which target the older population. If such a disorder is detected, the client should be referred immediately to appropriate mental health professionals for assessment and treatment.
4. When talking with the elderly person about his or her substance abuse problem, the social worker should frame it in terms of difficulty coping with aging.
5. Outreach and follow-up should be provided to help elderly substance abusers obtain services and re-engage with treatment if and when they miss appointments the social worker can detect signs of substance abuse in the client’s history, using clues such as frequent falls, injuries, bruises, and emergency room or emergency center visits.