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Utah Addiction Center

Mock Patient Interviews

These four mock patient interviews demonstrate how to conduct brief screenings, interventions and referrals in primary care settings. Each video portrays both the incorrect and correct way to assess and refer patients with substance abuse issues. Research shows that effective brief interventions have some consistent features summarized by the acronym FRAMES (feedback, responsibility, advice, menu of alternative change options, empathy and self efficacy). By watching these videos you will see observe these features and see “first hand” how to handle patients with resistance, denial, embarassment or drug seeking behavior. The mock interviews also demonstrate how the health care professional can develop insight into the variety of ways individuals with addiction think, behave, and present their problems. Finally, the videos also show the important role health care providers play in the identification of substance abuse.

Scenario One

This scenario shows a pediatrician's response to finding out an adolescent male has been smoking cannabis. While the adolescent recognizes that his use of marijuana may be contributing to his declining academic performance, he also doesn't see his use as a "big deal."

Incorrect

Correct



Scenario Two

In this scenario a woman complains of experiencing chronic back pain and tells her physician that the only medication that alleviates her pain is Lortab. Watch how the physician responds to a person who may be drug seeking.

Incorrect

Correct



Scenario Three

In this scenario, in response to questions about alcohol use, a successful attorney indicates he is drinking 5 to 6 drinks almost every night. His alcohol use has no overt impact on his functioning and he sees no reason to change his behavior, however, the number of drinks he consumes is alarming.

Incorrect

Correct



Scenario Four

This scenario shows a young pregnant woman who is so embarrassed by her addiction that she is reluctant to admit to her use of methamphetamine. While she is willing to initiate treatment, she is underinsured and has a limited income.

Incorrect

Correct