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What I Want From Treatment
DO YOU WANT THIS FROM TREATMENT?
1. I want to receive detoxification, to ease my withdrawal from alcohol or other 2. I want to find out for sure whether I have a problem with alcohol or other drugs. 3. I want help to stop drinking alcohol completely. 5. I want help to stop using drugs (other than alcohol). 7. I want to decrease my use of tobacco. 10. I want to take Antabuse (a medication to help me stop drinking). 11. I want to take Trexan (a medication to help me stop using alcohol or heroin). 13. I want to learn more about alcohol/drug problems. 14. I want to learn some skills to keep from returning to alcohol or other drugs. 15. I would like to learn more about 12-Step programs like Alcoholics Anonymous 16. I would like to talk about some personal problems. 1. I need to fulfill a requirement of the courts. 17. I would like help with problems in my marriage or close relationship. 18. I want help with some health problems. 19. I want help to decrease my stress and tension. 20. I would like to improve my health by learning more about nutrition and exercise. 21. I want help with depression or moodiness. 23. I want to work on my spiritual growth. 24. I want to learn how to solve problems in my life. 25. I want help with angry feelings and how I express them. 26. I want to have healthier relationships. 27. I would like to discuss sexual problems. 28. I want to learn how to express my feelings in a more healthy way. 29. I want to learn how to relax better. 31. I want help with feelings of loneliness. 32. I want to discuss having been physically abused. 33. I want help to prevent violence at home. 34. I want to discuss having been sexually abused. 35. I want to work on having better self-esteem. What I Want From Treatment
38. I want advice about financial problems. 39. I would like help in finding a place to live. 41. Someone close to me has died or left, and I would like to talk about it. 42. I have thoughts about suicide, and I would like to discuss this. 43. I want help with personal fears and anxieties. 45. I feel very confused and would like help with this. 46. I would like information about or testing for HIV/AIDS. 48. I want to learn to have fun without drugs or alcohol. 49. I want someone to tell me what to do. 50. I want help in setting goals and priorities in my life. 51. I would like to learn how to manage my time better. 52. I want help to receive SSI/disability payments. 53. I want to find enjoyable ways to spend my free time. 54. I want help in getting my child(ren) back. 56. I need help in getting motivated to change. 57. I would like to see a female counselor. 58. I would like to see a male counselor. 59. I would like to see the counselor I had before. 60. I would like to see a doctor or nurse about medical problems. 62. I would like my spouse or partner to be in treatment with me. 63. I would like to have private, individual counseling. 64. I would like to be in a group with people who are dealing with problems similar to 0 65. I need someone to care for my children while I am in treatment. 67. I believe I will need to be in treatment for a long time. From: Appendix B—Screening and Assessment Instruments  Enhancing Motivation for Change in Substance Abuse Treatment. Treatment Improvement Protocol (TIP) Series, No. 35. Center for Substance Abuse Treatment. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 1999. Copyright Notice NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.  

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