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Dual Diagnosis Essay

3444 words - 14 pages

Students will be expected to submit a 2,500 words treatment essay that critically appraises a treatment intervention (e.g. MI, CBT, RP, and Mindfulness etc..) relevant to the dual diagnosis summative role play video and based on module content. (Learning outcomes 3, 4 & 5)
This essay is based on a role play video, which engaged a dual diagnosis service user (SU) in an assessment process by a mental health professional. The objective was to determine the nature of the SU problem after she was initially referred by her General Practitioner (GP), following concerns over her mental well-being. The assessment process revealed a number of issues; the main problems for this SU were ...view middle of the document...

Routine assessment takes many forms, from lengthy formal interviews to a few standard questions within a consultation; unlikely to promote engagement but create passive response from some SU and not returning for further service.
Keywords; service user (SU), Motivational interviewing (MI), dual diagnosis, mental health professional screening, assessment and individual.

The aim of this essay is a Critical Appraisal of Treatment and Intervention relevant for the service user. In this instance, I will opt for motivational interviewing (MI) out of the many diagnostic tools as research suggests that women who misuse substance are significantly more likely to have experience sexual, physical and emotional abuse as children which may lead to adulthood mental health problems (Galvani and Humphreys et al 2007). Based on this evidence l am inclined to believe that the SU may have been using cannabis to mask her emotional problems, unaware of the impact this was having on her psychological, physical and social well-being.
I choose MI because I believe it may provide a comprehensive assessment of the SU that will explore the psychological, physical and social well-being as well as the risk she poses to self and others. MI is patient centred, non-judgemental, non-confrontational, non-adversarial and accepts the fact that readiness to change occur at different times. A SU failure to comply with a treatment regimen the first time should not be misconstrued as defeat but to be tried again. The essay will proceed to critically examine MI in depth and offer some recommendation.
Motivational Interviewing (MI) has been adapted as a clinical tool universally since it was first described in the 80’s by a US psychologist Miller. Since then it had gain international recognition and was implemented in the US, UK and other European countries. MI was defined as a collaborative, patient-centred yet directive method for enhancing intrinsic motivation to change behaviour by exploring and resolving the client’s resistance to change. Therefore conducting the conversation in a way that will prompt the individual to make the argument for change rather than the professional directing the argument towards change (Miller & Rollnick 2013 p372; Chung, Burke, & Googman, 2010; Clark, 2006; Corcoran 2005; van Wormer & Davis, 2008; Miller & Rollnick 2002; Miller & Rollnick, 2009, p137; Moyers TB et al 2010; Wagner & Conners, 2010).

With the analysis above, motivational interviewing has become a therapeutic intervention that incorporates relationship-building principles based on humanistic therapy (Rogers, 1951) with more active cognitive behavioural strategies focusing on the SU’s stages of change. Therapeutic relationship works in stages towards trying to help the individual feel at ease, to tell their story and lead the beginning of a shared formulation and approach to working (Gilbert, 2007, p191).Subsequently, MI is the approach that...

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