Participants were asked to complete a Consumer Satisfaction Survey that contained one item specific to SOCRATES – whether “tracking the stage of change was helpful.” According to feedback, most participants agreed or strongly agreed that it was helpful (Table 3). This is another indicator that SALs were using MI techniques through their use of the SOCRATES instrument.
TABLE 3: PARENTS’ FEEDBACK ON “TRACKING STAGE OF CHANGE WAS HELPFUL”
Question 3: Tracking my own stage of change at the end of every meeting helped me make a good decision about treatment.
The following case1 was written and submitted to CPS by the SAL in Region III. It illustrates the complexity and difficulty of cases presented to the SALs, and the use of MI techniques of “rolling with resistance.” (Please insert the following as a footnote: Names have been replaced with nouns or pro-nouns.)
Client is a 33-year-old married Caucasian male with six children, ages five to 16, all in the custody of Region III CPS. Client and his wife have had their children removed from their care two times. They regained custody once, but lost it again due to neglect related to sub- stance abuse. Client has a long criminal history and over 11 years of incarceration. Client’s charges range from Grand Theft to Battery.
Client completed three substance abuse assessments with the Region III SAL. He completed a substance abuse assessment on March 20, 2002. Client was recommended to complete Intensive Outpatient Treatment. Client was reassessed on May 26, 2004, by another SAL who was hired to cover the region, at which time client was recommended to complete Outpatient Treatment. Client’s DSMIV diagnoses are: Amphetamine Dependence, Alcohol Dependence, and Cannabis Dependence. The client did not complete the recommended treatment.
On December 3, 2004, client was assessed by the current SAL. Client was recommended to complete Intensive Outpatient. Due to the substance abuse treatment funding crisis, client was placed on a treatment waiting list and offered PTP, which he began December 7, 2004.
Client presented with a history of adversarial and threatening behaviors toward IDHW staff and SAL. Client stated a belief that CPS had taken his children without cause. Client also stated that his alcohol consumption was not problematic, even when presented with diagnostic criteria and life consequences that indicated alcohol dependence.
Idaho Pre-Treatment Program