Decisions, decisions: Discharging someone for drinking or drug use
I was following an Internet discussion about discharging someone from a sober home for drinking or drug use. Predictably, there was a wide range of opinion on how many ‘lapses’ could be tolerated, what...
View ArticleWill This Client Follow Directions?
Is there any practical way to improve client compliance in treatment? We use the SOCRATES but that’s more a measure of progress through stages of change.” Compliance is a big problem not just in...
View ArticleUsing Leverage in Counseling the Court-Referred Client, Part 6
Coping With Relapse There’s no single ‘right’ way to intervene with a client who’s had a slip. But in almost every such situation, leverage can be a valuable tool in restoring compliance. That is, if...
View ArticleCounseling 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. One important key to...
View ArticleHidden Agendas
Motivation vs. Unmotivation, Part Six It’s not uncommon for someone to arrive in treatment with an agenda that’s quite different from the one he professes– something he’s attempting to hide from view....
View ArticleGoing to Pot
Some not-at-all startling info: Marijuana use among US adults doubled between 2002 and 2012– to 9.5%, or 23-24 million people. I wouldn’t be surprised if it doubled again in the coming decade, given...
View ArticleDecisions, decisions: Discharging someone for drinking or drug use
I was following an Internet discussion about discharging someone from a sober home for drinking or drug use. Predictably, there was a wide range of opinion on how many ‘lapses’ could be tolerated, what...
View ArticleWill This Client Follow Directions?
Is there any practical way to improve client compliance in treatment? We use the SOCRATES but that’s more a measure of progress through stages of change.” Compliance is a big problem not just in...
View ArticleUsing Leverage in Counseling the Court-Referred Client, Part 6
Coping With Relapse There’s no single ‘right’ way to intervene with a client who’s had a slip. But in almost every such situation, leverage can be a valuable tool in restoring compliance. That is, if...
View ArticleCounseling 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. One important key to...
View ArticleHidden Agendas
Motivation vs. Unmotivation, Part Six It’s not uncommon for someone to arrive in treatment with an agenda that’s quite different from the one he professes– something he’s attempting to hide from view....
View ArticleGoing to Pot
Some not-at-all startling info: Marijuana use among US adults doubled between 2002 and 2012– to 9.5%, or 23-24 million people. I wouldn’t be surprised if it doubled again in the coming decade, given...
View ArticlePot in Rehab
I’ve been curious to see how inpatient rehabs will respond to people who arrive in treatment expecting to continue smoking pot. So far, the examples I’ve seen have involved patients using medical...
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