In 2013 the National Survey on Drug Use and Health estimated that 17.3 million people over the age of 11 met the diagnostic criteria for substance dependence or abuse that included alcohol (Substance Abuse and Mental Health Services Administration [SAMHSA], 2014). The reports indicates that while 14.7 million of these individuals were dependent on or abused alcohol alone 4.3 million were dependent on alcohol and at least one illicit drug. The report goes on to mention of those with substance use issues that included alcohol 7.9 percent sought treatment at in patient hospitals, inpatient or outpatient drug or alcohol rehabilitation, or a mental health center. According to the same publication the highest rates of alcohol consumption and problem
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The initial stage of this process precontemplation is characterized by a lack of perceived need for change. The next step the contemplation stage is a period of ambivalence and inaction. As insight is gained and change becomes favored a period of preparation ensues where change options are explored. The action phase is marked by active attempts to change and the maintenance stage includes steps that are taken to ensure the attempted change is enduring (Prochaska & DiClemente, …show more content…
Upon review the literature indicates a lack of insight about the effects of their use impedes on developing the motivation to change. This places a great majority of the population (95.5%) of people with substance use disorder in the precontemplation stage (SAMHSA, 2014). Motivational interviewing (MI) is a client-centered, goal-directed method based on the theory that fostering and employing intrinsic motivation is necessary for behavioral change (Kohler & Hofmann, 2015). MI is guided by four principals, (1) the expression of empathy, (2) developing client discrepancies, (3) rolling with client resistance and (4) supporting the client’s self-efficacy (Monti, et al., 2007). When applied to substance use MI increases an individual’s awareness regarding the consequences of substance use and confronts their ambivalence toward change (Miller & Rollnick, 1991). The first step of the intervention includes the review of objective information about a client’s substance use and eliciting any concerns that the client or significant people in their life may have about the their substance use (Miller & Rollnick, 1991). Exploration raises the client’s awareness about both the consequences of their substance use and their own ambivalence toward their use in a style
The initial stage of this process precontemplation is characterized by a lack of perceived need for change. The next step the contemplation stage is a period of ambivalence and inaction. As insight is gained and change becomes favored a period of preparation ensues where change options are explored. The action phase is marked by active attempts to change and the maintenance stage includes steps that are taken to ensure the attempted change is enduring (Prochaska & DiClemente, …show more content…
Upon review the literature indicates a lack of insight about the effects of their use impedes on developing the motivation to change. This places a great majority of the population (95.5%) of people with substance use disorder in the precontemplation stage (SAMHSA, 2014). Motivational interviewing (MI) is a client-centered, goal-directed method based on the theory that fostering and employing intrinsic motivation is necessary for behavioral change (Kohler & Hofmann, 2015). MI is guided by four principals, (1) the expression of empathy, (2) developing client discrepancies, (3) rolling with client resistance and (4) supporting the client’s self-efficacy (Monti, et al., 2007). When applied to substance use MI increases an individual’s awareness regarding the consequences of substance use and confronts their ambivalence toward change (Miller & Rollnick, 1991). The first step of the intervention includes the review of objective information about a client’s substance use and eliciting any concerns that the client or significant people in their life may have about the their substance use (Miller & Rollnick, 1991). Exploration raises the client’s awareness about both the consequences of their substance use and their own ambivalence toward their use in a style