Part One: Skills Preparation and Informed Consent Review the assessment and intervention tools in Topics 2 and 3. Watch the videos in Topic 3 related to Motivational Interviewing and the SBIRT model.

Part One: Skills Preparation and Informed Consent Review the assessment and intervention tools in Topics 2 and 3. Watch the videos in Topic 3 related to Motivational Interviewing and the SBIRT model. 1

CNL-501 Topic 6: Hector Case Study

Hector is a 35-year-old Hispanic male. Hector was seriously injured in an auto accident 5 months ago. He spent 4 months in the hospital. One leg and hip suffered permanent damage. He will probably always need a cane and walk with a limp. He also has limited mobility in his right arm and shoulder and cannot lift anything heavy.

Hector grew up in a family with a construction business. He has been working in construction since high school. The Social Worker at the rehabilitation hospital referred Hector to counseling because he is not adjusting well to his injuries. He is very depressed and angry because he cannot continue to work in his chosen occupation. Hector says, “What use am I now? I am the man in the family. I should be strong. I need to support the family. I don’t want my wife to work. I don’t know what I am going to do to make a living.”

Hector still experiences severe pain in his shoulder and his leg. He spends a lot of time watching TV and drinking alcohol. At this point, he is not looking for work. His family has reached out to him, but he avoids interaction with his siblings and his parents because they remind him of what he no longer can do. He feels shame when he is around family members because of his disability. His relationship with his wife is tense because he is often angry and withdrawn. He is not active with his children anymore and they are worried about him.

You are meeting with Hector for the first time and want to understand his problem and collaboratively work with him to identify goals to make some changes in his life.