Module 3 Relapse Prevention / Diverse Populations / Stages Of Change / Facilitating Change / Expectations Flashcards
What groups experience a disproportionate number of substance use disorders (SUD)?
Ethnic-minority groups in the US
What groups in particular have disparities in accessing care for SUD?
Black and Hispanic populations
What are some reasons for the economic disparities for Black and Hispanic populations accessing SUD treatment services?
Economic - Heath insurance and low income
Majority Culture developed treatment modalities may also impact a desire to get care
- these modalities may not be relevant to the needs of the patients
What are some of the impediments to relapse prevention in ethnic minority subcultures?
Economic disparities caused by lack of health insurance or low income are reasons why there is a lack of access to treatment services.
treatment may not be appealing to ethnic minorities.
Treatment modalities are often developed within majority culture.
Models may not be relevant to needs of potential clients from nonmajority cultures
What have been effectively used in prevention programs targeting ethnic minority youth.
Teaching & rehearsal of coping skills has been used effectively in prevention programs targeting addictive behaviors in ethnic-minority youth.
What is acculturation?
The process of adapting to a new culture, typically when exposed to a different one.
What is enculturation?
The culture of origin.
When working with bicultural what factor will determine the effectiveness of relapse prevention?
If client is not highly acculturated, interventions that require familiarity with majority culture may not be very effective.
Which type of therapy is preferable if a client has a collective worldview, possibly due to enculturation and not being acculturated?
Group therapy,
Ethnic groups that value interdependence would benefit from group therapy
If a client is highly enculturated will they require more or less enhancements to an existing RP program?
More enhancements
What are the four fundamental skills of motivational interviewing (MI)?
OARS
Open Questions - invite client’s full participation in the dialogue
Affirmations – acknowledge the client’s positive behaviors & personal strengths.
Reflections – primary means of expressing empathy & understanding. Useful for reinforcing client language that promotes change.
Summaries – help provide structure to a session, continue the conversation, transition to another topic, and/or conclude a session
What is a good example of an open ended question? (MI) OARS
What are your thoughts about making a change by cutting drugs out of your life?
What is the purpose of summaries? (MI) OARS
Help provide structure to a session, continue the conversation, transition to another topic, and/or conclude a session.
“You’ve mentioned several steps you want to take-get in touch with your sponsor, start exercising more, and learn some ways to manage stress; it’s really important to you to begin a new life.”
What are the steps involved in motivational interviewing?
engaging, focusing, evoking, & planning
What is the PACE MI counseling style?
Partnership – dialogue works with client in exploring client’s goals, personal strengths, and resources without being the “expert”
Acceptance – affirming, empathetic recognition that honors & supports the client’s autonomy & inherent worth
Compassion – attitudes & actions of the counselor are based on promoting the welfare & best interest of the client
Evocation – counselor elicits, explores, & reinforces the client’s wisdom, goals, solutions, & thoughts about change
As MI is used a clients language may begin to reflect “change talk”. What are the types of language used in working on earlier stages & preparing for change
DARN
Desire – Statements about wanting to change
“I would really like to have drugs out of my life.”
Ability – Statements that describe thoughts about ways to change or the capacity to change
“I think I could try to stay away from the same old crowd; I did that once before, and it was helpful.”
Reasons – Statements about reasons to change
“My children will respect me more if I’m sober.”
Need – Statements about the necessity of change
“I have to get drugs out of my life.”
In MI what language is more indicative of action-oriented toward mobilizing behavior?
CAT
Commitment – vowing to change
“I’m going to do this-it’s time to get started.”
Activation – having an inclination to change
“I think I’m going to say no to cocaine tonight.”
Taking Steps – performing small steps that lead to change
“I spoke to my sponsor last week; I’ll be meeting with her weekly from now on.”
