THE COUNSELOR’S ROLE WITH CLIENT, REGARDING MEDICATION NONCOMPLIANCE
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Medication adherence in the United States remains suboptimal; medication nonadherence is a complex
issue that requires patience, presence, and perspective. One strategy that has been helpful for
improving adherence is a combination of psychotherapy and psychoeducation, that is client-centered
and free from counselor-agenda. As clinicians, we are not here to coerce, manipulate, or otherwise
unduly influence a client to take their medications. Counseling is a safe place to explore what the client
is experiencing and thinking; clients’ needs a safe place to share concerns and explore options. Clients
do not lose their rights to autonomy when they enter counseling and receive mental health/ substance
use disorder diagnoses. Clinicians remain focused on the client’s initial presenting issues and concerns
without inserting a counselor agenda and bias; treatment includes psychotherapy, intervention and
education. Clients often are more likely to consider medications when they believe that they are deciding
independently, without coercion, to make needed changes. Motivational interviewing (open-ended
questions, affirmations, reflections and summarizations) and empathy are very helpful for enhancing the
client’s knowledge about medications, feelings of self-efficacy, intrinsic motivation, and medication
adherence.
PAPER: THE COUNSELOR’S ROLE WITH
CLIENT, REGARDING MEDICATION
NONCOMPLIANCE
RESOURCES
https://waldenu.instructure.com/courses/21975/modules/items/589571
To Prepare
For this Assignment, you will review peer-reviewed literature, reading assignments, and resources to
analyze our role as counselors when working with clients who are psychotropic medication
noncompliant.
Assignment (3-5 pages)
Give a minimum of four (4) reasons why a client might engage in medication nonadherence.
What are systemic barriers to medication adherence? Give at least one (1) cultural example where
medication nonadherence is a factor that we might face.
What are counseling techniques that have the potential to improve adherence?
What are counseling techniques that have the potential to decrease adherence?
What is appropriate information for you to get from the prescriber, that might help you when working
with your client around medication adherence and nonadherence?
How would you want to be treated if you were in your client’s shoes, skeptical about the use of
medications for treatment of mental health and/or substance use disorders?
Your Assignment will be 3 to 5 pages in length, not including cover page or references page. Be sure to
support your Assignment with specific references from the literature, text, and resources. In addition to
the Learning Resources, search the Walden Library and/or the internet for peer-reviewed academic
literature to support your Assignment. This Assignment must utilize appropriate APA format and
citations.
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COUN_6743_Week9_Assignment_Rubric
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Criteria Ratings Pts
20 pts
Responsiveness:
The paper
demonstrates that
the student
recognizes and
understands the
complexity and
limitations of the
counselor’s role
regarding the
client’s
medication
adherence and
nonadherence.
The paper clearly
communicates a
thorough
response to each
question.
20 to >17.9 pts
A
The content of
the paper
includes
thorough
responses that
substantially
cover the topic of
all the questions
in the
instructions.
17.9 to >15.9 pts
B
The content of the
paper includes
responses to all of
the questions and
the responses
substantially cover
the topic of more
than half of the
questions in the
instructions.
15.9 to >13.9 pts
C
The content of the
paper includes
responses to at
least half of the
questions and the
responses
substantially cover
the topic of at least
half of the questions
in the instructions.
13.9 to >0 pts
F
The content of
the paper
includes
responses to
fewer than half
the questions
and/or the
responses
substantially
cover the topic of
less than half of
the questions in
the instructions.
Criteria Ratings Pts
20 pts
10 pts
Content
Knowledge: The
extent to which
the content
demonstrates an
understanding of
our current
knowledge,
providing
information from
the research,
literature and
Code of Ethics
that validate their
answers.
20 to >17.9 pts
A
The responses to
the questions in the
instructions
demonstrate:… 1.)
In-depth
understanding and
application of
concepts and issues
presented in the
course showing that
the student has
absorbed the
general principles
and ideas
presented;… 2.) Rich
and relevant
presentation; and…
3.) Mastery and
thoughtful/accurate
application of
knowledge and skills
or strategies
presented in the
course.
17.9 to >15.9 pts
B
The responses to
the questions in
the instructions
demonstrate:… 1.)
Understanding and
application of the
concepts and
issues presented
in the course
demonstrating that
the student has
absorbed the
general principles
and ideas
presented;… 2.)
Relevant
presentation;
and… 3.) Mastery
and application of
knowledge and
skills or strategies
presented in the
course.
15.9 to >13.9 pts
C
The responses to
the questions in
the instructions
demonstrate:… 1.)
Minimal
understanding of
concepts and
issues presented
in the course, and,
although generally
accurate, displays
some omissions
and/or errors;
and/or… 2.)
Irrelevant
presentation;
and/or… 3.) Little
mastery of skills
and/or numerous
errors when using
the knowledge,
skills or strategies
presented in the
course.
13.9 to >0 pts
F
The responses
to the questions
in the
instructions
demonstrate:…
1.) Lack of
understanding
of the concepts
and issues
presented in the
course and/or
application is
inaccurate and
contains many
omissions
and/or errors;
and/or… 2.)
Irrelevant
presentation;
and/or… 3.)
Many critical
errors when
applying
knowledge,
skills, or
strategies
presented in the
course.
Quality of Writing:
The extent to
which the student
communicated in
a way that meets
graduate level
writing or
communication
expectations.
10 to >8.9 pts
A
Writing or
communication
exceeds graduate-
level expectations.
The reference
guide:… 1.)
Includes language
that is clear,
concise, and
appropriate;… 2.)
Has few, if any,
errors in spelling (if
written), grammar,
and syntax;… 3.) Is
extremely well
organized, logical,
clear, and never
8.9 to >7.9 pts
B
Writing or
communication
meets graduate-
level
expectations. The
reference guide:…
1.) Includes
language that is
clear;… 2.) Has a
few errors in
spelling (if
written), grammar,
and syntax;… 3.)
Is well organized,
logical, and
clear;… 4.) Uses
original language
7.9 to >6.9 pts
C
Writing or
communication is
somewhat below
graduate-level
expectations: The
reference guide:…
1.) Includes
language that is
unclear and/or
inappropriate;
and/or… 2.) Has
more than
occasional errors
in spelling (if
written), grammar,
and syntax;
and/or… 3.) Is
6.9 to >0 pts
F
Writing or
communication is
well below
graduate-level
expectations: The
reference guide:…
1.) Includes
unclear and
inappropriate
language; and/or…
2.) Has many
errors in spelling (if
written), grammar,
and syntax;
and/or… 3.) Lacks
organization in a
way that creates
Total Points: 50
Criteria Ratings Pts
confuses the
reader or
listener;… 4.) Uses
a preponderance
of original
language and uses
direct quotes only
when necessary
and/or
appropriate;… 5.)
Provides
information about
a source when
citing or
paraphrasing it.
and uses direct
quotes when
necessary and/or
appropriate;… 5.)
Provides
information about
a source when
citing or
paraphrasing it.
poorly organized,
is at times unclear
and confusing, and
has some
problems with
logical flow;
and/or… 4.)
Reflects an
underuse of
original language
and an overuse of
direct quotes and
paraphrases;
and/or… 5.)
Sometimes lacks
information about a
source when citing
or paraphrasing it.
confusion for the
reader; and/or… 4.)
Contains many
direct quotes from
original source
materials and/or
consistently and
poorly
paraphrases rather
than using original
language; and/or…
5.) Lacks
information about
a source when
citing or
paraphrasing it.
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