Outpatient Follies

July 21, 2014 by C. Scott McMillin

The experience of addicts and alcoholics, particularly at the lower end of the socioeconomic scale, makes it clear that we could use more inpatient resources, not fewer.

Topics: , , , ,


The Compliance Problem

March 24, 2014 by C. Scott McMillin

It presupposes a patient who agrees with the recommendations, which, particularly with addictions, may not be the case.

Topics: , ,


Hidden Agendas

December 19, 2013 by C. Scott McMillin

If we want to see any progress, we’ll have to figure out a way to break this apparent impasse.

Topics: , , ,


Using Leverage in Counseling the Court-Referred Client, Part 9

February 28, 2013 by C. Scott McMillin

Their fondness for risk and excitement makes them ill-suited to a ‘straight’ lifestyle they would no doubt describe as boring.

Topics: , , , , ,


Counseling Challenge: “Hardcore” Drunk Drivers

December 24, 2012 by C. Scott McMillin

Image of "Counseling Challenge: "Hardcore" Drunk Drivers" document

Repeat DUI/DWI offenders can pose tough challenges for treatment programs and counselors. The needs of the client and the demands of the legal system don’t always work together.

Topics: , , , , ,


Using Leverage in Counseling the Court-Referred Client, Part 6

August 19, 2012 by C. Scott McMillin

Image of "Using Leverage in Counseling the Court-Referred Client, Part 6: Coping With Relapse" document

A big fine, for instance, isn’t necessarily a better deterrent than a lesser one that is administered quickly and effectively.

Topics: , , , , , , , , , ,


Using Leverage in Counseling the Court-Referred Client, Part 5

July 9, 2012 by C. Scott McMillin

Image of "Using Leverage in Counseling the Court-Referred Client, Part 5: Maintaining Motivation" document

But if the client also conveys a strong desire to get a degree or a worthwhile job, or start a family or get out of debt – these also constitute motivators for success.

Topics: , , , , ,


Will This Client Follow Directions?

June 18, 2012 by C. Scott McMillin

If Bob gets a job, his mom will ask him to move out of the basement, and he’ll have to get a roommate, which he doesn’t want, so better to remain unemployed.

Topics: , ,


Decisions, decisions: Discharging someone for drinking or drug use

February 22, 2012 by C. Scott McMillin

You can be firm and still leave room for someone in authority to make an exception.

Topics: , , ,


Gaining Compliance

January 15, 2012 by C. Scott McMillin

With ‘coerced’ clients, it’s easy to fall into a little game with the client striving to appear in compliance while covertly doing whatever he wants.

Topics: , , ,


Subscribe to RecoverySI via Email

Join 701 other subscribers


New Content