NIU Motivational Interviewing ASAM Case Study

Overview

1. INSTRUCTIONS:
   1. This test will stress critical thinking skills. For some questions there may be multiple “right” answers that are all reasonable if grounded in the course reading and lecture material. Grading will focus on both your ability to manipulate and apply the content that you learned in the readings.
   2. Questions have different point totals for a reason. Although this is not a failsafe prescription, I think that 10 point questions could be answered in a few paragraphs (<= one page), and that the two 30 point questions may take up to two pages of text for your responses to be well- developed. Writing this much, however, is no guarantee that you will get full points if there is a lot of filler content. It is important that your responses have high quality content, as evidenced by your knowledge of the subject and critical appraisal of the content.
   3. you will need to use the attached mock case (Preston). This is a case Dr. Smith developed for training in an MI intervention.
      1. ASAM lecture 1 https://mediaspace.illinois.edu/media/t/1_9bclmnho
2. 1. 1. ASAM lecture 2 https://mediaspace.illinois.edu/media/t/1_cx05taah
      2. ASAM lecture 3 https://mediaspace.illinois.edu/media/t/1_pxlzl6i9
3. Questions to be answered:
   1. Note that your treatment options in your
      community for both outpatient and intensive outpatient mainly involve generic group therapy
      that focus on processes of addiction and recovery that are common to all people suffering
      substance use disorders. During the interview, the client expresses a very negative perception
      of treatment, thinking that you will refer him for AA self-help groups. Please generate ASAM
      ratings for the 6 ASAM dimensions, and make an overall level of care placement
      recommendation. Justify your placement using the assessment information, lecture notes on
      ASAM criteria, and any other information you research on what treatment he may need.
      Discuss alternatives to your selected level of care that may be viable if the client balks at what
      you recommend. Be sure to mention what types of specific problems should be targeted in
      treatment or specific treatment activities that you think may benefit this client. (60 Points)
      
   2. What stage of change is the individual in? What barriers to engagement might you
      encounter? How will you address them? (10 points)
      
   3. What cultural, environmental, and developmental factors may be impacting the
      individual’s substance use? Consider both protective and risk factors. How may this
      impact their recovery? (10 points)
      
   4. What assessment(s) would you utilize? Consider the individual’s characteristics, DSM V
      criteria including groupings of symptoms, the drug of choice, and the evidence-base for
      the assessment. (10 points)
      
   5. Using a bio-psychosocial perspective, what additional information do you need for you
      to effectively intervene that is not present in the case study? (10 points)