Health and Education Services (HES), Inc., is an agency located in Haverhill, MA. This specific agency provides a wide range of community based mental health and substance abuse assistance. As a student intern from Boston University, the therapist's primary intern responsibilities include the provision of individual and family therapy sessions. The intern has over 10 years of experience doing a wide range of social service work in the community. The client was assigned for psychosocial assessment and to provide ongoing individual therapy sessions. The initial interview was conducted in a small, private office with no windows at the community mental health center at HES. The client is a Hispanic male and the initial questionnaire regarding alcohol/drug issues indicated that he had problems with both cocaine and alcohol.
             The main presenting problem for the client appears to be the alcohol issues, which have cost him his job and are in danger of costing him his family as well. His wife and children will be leaving the home if the man does not get some help for his problem. However, he did not come to the agency at the request of his wife, but at the request of the court after another DUI charge and a domestic violence call from his wife, all made on the same Friday night. While this man is still young at 29, he has reached the age where his problems should have been addressed already. Since they have not, it may be more difficult to right the wrongs that are taking place, but this does not mean that it will be impossible. The questions regarding drinking and drugs that were asked of this individual were asked in the context of a court-requested evaluation of the behavior of this man in order to determine what the best mode of treatment would be to address all of the problems.
             Treatment strategies that are psychosocial in nature, such as cognitive behavioral, behavioral, motivational interviewing, and family therapy techn...