“Because I Said So”: How to Support Adult Clients through Change. Louisiana Association of Drug Court Professionals April 11-13, 2012 Jane E. Pfeifer, MPA. First Question:. Q.: What agency/organization provides primary case management services for your Drug Court?.
Louisiana Association of Drug Court Professionals
April 11-13, 2012
Jane E. Pfeifer, MPA
Q.: What agency/organization provides primary case management services for your Drug Court?
1. Assess Actuarial Risk/Needs.
2. Enhance Intrinsic Motivation.
3. Target Interventions.
4. Skill Train with Directed Practice
5. Increase Positive Reinforcement.
6. Engage Ongoing Support in Natural Communities.
7. Measure Relevant Processes/Practices.
8. Provide Measurement Feedback
Whose job is it to engage the client?
Engagement activities are intended to identify and fulfill the client's immediate needs, often with something as tangible as a pair of socks or a ride to the doctor.
Center for Substance Abuse Treatment. Comprehensive Case Management for Substance Abuse Treatment. Rockville (MD): Substance Abuse and Mental Health Services Administration; 1998 (Treatment improvement protocol; no. 27).
Whose job is it to assist the client in increasing his or her motivation?
In a recent study, clients assigned to receive motivational interviewing techniques at intake had significantly better retention rates at the 28-day follow-up than clients who received the standard intake evaluation. (Carroll, et al., 2006.)
from Morgenstern-”Motivational Interviewing”
The goal of MI is to create a safe and supportive rapport with a person, in order to facilitate their thinking about their behavior and whether/how they might go about making changes.
“I want to but I don’t want to”
Share an example with your team of how you, in your role, can assist with increasing motivation.
You will often hear about damaged family relationships, especially with the client’s children.
Have the client state the solution of what he must do to achieve his stated goals, desires, wants, and wishes.
a. Risk Principle: Prioritize supervision and treatment resources for higher risk offenders.
b. Need Principle: Target interventions to criminogenic needs.
c. Responsivity Principle: Be responsive to temperament, learning style, motivation, culture, and gender when assigning programs.