Respond to two of your colleagues who chose a different strategy than yours and provide your view on how your colleagues’ strategy might be effective. (Please be detailed in response and use 2 APA references we have used previously)
Response to Uchechi
Two examples of external consequences that may result from clients with problems with addiction.
Two external consequences that may result from clients with problems of addiction is the loss of jobs and division within the family. Economic and psychological is one of that consequence we can see when looking at the person with addiction and their family (Capuzzi, & Stauffer, 2016). The economic impact varies but are likely to be money spent on the drug, the family member who is not using drugs often assumes the provider role, and if they have a disability, we have to consider the medical bills. Psychological consequences are when the family member is in denial or protection of the person with the addiction problem, neglected health, shame, and isolation (Capuzzi, & Stauffer, 2016). The family is also affected by a person psychological consequence.
Two strategies that you might use as a future addiction professional to address external consequences.
The two strategies that I might use as a future addiction professional to address external consequences is family therapy and 12‐Step group. A group is always a good way for a person to feel heard and support through the process. If a person doesn’t have immediate family, family therapy should not automatically be ruled out because sometimes the extended family are also affected and could benefit from family therapy (Capuzzi, & Stauffer, 2016). Sometimes an addicted family could be friends that have grown to support and help them during this time. Family therapy will look different for each addict depending on who else in the system this addiction is affecting
Explain your position on whether individuals are more motivated to seek treatment as a result of internal or external consequences.
My position on whether individuals are more motivated to seek treatment as a result of internal or external consequences is that it is more external. When a person is battling addiction internally its not affecting anyone else but them but when others are able to see its effect on them and start to speak on it, a person might have more of an urge to get help. Addiction affects not only the addicted person; it affects whole families, particularly the partners and children of substance abusers (Capuzzi, & Stauffer, 2016). When the family is affected, I feel as if there are more reasons to seek treatment.
Response to Kristie
Two examples of external consequences that may result from clients with problems with addiction
These adverse actions are observable behaviors that cannot be concealed (Capuzzi & Stauffer, 2016). DUI charges, health issues, and hurting someone while under the influence are examples of external consequences (Capuzzi & Stauffer, 2016). Actual events such as these often precipitate immediate treatment. However, the absence of external consequences does not mean that an individual is not addicted, as this disease deteriorated the mind first (Garrett, 2012).
A challenge for overcoming external consequences
Some addicted individuals do not experience external consequences. Garrett (2012), states that people that do not have a car or drive do not get DUIs. As well as, individuals without jobs cannot be fired. Therefore, the perpetual bargaining of external consequences to gauge who has the problem cannot be the defining measurement of addiction (Garrett, 2012). According to Garrett (2012), those that avoid the visual indicators of addiction are the most unfortunate because of the missed attention to their suffering. External consequences are a clinician’s chance to enhance motivation for treatment before extensive damage infiltrates the addict’s life (SAMHSA, 1999).
Two strategies to address external consequences
Addressing external consequences utilizes individualism along with outside resources for effective treatment. Brief interventions target the addiction impairment raising awareness and initiating the conversation (Capazzi & Stauffer, 2016). According to Capazzi and Stauffer (2016), brief motivational interventions highlight risk in an honest, but non-judgmental way; assert personal responsibility, and provide a direction for change giving alternatives. This strategy is used as a compelling opportunity to teach self-regulation and empower the client (Capazzi & Stauffer, 2016).
Another strategy is through a community reinforcement approach (CRA). This is a systematic response that understands that an individual’s environment supports treatment (Capuzzi & Stauffer, 2016). CRA is comprised of many steps centered on the client’s needs, such a job training, couples counseling, and is ongoing to help identify triggers (Capuzzi & Stauffer, 2016). CRA strives to equip the client with tools to handle problems with their environment (Capuzzi & Stauffer, 2016).
Position on whether individuals are more motivated to seek treatment as a result of internal or external consequences
The motivation that causes a change in addiction is the most beneficial one no matter the source. The choice to seek treatment is multifaceted. While external factors may force the condition to action, internal consequences are necessary for self-actualization and growth (Davidson, 1994, as cited by SAMHSA, 1999). I would say that external consequences get them in the door, but internal consequences keep them on the path to recovery. Thus, the necessity of the social worker to understand and utilize both types of consequences in their treatment approach.
Garrett, F.P. (2012). Getting away with addiction? Retrieved from January 7, 2019 from http://bma-wellness.com/papers/Getting_Away_Addict…
Lander, L. et al. (2013). The Impact of Substance Use Disorders on Families and Children: From Theory to Practice. Social Work Public Health, 28, 194–205.
Pickard, H. (2016). Denial in Addiction. Mind & Language, 31(3), 277-299
Sinha, S., Lieberman, Z., & Davis, L. (2018, December 19). Heroin Addiction Explained: How Opioids Hijack the Brain. Retrieved from https://www.nytimes.com/interactive/2018/us/addiction-heroin-opioids.html?