Counseling professionals are committed to providing multiculturally competent services to the clients they serve. When clients first enter counseling, the therapeutic relationship typically begins by the counselor conducting an initial clinical interview. This initial clinical interview is a critical time to demonstrate cultural competence. Currently, there is no literature that has explored how counselors who work with the substance use population incorporate multicultural considerations during the initial clinical interview. The purpose of this study was to explore whether licensed professional counselors (LPCs) broach (Day-Vines et al., 2007) multicultural considerations during the initial clinical interview with clients who have substance use disorders (SUDs). The exploration of this phenomenon occurred through the use of a qualitative methodology. Semi-structured interviews were conducted with nine LPCs in Virginia. The LPCs shared their lived experiences conducting initial clinical interviews with members of the SUDs population. Four themes and a subtheme emerged related to how LPCs perceive the relevance of identifying multicultural factors in their work with the SUDs population: everyone has culture and it is all encompassing, culture is needed to understand clients (subtheme), multicultural factors impact substance use behavior and patterns, cultural identities emerge during the initial clinical interview, and multiculturalism was an important component in counselor preparation. Three themes emerged related to how LPCs describe the term and concept of broaching: no familiarity with the "broaching" term, broaching defined as initiating a topic, and some degree of understanding of the broaching concept. Five themes emerged related to whether and how LPCs introduce or broach multicultural considerations during the initial clinical interview: broaching approach varies, client introduces multicultural factors, appropriate timing, willingness to be open, and boundaries surrounding broaching. The themes that emerge from this data will help to fill gaps in the literature concerning how counselors broach multicultural considerations, particularly with the SUDs population. Implications for counselors and counselor education are discussed. The limitations of the study and recommendations for future research are provided. / Ph. D.

Background: A initial interview with addicted people is described as a mapping of the patient's risk behavior in relation to the use of addictive substances. It also includes an assessment of the overall condition of the patient and subsequent determination of the therapeutic plan. It is a complex examination that which takes time for 60 minutes. The question is what should we do in this interview. How to make a plan for treatment with the patient. Objective: The aim of this thesis is to propose the structure of an aditological examination for the outpatient treatment center named Adiktologicka ambulance. The next step is to do the verification of the interview in practice. Methods: On the basis of professional literature, we formulate the possible contents of the "adictological input" exercise. We are interested not only in what to do but also how. We work in a psychodynamic context. Subsequently, we propose initial interview for addected people in the outpatient treatment center for addiction. We highlight the importance of the institutional context. The interview must match the focus and tasks of the certain institution. Finally, we briefly present the experience of the worker with addicted people. Discussions and Conclusions: We found out that an initial examination took more than one hour....

A death in research exacerbates the lack of knowledge and information in respect of the needs and life view of the aged. Two studies were conducted in this population group with specific reference to the 'once-off interview'. Information was gathered using interview schedules focusing on therapeutic skills of social workers working within the system which cares for the aged. Results of a pilot study and an expanded study were compared in order to establish the inter-relationship between the. needs of the elderly, their elemental experiences in line with Bloom's theory (1984), and the role of the social worker. Findings revealed that the majority of "discontinuances" after the first interview were because the needs of the elderly clients had in fact been met. The need for day care services, transport and the expansion of the 'home help' facility was highlighted to enable the elderly to retain their independence in the community / Social Science / M.A. (Social Science: Mental Health)

A death in research exacerbates the lack of knowledge and information in respect of the needs and life view of the aged. Two studies were conducted in this population group with specific reference to the 'once-off interview'. Information was gathered using interview schedules focusing on therapeutic skills of social workers working within the system which cares for the aged. Results of a pilot study and an expanded study were compared in order to establish the inter-relationship between the. needs of the elderly, their elemental experiences in line with Bloom's theory (1984), and the role of the social worker. Findings revealed that the majority of "discontinuances" after the first interview were because the needs of the elderly clients had in fact been met. The need for day care services, transport and the expansion of the 'home help' facility was highlighted to enable the elderly to retain their independence in the community / Social Science / M.A. (Social Science: Mental Health)