Posted: April 24th, 2022

Social Work and Human Services Topic: Motivational Interview

Case Study Catalina
Catalina is a 42-year old Hispanic female who recently retired from the military. She received multiple Assessments as part of her retirement, from both medical and mental health providers. She has frequent nightmares and flashbacks related to combat and carries a diagnosis of Post-Traumatic Stress Disorder. She has been seen in Primary Care for physical health issues. She is currently prescribed medication for high blood pressure, high cholesterol, and lower back/joint pain. Catalina is working to improve her health through diet and exercise, though these issues conflict with her personal identity (e.g., able bodied, strong combat veteran, etc.)
In addition to retirement, Catalina is newly remarried after dating for about a year. The family home is slightly cramped as her new wife still has two teenage children living at home. The adjustments to space and finances are manageable, though Catalina disagrees with her new wife’s parenting style, as it is quite different from her two children whom are sophomores in college out of state.. The main problem at home is Catalina has increased the volume of alcohol she consumes during an average drinking session. Her wife sought professional Helpance, as she was concerned about the frequency and volume of her drinking. Catalina reports drinking approximately one fifth of vodka per evening. She has entered your care, as she is seeking support however, she remains “on the fence because I believe my drinking is under control, I am retired and I have always had a high tolerance.”
Catalina’s wife has expressed a holistic approach to recovery that emphasizes spiritual, cultural, and connectedness as important in her Hispanic community and would be necessary for the intervention to succeed. She has emphasized the need for a multi-level intervention targeting individuals, families, and the community as a whole.
Make sure to use four different MI strategies (e.g. develop discrepancy, express empathy, OARS, amplify ambivalence, roll with resistance, support self-efficacy, etc.) to illustrate your understanding and implementation of this approach. You must demonstrate the clinical style of motivational interviewing (MI). Additionally, be mindful to integrate trauma-informed principles of engagement (e.g., trauma awareness; emphasis on safety and trustworthiness; opportunity for choice, collaboration, and connection; and/or strengths-based approaches and skills building).

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Exemple Catalina
Catalina, 42, is a Hispanic woman who recently retired. Her retirement included many medical and mental health exams. She suffers regular nightmares and flashbacks from combat and is diagnosed with PTSD. In Primary Care, she had physical difficulties. Her doctor has her on blood pressure, cholesterol, and back/joint pain medicine. Health considerations including nutrition and exercise conflict with Catalina’s personal identity (e.g., able bodied, strong combat veteran, etc.)
Catalina is also newly remarried after a year of courting. Her new wife still has two teenage children living at home. Catalina issues with her new wife’s parenting style, which is considerably different from her two out-of-state sophomore children’s. The primary issue at home is that Catalina has increased her average drinking session. Her wife sought help because she was worried about her drinking habits. Catalina reports a fifth of vodka per night. “I am on the fence since I believe my drinking is under control, am retired, and have always had a high tolerance,” she says, having come to you for help.
Catalina’s wife believes that a holistic approach to treatment that stresses spiritual, cultural, and connectedness is critical to the intervention’s success. An individual, family, and community intervention is required, she says.
Create ambiguity, exhibit empathy, OARS (amplify ambivalence), roll with resistance (roll with resistance), and encourage self-efficacy (etc.) to demonstrate your comprehension and application of this method. You must use clinical motivational interviewing (MI). Encourage choice, collaboration, and connection, and/or use trauma-informed practices and skills building.

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