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62_0
-- doing today?
question
communication behavior
62_2
Good. Why don't you fill me in on what's been going on since I saw you last?
question
communication behavior
62_4
Okay.
other
communication behavior
62_6
So she talked to you a little bit about it, but it sounds like you're kind of unsure exactly the details.
reflection
communication behavior
62_8
Okay. So why don't you tell me what you remember from having your conversation with your case manager? What do you know so far about community service?
question
communication behavior
62_10
Okay, gotcha. So, you know, that it needs to get done-
reflection
communication behavior
62_11
Yes.-you know, you have till the end of your probation-
reflection
communication behavior
62_13
-but you're a little fuzzy on the details.
reflection
communication behavior
62_15
Okay. Um, so maybe if it's okay with you, I can share with you some of, um, the requirements, maybe go over the details a little bit more.
other
communication behavior
62_17
Is that all right?
other
communication behavior
62_19
Okay, great. Um, so with your community service I know you've got 25 hours left to do, um, so that does need to get done by the end of your probation, and your case manager is a really great resource to help you find a place where you can do it. So I know in the past some clients have done their community service at food pantries or shelters, or anywhere in the community that's not, you know, a family member or a friend. Um, the urban ecology center is a really great place. You can kind of work outside, work with younger kids. Do any of those options seem like a fit that you might be interested in?
therapist_input
communication behavior
62_21
So that's something that you can work with your case manager on.
therapist_input
communication behavior
62_23
So, um, that's something you can absolutely ask her or quest- or me some questions about, but they'll be able to come and bring you some options-
therapist_input
communication behavior
62_25
-of places that you can work with, some phone numbers to call.
therapist_input
communication behavior
62_27
And that is something that we'd kinda like to see you do on your own, but if you're really feeling like you're struggling, those are phone calls that either you and I can make together or you and your case manager can make together.
therapist_input
communication behavior
62_29
Well, I mean, 24 hours in a weekend sounds to me like it might be a lot of time.
therapist_input
communication behavior
62_31
I can- I can hear that you are really eager to just get it finished-
reflection
communication behavior
62_33
-and get it out of the way. Maybe I know in the past it's been helpful for some other clients to sit down and take a calendar and just mark out, okay, I'm gonna do five hours this day, I'm gonna do three hours this day, two hours of this day. Does that sound like something that might be helpful for you?
therapist_input
communication behavior
62_35
Okay.
other
communication behavior
62_37
And then, you know, it might be, I definitely think that if you're committed and it's summer break, it's something you could easily get done in a week.
therapist_input
communication behavior
62_39
What other questions do you have for me about community service?
other
communication behavior
62_41
Yup, absolutely.
other
communication behavior
62_43
But you know that if you have any more questions, you can always come to me or your case manager and we're here for- to be a support for you.
therapist_input
communication behavior
62_45
You're welcome.
other
communication behavior
63_0
So Tom, this infection is been pretty painful for you but we have antibiotics. If you take it faithfully for 10 days, I'm sure that your infection will be gone. Can you do that?
therapist_input
communication behavior
63_2
And do you mind if we talk about a screening form that you filled out earlier today on drug use?
question
communication behavior
63_4
Let's take a look. It says that on occasion you use, uh, drugs other than medical reasons. Which drugs do you use?
question
communication behavior
63_6
Snort it, smoke it?
question
communication behavior
63_8
Don't inject it?
reflection
communication behavior
63_10
Use any other drugs?
question
communication behavior
63_12
And, uh, um, you do this how often?
question
communication behavior
63_14
Mm-hmm.
other
communication behavior
63_16
So you're an occasional meth user. You don't use very often?
reflection
communication behavior
63_18
Only snort it?
question
communication behavior
63_20
Well, as I think you know, Methamphetamine use is associated with some health risks. And the amount that you're using it-it puts you in a category that we consider a risky user. And that contrasts with someone who it says addicted, um, someone who's a heavy user but it's not in a healthy category because people who use Methamphetamine tend to run to a number of consequences. And actually one of them is, um, sexually transmitted diseases. Do you suppose that your STD might be associated with your Methamphetamine use?
therapist_input
communication behavior
63_22
So you're normally very careful and you use protection when you have sex?
reflection
communication behavior
63_24
And it seems to you that methamphetamine may have clouded your judgment?
reflection
communication behavior
63_26
Anything else happening with Methamphetamine in your life? Is it affecting you in any way?
question
communication behavior
63_28
Yeah, you know, I'm concerned bout it too and I'd actually recommend that you stop using Methamphetamine altogether. And, um, there-there are a lot of reasons for this but that's-that's would be my recommendation.
therapist_input
communication behavior
63_30
So you recognize Methamphetamine has some problems associated with it and you also on the balance see that a lot of your social life and your sex life involves Methamphetamine, it would be difficult to quit using?
reflection
communication behavior
63_32
Well, if you were to, um, consider how ready you are to stop using Methamphetamine completely-
question
communication behavior
63_34
-with zero being not ready at all-
question
communication behavior
63_36
-and 10 being ready, where would you put yourself?
question
communication behavior
63_38
Why not a one or a two?
question
communication behavior
63_40
Are there any other concerns that you have about Methamphetamine?
question
communication behavior
63_42
Mm, so when I was first talking to you, I thought that you'd have a very, um, really not much interest in not stoping using Methamphetamine but it sounds like you have a number of reasons why you really would like to stop using Methamphetamine. And that is, um, that it might be cut with something else, um, you could get another ST- STD including HIV.
reflection
communication behavior
63_44
Um, what do you think would make it easier for you to cut down or quit using Methamphetamine?
question
communication behavior
63_46
How could you get a different social life?
question
communication behavior
63_48
Is there anyone in your life who doesn't use methamphetamine?
question
communication behavior
63_50
Does she-- Have you talked to her about your meth use?
question
communication behavior
63_52
So on the one hand, it would be difficult to quit using Methamphetamine because there are so many positives that you get from using it. But on the other, there are reasons why you want to quit using methamphetamine.
reflection
communication behavior
63_54
And there's some things that you might be able to do that would make it easier to not use methamphetamine including talking to your sister and getting some support.
reflection
communication behavior
63_56
Well, great. I recommend that you not use Methamphetamine at all but what you do is up to you.
therapist_input
communication behavior
63_58
I could see you again in a month. Would that work out for you?
question
communication behavior
64_0
Well, welcome, Ricky.
other
communication behavior
64_2
Nice to meet you.
other
communication behavior
64_4
And you found us okay?
question
communication behavior
64_6
Alright.
other
communication behavior
64_8
Yeah
other
communication behavior
64_10
Have you been here before?
question
communication behavior
64_12
Mm. Okay. Alright. Well, um, I know a little about why you're here today-
other
communication behavior
64_14
-um, but it's great to see you, and so maybe a good point to start with is, tell me why you're here.
question
communication behavior
64_16
Right.
other
communication behavior
64_18
And that's led you to being here today?
question
communication behavior
64_20
Alright.
other
communication behavior
64_22
Right. So it sounds like you thought there was something that, uh, that you needed to look at, something that was concerning you?
question
communication behavior
64_24
They were concerned for you?
question
communication behavior
64_26
Alright.
other
communication behavior
64_28
You were surprised?
question
communication behavior
64_30
Yep.
other
communication behavior
64_32
Mm-hmm.
other
communication behavior
64_34
You're not sure that applies to you?
question
communication behavior
64_36
Okay.
other
communication behavior
64_38
Alright.
other
communication behavior
64_40
I'm trying to understand you so far, something's concerning you and something's concerning your friends-
reflection
communication behavior
64_42
-but you're not sure whether it's- whether-- just how bad it is or- and you're just wanting to check that out?
question
communication behavior
64_44
Mm-hmm.
other
communication behavior
64_46
Yeah.
other
communication behavior
64_48
Because they care about you and-and you respect what they say, and you're wondering whether something about what they're saying may be right, but let's check that out a bit?
question
communication behavior
64_50
Alright.
other
communication behavior
64_52
Well, let's do some checking out.
therapist_input
communication behavior
64_54
So tell me a little bit about what you're doing, what is- what is the concern that they are raising.
therapist_input
communication behavior
64_56
Mm-hmm.
other
communication behavior
64_58
Alright.
other
communication behavior
64_60
Okay.
other
communication behavior
64_62
Tell me a little bit about what now and again means, and-and-and how often.
question
communication behavior
64_64
Is this- is this with, uh, with the drug?
question
communication behavior
64_66
This is meth you're talking about? A couple of times a week?
question
communication behavior
64_68
Well, maybe, we c-- we can check that out to see whether-whether it's a lot or-- But maybe also importantly to-to discuss with you what the effects are and-and-and what your concerns are about it. But help me to understand a little bit more of what it's like for you. Tell me- tell me what are the things about your, uh, use of meth that you- that you've liked that you found good for you?
question
communication behavior
64_70
Mm-hmm.
other
communication behavior
64_72
I know Family Bar, yes.
other
communication behavior
64_75
So Auckland, coming to Auckland from Palmerston for you was-was like taking charge of something that you were going to look to make something different in your life?
question
communication behavior
64_77
Right.
other
communication behavior
64_79
Which you weren't aware of in Palmerston?
question
communication behavior
64_81
Okay.
other
communication behavior
64_83
Mm-hmm.
other
communication behavior
64_85
Palmerston. Mm-hmm.
reflection
communication behavior
64_87
Yeah.
other
communication behavior
64_89
It sounds like you're ready to move up to something that was different.
reflection
communication behavior
64_91
And-and you came-
reflection
communication behavior