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Jorge tastes he does not like feeling this need so much and since it did not help his situation he really does not like it. He did report that recently he had been charged with driving under the influence due to his drinking, that his court appointed attorney had suggested he seek assistance from a practitioner who works with clients with alcohol-related situations, and that the judge would likely be more lenient on his sentence.
Through meeting with Jorge, as a practitioner that has worked with more than seventy-five previous substance abusing clients, one would want to ensure he felt confident in the practitioners’ abilities, therefore clarifying and explaining these pieces modality in practice pursuant to NASA guidelines for principles of practice (NASA, 2008). Through explaining this, you ensure a discussion is had about how Cognitive-Behavior Therapy (CB) is an extension of cognitive therapy (Beck, 2007), and that his behavior or perceptions from the behavior enhance the use Of CB.
You further discuss how cognitive therapy (CT) does have an inclusion of studying perceptions to situations and how they affect our processors through feelings, thoughts and reactions or behaviors (Beck, 2007) In order to determine the intervention for use with Jorge and the other previous clients, research of effectiveness with CB is important as well. M. P.
McGovern et al (201 1) provided a basis for this methodology in their study through supportive studies which centered on providing effective treatment to clients who may face dual diagnosis. One of the studies conducted within their research provided validation with this method and resulted in findings of it being invaluable in providing safety to clients, and an efficacy in delivery to clients which may be suffering from PETS as well as substance use.
Another series of McGovern et al (201 1) studies identified multiple factors for screening as follows: At least 18 years of age Enrolled in outpatient services and met criteria for substance abuse disorder PETS was identified as confirmed through screening Legally advised of consent Confirmed diagnosis of PETS by certified assessor with a score higher than 44 on assessment tool No acute symptoms of psychotic needs No recent psychotic episodes or being institutionalized And plateau legal and medical matters at time of presenting for study.
There was various measures utilized to determine the multiple studies effectiveness such as addiction severity scales, semi-structured interviewing, Beck depression scales, toxicology measures, and much more (McGovern, M. 201 1). This selection was provided on individual levels to multiple participants with significant supporting rest Its as previously indicated. A second review of effectiveness for CB with respect to substance use in clients can be supported within the article titled Quality versus quantity: acquisition of coping skills following computerized cognitive-behavioral therapy for substance use disorders (Kill, D. Et al, 2010), conducted search over similar time periods as McGovern, M. , et al (2011 and within the same period of 8 weeks, discovered a supportive level of evidence with CB. Behavioral role playing and individual reflection/assessments were particular assignments within this CB methodology which proved beneficial to those individuals studied (Kill, D. , et al, 2010). This study yielded effective coping strategies for response through the role playing as well as quality problem solving through reflection of self and assessment measures.
Another portion of Kill et al (2010) studies which was relevant to a choice/ election was media exposure through usage of online training modules which assisted with respect to decision making as a substance user. As much of this information was supportive of Gorge’s this article as well supports the effectiveness of CB as a treatment approach. The last article of review for practitioner support incorporated CB for substance abusing clients, but with a clinical twist in incorporating spiritual needs as well.
Hodge, D. (2011) sought to demonstrate effective research is available for practitioners-who specifically deal with substance abuse, wrought exploration of one’s spirituality and religion. Hodge (201 1), further supported claims of the inclusion by encouraging other practitioners to be diligent in incorporating this as accrediting bodies within the United States- the Joint Commission had begun requiring the use of spiritual/religious exploration as a must.
Hodge (2011) further encapsulated on utilizing spiritual strengths and spiritual supports through CB with substance abuse clients, reporting through their self-reports the percentages of desired usage/ exploration was greater than three-fourths of the sample sizes used. A great assure of this need through the survey used was how spirituality and spiritual supports attributed to more purposeful living within the client populations, allowing them to seek more of a desire to sustain treatment and recovery.