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Moral Reconation Therapy 

12/10/2013

1 Comment

 
From the website: 
Moral Reconation Therapy (MRT) is a cognitive-behavioral counseling program that combines education, group and individual counseling, and structured exercises designed to foster moral development in treatment-resistant clients.   Developed in 1985 by Gregory Little, Ed.D., and Kenneth Robinson, Ed.D., more than 120 published reports have documented that MRT-treated offenders show significantly lower recidivism for periods as long as 20 years after treatment. Studies show MRT-treated offenders have rearrest and reincarcertion rates 25% to 75% lower than expected.

More information at:
http://www.moral-reconation-therapy.com/
https://www.ccimrt.com/mrt

This is definitely a population I have difficulty working with.  Usually when building a rapport is difficult, I'll try and walk in the client's shoes to gain perspective. This ends up being a more intellectual exercise than an emotional one though. I'll stitch together the likely emotional impact of their life events resulting in the current situation to foster empathy in myself.  Which is all well and good, until they start asking me to prescribe marijuana... again. I go through the list of reasons I won't/can't, not the least of which is that it is illegal and not indicated for mental health issues in NH. 

The above therapy sounds interesting but involved. I wonder how much of it could be used in a 20 minute med session.  I once was introduced to Screening, Brief Intervention and Referral to Treatment (SBIRT) in Massachusetts. (http://www.mass.gov/eohhs/gov/departments/dph/programs/substance-abuse/prevention/screening-brief-intervention-and-referral-to.html). I've used the principles/techniques numerous times in my work to good effect. 

But often, I'm at a loss and fall back on 'scaring them with science', aka using studies and facts about the negative effects of cannabis use. I know this can push clients away and make me sound like I am lecturing, so I usually soften the presentation with humor. 

Anyone have a tips? 

1 Comment
Retired APRN
12/11/2013 04:01:26 am

Explain and teach at first request.
Second request - Ask (not in a snarky way) what they didn't understand from previous explanation, add I am not going to prescribe that.
Third and subsequent requests - "Not going to happen" go on to other issues.
It may feel that you're pushing them away or being overly brusque or mean, but you will never meet a more manipulative, game-playing population.
Welcome to the front lines! ;)

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