“Invisible” Hand? Or “Absent” Hand?
In their eagerness to reduce the size of government, states have stripped away staff who would otherwise make onsite visits to ensure compliance.
Tag: compliance and noncompliance
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Opioid Medication Therapy and Continued Use
Everyone acknowledges the problem but accurate tracking seems to be a challenge.
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Going to Pot
Clients who struggle to stay drug-free can resent the presence in group of others who openly use substances.
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Practice versus Knowledge
Most people in stable recovery got there the hard way, through major alterations in the way they live.
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The Monitoring Model
We spend a great deal of time in treatment seeking to increase patient motivation, but these programs do not rely on a motivated patient.
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Outpatient Follies
The experience of addicts and alcoholics, particularly at the lower end of the socioeconomic scale, makes it clear that we could use more inpatient resources, not fewer.
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The Compliance Problem
It presupposes a patient who agrees with the recommendations, which, particularly with addictions, may not be the case.
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Hidden Agendas
If we want to see any progress, we’ll have to figure out a way to break this apparent impasse.
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Using Leverage in Counseling the Court-Referred Client, Part 9
Their fondness for risk and excitement makes them ill-suited to a ‘straight’ lifestyle they would no doubt describe as boring.
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Counseling Challenge: “Hardcore” Drunk Drivers
Repeat DUI/DWI offenders can pose tough challenges for treatment programs and counselors. The needs of the client and the demands of the legal system don’t always work together.
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Using Leverage in Counseling the Court-Referred Client, Part 6
A big fine, for instance, isn’t necessarily a better deterrent than a lesser one that is administered quickly and effectively.
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Using Leverage in Counseling the Court-Referred Client, Part 5
But if the client also conveys a strong desire to get a degree or a worthwhile job, or start a family or get out of debt – these also constitute motivators for success.
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Will This Client Follow Directions?
If Bob gets a job, his mom will ask him to move out of the basement, and he’ll have to get a roommate, which he doesn’t want, so better to remain unemployed.
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