1.4 Apply Evaluation Findings

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Feb 20, 2024

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Running head: APPLY EVALUATION FINDINGS 1 Apply Evaluation Findings Rachel Stover SWK 656 Indiana Wesleyan University

APPLY EVALUATION FINDINGS 2 The article I chose is about motivational interviewing as a supplementary therapy for cannabis use disorder. In the article it talks about how motivational interviewing is used for substance abuse. One thing that stood out to me in the article was, “even for clients with low readiness, motivational interviewing serves as a vital prelude to later therapeutic work,” (Ambika , Karunagari , & Sreedevi, 2020) . This article goes into detail about the five general principals of motivational interviewing; express empathy through reflective listening, develop the discrepancy between clients’ goals or values and their current behavior, avoid argument and direct confrontation, adjust to client resistance rather than opposing it directly, and support self-efficacy and optimism. When it comes to substance abuse, users are typically aware of the dangers it can cause and are unwilling to admit they need help until its often too late. Most substance abuse users are referred to treatment or put in treatment involuntarily so as a therapist, you have to use a technique with them to get them to see that they need to make a change, so using motivation interviewing is a vital skill to use. One thing that is confusing to me is how to develop discrepancies in someone who has come to you with a substance abuse problem. I understand that you look at the situation they are in now but also you look at where they want to be in the future. One statement in the article that I found confusing was, “it is initially highlighted by raising the client’s awareness of negative personal, familial, or community consequences of problem behavior and helping them confront the substance use that contributed to the consequences,” (Ambika , Karunagari , & Sreedevi, 2020) . Is it talking about helping the client see the consequences of their choice to use substance abuse and how it affects their relationships with other people? If I had a client that was struggling with substance abuse disorder, I would definitely use motivational interviewing as a skill with them to elicit change talk. I think motivational

APPLY EVALUATION FINDINGS 3 interviewing is an effective skill to have because you do not tell the clients what they need to do, instead you help guide them and support them in their decisions to change and how they want to change. It is completely lead by the client which is important when working with clients who struggle with substance abuse. Often time they do not see a reason to change so it is important to guide them and support them through the process of changing with motivational interviewing. Motivational interviewing can be beneficial with clients who come in for individual therapy for substance abuse. You can start off by asking open-ended questions such as what brought them to therapy and what their goals are that they want to reach in therapy. Motivational therapy is often completed in four sessions but when you have a client who is struggling with substance abuse, it typically takes more than four sessions. Setting goals and interventions with your client is a good way to use motivational interviewing because it allows them to state what they want to get out of their sessions and how they want help if they were to relapse.

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APPLY EVALUATION FINDINGS 4 References A. C., Karunagari , K. D., & S. J. (2020). Motivational Interviewing as a supplementary therapy for cannabis use disorder. International Journal of Advanced Psychiatric Nursing .

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