Assessment, Multicultural Considerations, and the Spirit of Motivational Interviewing

Alma is a 40-year-old woman who has just been admitted to the Hart City Substance Abuse Clinic via a court order. She had three driving under the influence (DUI) offenses in the past year. Recently, while driving under the influence, she jumped a curve and hit a pedestrian. He survived; however, he needs extensive rehabilitation. The police convicted Alma of reckless endangerment as well as drunk driving and ordered her to an inpatient facility. Alma is married with four children all under the age of 16. She is the chief executive officer (CEO) of a multinational organization. Her job requires her to travel two weeks each month. Early on, Alma and her husband decided that he would stay home and raise the children. He is also a writer, but he has yet to publish anything significant. Alma has been the sole financial provider for her family for 16 years. Alma adamantly denies that she has a substance abuse problem and does not want to stay in treatment for the required 30 days. She is hostile towards the staff and in need of an intake assessment and referral for treatment. Her family is also in need of referrals for emotional support.