for perfecto

First respond

A behavioral strategy such as the contingency management approach you described may indeed be useful in working with Demarcus. As we learned in the scenario, his motivation is “getting out” so if he can work toward program goals (and also toward his goals) it will likely give you the additional time you need to begin to raise his motivation. Since he is in an early stage of change, direct work regarding his substance use will come later in his treatment. You listed two questions directly related to his substance use. To which motivational interviewing strategies do these questions relate and why?

Second respond

I like your contingency management approach to Demarcus and his disorder. I think this strategy could prove very helpful.

How would you get past the fact that Demarcus is not willing to admit his cocaine use disorder (PGU, n.d.)? He will admit some marijuana use but not the cocaine use (PGU, n.d.). Would you want to immediately address cocaine, or would you wait and only address the marijuana use until Demarcus becomes comfortable with this topic? I think this is a complicated issue since he has been diagnosed with cocaine use disorder but is currently not admitting this. What are your thoughts?

I think you did a good job of crafting some open-ended questions and I think those question would be extremely useful.