“Building Confidence: Motivational Interviewing and Holistic Medication Management in Prison Healthcare”
In the complex realm of prison healthcare, I’ve had the privilege of witnessing individuals, much like “Alex,” wrestle with dependency on controlled medications. Although “Alex” is a fictional character, his journey reflects the struggles many incarcerated individuals face – grappling with chronic pain and medication dependency.
Alex, burdened by previous spinal injuries, depended on pregabalin, 150mg twice daily, to alleviate his pain. With Motivational Interviewing (MI), we delved into alternative approaches to pain management. Throughout our sessions, I endeavoured to create a safe, respectful space for Alex, ensuring our discussions remained free of judgement and full of empathy.
We embarked on a journey guided by the fundamental steps of MI:
1. Express Empathy: I made certain to cultivate an atmosphere of genuine empathy and understanding.
2. Develop Discrepancy: Together, we explored the disparities between Alex’s present circumstances and his aspirations for the future.
3. Roll with Resistance: Understanding resistance as a natural aspect of change, I approached it with empathy and patience, building trust and collaboration.
4. Support Self-Efficacy: Our goal was to nurture Alex’s belief in his own capacity for change, fostering his confidence and empowerment.
In adopting a holistic approach to Alex’s care, we respectfully discussed his functional limitations, ensuring his pain was effectively managed during workshops and educational sessions. It was crucial that he could engage meaningfully in the rehabilitation process while also managing his pain.
Over time, Alex’s journey led him to gradually taper off medications, empowered by the reflective listening and open-ended questioning intrinsic to MI. As he transitioned, MI became a catalyst for his self-efficacy, propelling him toward profound and lasting change.
Today, Alex’s narrative stands as a testament to the transformative potential of Motivational Interviewing. Rooted in trust, resilience, and self-empowerment, MI lays the foundation for holistic recovery and enduring change.
