Assessment and Treatment Recommendations


The case of Tony


Tony presents a challenge of relapsing. He was sentenced for trafficking methane and has been held at a half-way house after release. Tony had gone for chemical dependency program and made a decision not to use methane again. However, he has started associating with his former friends who have offered him meth.  A biopsychosocial assessment looks assesses a client holistically, looking at his physical, psychological, and social issues (Doweiko, 2014; Wijma, van Wilgen, Meeus, & Nijs, 2016)………………………..

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Reflection, Self-Care, and Development Plan

Professional development involves both skill and personal self-care. Maintaining appropriate boundaries with clients requires awareness of both personal issues and professional skill development. The early career addiction professional may be best served by giving careful consideration regarding sharing personal information with clients, particularly regarding personal recovery. The risk of over-involvement with clients can be particularly risky for professionals who are in recovery (Doukas, Cullen, 2010).
The journaling activities throughout the course and the activities during residency provide ample material for reflection to develop a plan for strengthening your skills and self-care in the coming months and years. The course project is structured to guide you through identifying skills you have demonstrated and your goals for the future.
Doukas, N., & Cullen, J. (2010). Recovered addicts working in the addiction field: Pitfalls to substance abuse relapse. Drugs: Education, Prevention & Policy, 17(3), 216–231. doi: 10.3109/09687630802378864
To successfully complete this learning unit, you will be expected to:
1. Identify a plan to incorporate self-care techniques for maintaining personal and professional health.
2. Identify activities designed to facilitate continual cultural competence.
3. Identify activities designed to maintain knowledge regarding the application of ethical principles in professional interactions.

Section 2 Assignment: Assessment and Treatment Recommendations 3 pages needed with 5 references
o Assess and evaluate client information using the Biopsychosocial Assessment and Addiction Severity Index completed for your client at residency to evaluate the need for a risk assessment and safety plan.
o Describe specific treatment recommendations and strategies for both individual and group modalities for the client considering the client’s readiness for change.
o Discuss the impact of diversity and ethical ramifications of the identified problem and treatment recommendations.
o Support your analysis with scholarly resources beyond those provided for you within the course.
My client at residency was Tony below
After a year in a half-way house, Tony has been released on a three-year parole for a sentence involving distribution of amphetamines. While in prison, and again in the half-way house, Tony participated in chemical dependency programs. Tony has neither the means nor the intention to use meth again, but now that he is associating with some of his old friends, he has been offered meth and he is having a hard time resisting the temptation. He has gone to his counselor to ask for assistance.
Section 3 Assignment: Professional Development Plan 3 pages needed with 5 references
o Review your journal carefully. Develop at least three specific short term goals for professional development that emerge from the identification of themes from journal activity.
o Develop at least three long-term goals for professional development that emerge from feedback from instructor and peers. Feedback received below.
I need to learn how to suggest strategies for future development with client during counseling or therapy session. Stop to fix client and refrain from giving advice or suggestion. If get some more from my instructor I will send down to you.
o Analyze group facilitation experience addressing ethical and diversity consideration for professional practice.
o Support your analysis with scholarly resources beyond those provided for you within the course.

My journal below
Unit I
1. What feedback did you receive in Unit 1 that was most helpful?
The feedbacks received in Unit 1 that was most helpful to me was how to use Adobe Connect and Kaltura, apply foundational counseling skills, such as empathic responses, and attending skills, and receive feedback with an open, non-defensive attitude.
2. How will you use what you learned from the Unit 1 resources and activities to help you prepare for the Residency?
By practicing those skills learned from the Unit 1 resources and activities to help me prepare for the Residency.
What did you find particularly challenging about this exercise?
It will be the feedback from my classmates and instructor because I am nervous making recording video.
What skills do you need to work on to improve your foundational counseling skills?
It will be active listening skills because it is often reported that many counselling clients say that the most important and valued thing that they take from counselling is that they feel listened to and understood. Even if a counsellor has been excellent at helping them to clarify, focus, or to facilitate change within them, good listening might still feel even more significant than that.
Unit 2 – a

Specific skills
Learner Pre-Colloquium
RELATIONSHIP AND COUNSELING SKILLS: Demonstrate foundational skills, empathic responses, and attending skills. 4
ASSESSMENT SKILLS: Demonstrate basic addiction screening and biopsychosocial interviewing skills. 4
APPLY MOTIVATIONAL INTERVIEWING MEODEL AND ASSESS READINESS TO CHANGE: Apply Motivational Interviewing concepts in assessing motivation for goal setting in interventions. 4
CRISIS ASSESSMENT AND INTERVENTION SKILLS: Identify risk of harm and the scope of type of crisis including those complicated by intoxication. 4
GROUP FACILITATION SKILLS: Demonstrate effective group facilitation through active listening, ethics of group work, and awareness of diversity in a group.

ETHICAL SKILLS: Incorporate NAADAC code of ethics and standards of practice. 4
SOCIAL AND CULTURAL DIVERSITY SKILLS: Incorporate multicultural/diversity awareness, knowledge, and skills into practice. N/A
COUNTERTRANSFERENCE: Identify and actively address unfinished business; demonstrate awareness of the impact of counter-transference on client interactions. 3
COMMUNICATION: Communicate and provide feedback in a professional and respectful manner. 4
PEER FEEDBACK: Accept and implement non-evaluative feedback from peers. 4
FACULTY FEEDBACK: Accept and implement non-evaluative feedback from faculty. 4
SELF-AWARENESS: Manage personal boundaries, display awareness and impact of personal behaviors upon others. 4

Part II: Qualitative comments
In addition to other comments, please discuss overall areas of strength and areas for growth along with possible strategies for improvement.

Learner Comments:


My strengths was active listening, empathy, paraphrased, reflection and summarized.

Areas for growth:
My areas for growth are as follows use of client language and refrained from giving advice or suggestions.
Unit 2 – b

Seeing ourselves on camera and hearing our recorded voice can be somewhat disconcerting. We are most concerned with how we use our facial expressions and tone of voice to express warmth and empathy. Based upon reviewing the Kultura video:
1. What did you notice about how you come across on the video in terms of facial expression and tone of voice?
I noticed on the video in terms of facial expression, I was okay but my tone of voice was low and soft.
2. What would you like to change about your facial expression or tone of voice in your next recording?
I will not want to change anything about my facial expression but I will like my voice to be little louder
3. What aspects of Motivational Interviewing (MI) you would like to develop during our face-to-face role-plays? Be specific considering applications for MI for individuals and groups.
During our face to face role-plays I will try to refrain from giving advice or suggestion to the client during therapy or counseling session.
Unit 3
Thursday or Friday: Record your primary goals for the Colloquium experience. Be specific and set goals you will know if you have met at the end of Unit 4 (make them measureable). Try to develop three so they are easy to remember and track.
1. Active Listening
2. Paraphrasing
3. Use of Open Questions
Saturday As your first day at Residency draws to a close, complete:
Something that surprised me was.
The way my classmates get along as group or teams and get ready to learn from each other during residency.
I understand what I want to learn is.
I understand that I want to learn about counseling skills, and also Motivational Interviewing skills during this residency session.
What helps me to feel more comfortable in this setting is.
My instructor encouraging all of us to be relaxed that everything will be okay.
Sunday: As your second day at Residency draws to a close, consider:
The most important thing I discovered today was:
The most important thing I discovered today was that every one of us are ready for the role-play session to start.
What has changed for me since yesterday is:
Is that I’m ready for the role-play because I am ease for it now to start.
To feel more at ease during role-plays, I can:
I can role-play at ease after I got to know my instructor and classmates much better that they will give me the needed feedbacks to improve my role-play next time, it is time for me to perform again.
Unit 4

Monday: As your third day at Residency draws to a close, reflect upon:
The change process is different from what I thought I knew because…
The process is different from what I thought I knew because the tension is much less than when we first started the session.
I’m beginning to understand that facilitating groups can be…
I’m beginning to understand that facilitating groups can be enjoyable and easy than dealing with individual therapy because the group’s ideas process, which means that some people are having the same problems that I’m dealing with.
Something I discovered about my own strengths today is…
Something I discovered about my own strengths today is that I enjoying sharing in the group session, receiving feedbacks, giving positive empathy, and also listening to what others have to say during the session therapy or counseling.
Tuesday: As your fourth day at Residency draws to a close, consider:
Some of the most valuable feedback I’ve received so far has been refrained from giving advice and suggestions during therapy or counseling session to my client.
As much as we all have in common, I’ve discovered that there are important differences based upon culture or identity that I have previously underestimated: Because we as human being are different when it comes to culture or identity that I have previously underestimated.
Something I’ve discovered about my professional identity as an addiction professional I didn’t know last week is: My professional identity as an addiction counseling will be practicing active Listening, with respect to the ethical principles related to the counseling relationship. Also because more interesting is the fact that some of us did not choose this path, but the path chose us. Sometimes you may not understand why things happen or why you made certain decisions. That may just mean that you have something great to contribute to the field, and it could be something that you cannot even see yet.
Wednesday: As your last full day at Residency draws to a close, consider:
My experience of being taped helped me understand that I’m not afraid of role-play anymore because of more practicing that we did in the classroom give me the confidence to be able to use my counseling skills and motivational interviewing during the taped session.
Co-facilitating a group was interesting and enjoyable because both of us facilitating the group get along very fine with decisions making during the session and closing period.
The most valuable thing I learned this week is that practicing made difficult situations easier to work with in any field of profession anybody is deal with.
After you return home:
Review your goals for Colloquium you developed before the experience began. Copy each goal from Unit 3 and evaluate how well you met your goals or how they changed.
1. Active Listening – By practicing active listening during my session, it stimulates and channels motivational energy. As the listener, you accept and encourage the speaker, but you leave the initiative in their hands. Consequently, your client will recognize new avenues for action and will begin making plans to pursue them, making herself or himself more effective and productive.
2. Paraphrasing – I have improved in my paraphrasing because by understanding, and in order to convert an idea into your own words, you must think about it and understand what the speaker is telling you. It is like being informed and having knowledge is power to be able to use your counseling skills with your client.
3. Use of Open Questions – By me using open questions have allow my clients to include more information, including feelings, attitudes and understanding of the subject. This allows us as the counselors to better access the client’s true feelings on an issue. It is also very effective way to start rapport with the client during therapy or counseling session.
Unit 5
1. Compared to how you appeared in the Kultura videos, how did your tone and facial expressions change?
How I appeared in the Kultura videos was that my tone was low and facial outlook was okay, but after practicing role-play in the class my tone became a bit louder for my peers and instructor to hear and facial expressions okay.
2. How your application of Motivational Interviewing developed since our course has begun?
My application of Motivational Interviewing has developed greatly in all skills areas in counseling or therapy since our course began with clients as regards to Motivational Interviewing model to help the client change from negative behaviors to positives outcome to better living in their life time during counseling or therapy session.
3. What skills will be most important to develop further in Internship?
The skills that will be most important to develop further in my internship will be to try to
refrain from giving advice or suggestion to the client during therapy or counseling session.

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