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11am Est Or Less Ov Score With Turnitinwrite 34 Paragraphs That Resp

11am EST % or less OV SCORE WITH TURNITIN write 3 – 4 paragraphs that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas: You have a client who has failed to complete the twelve-step program 2 times in the last year. What treatment program would you recommend for this client? Explain how the program would be more effective for this client than the twelve-step program.

Paper For Above instruction

Addressing a client who has repeatedly failed to complete a traditional twelve-step program requires consideration of alternative treatment options that might better suit their individual needs and circumstances. The twelve-step model, exemplified by programs like Alcoholics Anonymous (AA) and Narcotics Anonymous (NA), emphasizes peer support, spiritual growth, and a structured approach to recovery. However, its reliance on spiritual components and the emphasis on group meetings may not resonate with all individuals, particularly those who struggle with these aspects or who have not found success despite multiple attempts.

One alternative treatment program that could be recommended is cognitive-behavioral therapy (CBT), which has shown effectiveness in managing substance use disorders. CBT focuses on identifying and changing maladaptive thought patterns and behaviors that contribute to addiction. Its structured and skills-based approach allows clients to develop coping strategies, recognize triggers, and modify their responses to situations that might otherwise lead to relapse. Unlike the twelve-step program, CBT provides clients with tangible tools they can apply independently outside of a group setting, fostering a sense of autonomy and personal responsibility. This individualized approach can be particularly beneficial for clients who do not connect with the spiritual elements of twelve-step programs or who have not achieved sustained recovery through that model.

Additionally, contingency management (CM) may be an effective adjunct or alternative for this client. CM operates on a reward-based system that reinforces abstinence and positive behaviors through tangible incentives. Empirical evidence suggests that CM can produce significant reductions in substance use, especially when combined with other treatments such as CBT or pharmacotherapy. For clients who struggle with motivation or adherence to traditional programs, the immediate reinforcement provided by CM can serve as a motivating factor and enhance engagement with recovery efforts. This program is more practical and directly measurable, providing clear, behavioral goals that are rewarded, making it more suitable for clients who have not succeeded in the more community and spiritual aspects of twelve-step programs.

Integrating pharmacotherapy with psychotherapy offers another effective approach, especially if physiological dependence is involved. Medications such as methadone, buprenorphine, or naltrexone can help manage cravings and reduce withdrawal symptoms, facilitating abstinence. When combined with behavioral therapies, pharmacological treatments address both the physical and psychological components of addiction, providing a comprehensive approach. This method can be particularly useful for clients who have relapsed multiple times despite participation in twelve-step programs, as it provides additional support at the biological level, increasing the likelihood of sustained recovery. Overall, choosing a treatment plan tailored to the client’s specific needs, preferences, and history of relapse can increase their chances of long-term success more effectively than the traditional twelve-step approach alone.

References

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• Higgins, S. T., et al. (1994). Contingency management for substance use disorders. Annual Review of Psychology, 45, 701-730.
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• Kranzler, H. R., & Van Kirk, J. (2001). Efficacy of disulfiram and other medications for alcohol dependence. Alcohol Research & Health, 25(4), 272-278.
• Litt, M. D., et al. (2011). Treating addictive behaviors: Evidence-based approaches. Psychiatry, 8(3), 25-29.
• National Institute on Drug Abuse (NIDA). (2020). Principles of drug addiction treatment: A research-based guide (3rd ed.). NIH Publication.