Draw up a new contract with the client.
Talk to the client about possible denial.
Create new goals and objectives, and suggest alternate forms of therapy.
Discuss these concerns with the client and make necessary changes in treatment goals.
Asking too many questions.
Moving too quickly from data collection to treatment planning.
Focusing on strengths and weaknesses.
Processing the data collected from the client.
Licensed professional counselor.
Marriage and family therapist.
To be alert to and understand the power relationship.
To utilize the differential power to motivate the client.
To realize the importance of this power in client interventions.
To use differential power to get the client to try new behaviors.
The pretreatment period may be when clients lose interest in treatment.
A client may receive enough help so as not to need the services of the program or agency.
Successful pretreatment may result in a client needing services that an agency doesn't have, thus losing the potential admission.
There is really no danger with pretreatment - recovery will require much more programming than pretreatment can offer.
Clients should be taught skills for anticipating, avoiding, and coping with their personal high-risk situations.
Clients should be taught constructive responses to cope with lapses when they do occur.
Clients should be helped to recognize that one or more temporary lapses are likely to occur and are permitted.
Any positive expectations that clients have about drug use should be countered with reminders about the lows that follow the highs and about the long-term negative consequences of substance abuse.
Substance often taken in larger amounts than the person intended.
Marked lack of initiative, interest or energy.
Frequent intoxication when expected to fulfill major role obligations.
One or more unsuccessful efforts to cut down substance use.
Teaching clients to formulate and carry out plans to change their behavior.
Focusing on the person instead of the presenting problem.
Assisting clients in enhancing their coping skills.
Individualizing the treatment plan.
AIDS epidemiology and transmission routes.
The disease's clinical progression.
New medication used in treatment regimens.
Available social services for AIDS clients.
These communities try to return clients to society.
These communities are based on individual psychotherapy rather than group encounter.
These communities keep the patients busy rather than engaging in contemplative thought.
These communities rely on professional psychologists rather than former addicts or abusers.
Complete a mental status exam.
Engage the client's family in treatment.
Develop a treatment plan.
Establish rapport with the client.
The Beck Depression Scale , the MAST test, and the MMPI.
The Beck Depression Scale the MAST test, and the Stanford-Binet.
The MAST test, the Strong-Campbell, and the Stanford-Binet.
The MMPI, the Strong-Campbell, and the Stanford-Binet.
Develop a treatment plan.
Have the client sign appropriate documents.
Determine one's appropriateness and eligibility for admission.
Identify the client's strengths and weaknesses.
Monitoring, feedback, and evaluation of services.
Frequent face-to-face contact with the client.
Collaboration with family members.
Careful matching with appropriate 12-step groups.
Whether the patient has a history of sobriety during the last several years.
Whether the patient's job and family are likely to give him another chance if this treatment fails.
Whether the patient has family support for sobriety.
Whether the patient has a history of failed treatment on an outpatient or inpatient basis.
Compromising T-cell functions.
Impairing frontal cortical functions.
Increasing serotonin levels in the synaptic gap.
Decreasing cardiopulmonary functioning.
Ask the client to participate, never-the-less, and suggest he simply "do his best" when dealing with the issue of powerlessness.
Let the client know that participation in AA is mandatory, and that if he doesn't participate, he could be discharged for "noncompliance."
Be sensitive to such cultural differences and seek out other recovery resources that are relevant to the individual's values.
Seek out another Somali who is in a local AA group and ask the he or she sponsor your client.
"This counselor is a stranger, but maybe I can learn to trust her."
"My counselor will direct me to do what I need to do, and everything will be OK."
"My counselor will be a resource that I can use to resolve my problems."
"The counselor's main concern and responsibility is to help me achieve my goals and objectives."
Assess Joe's potential for suicide without directly asking him about suicide plans, but assess his high-risk factors.
Assess Joe's potential for suicide by asking him about his intent, and evaluating high risk factors.
Determine if Joe has a gun or other weapon.
Initiate involuntary hospitalization procedures.
Remain in denial about his/her addiction.
Have incorrect information and unanswered questions about the program.
Need to be referred to an outside agency.
Need additional education about addiction.
Employing an interpreter.
Training the counselor in cultural sensitivity.
Requiring the client to utilize a family member as an interpreter.
Getting the client a language tutor.
Child care services.
Primary health care.