Question

Roberto is an older man in his late sixties and is a bit disheveled in appearance. He is accompanied by his landlady to the assessment. The landlady tells you that she found him earlier this evening trying to enter his apartment door. He was sweaty, his eyes where dilated, and his hands were trembling so badly that he could not get the key in the door. He kept calling her by another name and saying he was trying to get into his office to do some work. She knows he retired years ago, has lived in her apartments for several years, and knows her real name. His blood/alcohol level is low and his speech is not slurred. He can correctly identify himself but, also appears confused. He is unable to tell you the month or season. His nose and cheeks are red with tiny spider veins and his stomach distended and when he extends his hands out in front of him they are very tremulous. His demeanor is polite and apologetic to you and the staff. He tells you he has never had a problem with alcohol but scored high on the CAGE assessment test. He then admits to an occasional drink every now and then. He did have a few drinks earlier today but can’t say exactly when. However, he is willing to enter treatment if really thought it was necessary. In thinking about Roberto’s case, please answer the following questions: -In thinking about Motivational Interviewing, what would be valuable in the beginning of your work with Roberto? Please give specific examples. -Pick one of the following statements and describe why you think it is the “most” important factor in addressing Roberto’s issues. Please provide at least 2 examples as to why this is the “most” important statement (and yes, you have to pick just one): Collaboration vs Confrontation Autonomy vs Authority Drawing out his ideas vs your ideas -How could “change happen” for Roberto according to MI? What would the process look like? Examples?

Roberto is an older man in his late sixties and is a bit disheveled in appearance. He is accompanied by his landlady to the assessment. The landlady tells you that she found him earlier this evening trying to enter his apartment door. He was sweaty, his eyes where dilated, and his hands were trembling so badly that he could not get the key in the door. He kept calling her by another name and saying he was trying to get into his office to do some work. She knows he retired years ago, has lived in her apartments for several years, and knows her real name. His blood/alcohol level is low and his speech is not slurred. He can correctly identify himself but, also appears confused. He is unable to tell you the month or season. His nose and cheeks are red with tiny spider veins and his stomach distended and when he extends his hands out in front of him they are very tremulous. His demeanor is polite and apologetic to you and the staff. He tells you he has never had a problem with alcohol but scored high on the CAGE assessment test. He then admits to an occasional drink every now and then. He did have a few drinks earlier today but can’t say exactly when. However, he is willing to enter treatment if really thought it was necessary.
In thinking about Roberto’s case, please answer the following questions:
-In thinking about Motivational Interviewing, what would be valuable in the beginning of your work with Roberto? Please give specific examples.
-Pick one of the following statements and describe why you think it is the “most” important factor in addressing Roberto’s issues. Please provide at least 2 examples as to why this is the “most” important statement (and yes, you have to pick just one):
Collaboration vs Confrontation
Autonomy vs Authority
Drawing out his ideas vs your ideas
-How could “change happen” for Roberto according to MI? What would the process look like? Examples?

Added by Chris Z.

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