XR-Naltrexone: Too Expensive to Help?
Naltrexone maintenance is a lot cheaper than prison. But it's a lot more expensive than methadone maintenance, which dulls some of its luster.
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Engaging Coerced DUI Clients
First, they don’t understand why they’re in treatment, or how it could possibly benefit them. Second, they’re ticked off about having been coerced.
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Using Leverage in Counseling the Court-Referred Client
Having a judge or a parole officer holding the big stick on them may be enough to get them into treatment, but it’s usually not enough motivation to get them beyond the minimum of compliance.
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A Big(ger) Picture: Juvenile Crime
It isn’t so much that we can’t address these barriers, it’s that all too often, we lack the tools.
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Treating the Juvenile Offender
We mobilize legions to deal with them: Judges, law enforcement, parole officers, counselors, teachers, case managers, but their problems persist.
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Challenge: Motivating a Group of Court-Referred Clients
Some members are talkative enough, but others participate minimally and a couple are openly hostile and challenging.
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Counselors vs Probation Officers
If the clinicians view the PO as an outsider with the potential to interfere with treatment, there will be inevitable conflict.
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