Group Treatment for Substance Abuse: A Stages-of-Change Therapy Manual
This practical manual presents a 29-session treatment program designed to engage, motivate, and stimulate processes of change in clients at all stages of recovery. The program is based on the research-supported transtheoretical model of behavior change. The manual describes skills-building activities and interventions that are likely to be most effective with clients as they cycle from the earlier stages of change/m-/precontemplation, contemplation, and preparation/m-/to the later stages,...
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This practical manual presents a 29-session treatment program designed to engage, motivate, and stimulate processes of change in clients at all stages of recovery. The program is based on the research-supported transtheoretical model of behavior change. The manual describes skills-building activities and interventions that are likely to be most effective with clients as they cycle from the earlier stages of change—precontemplation, contemplation, and preparation—to the later stages, action and maintenance. Each of the structured sessions is presented in a consistent, highly accessible format, including a clear rationale, summary of objectives, and overview of the main activities that will take place. Step-by-step guidelines for implementation are provided, as well as strategies for using a motivational interviewing style. The manual is complete with all needed handouts and exercise forms, ready to photocopy and distribute to clients. Ideal for use with groups, the approach can easily be adapted to individual treatment.
Contents Introduction I. How to Help People Change1. How People Change: The Transtheoretical Model2. Strategies for Facilitating Change3. Putting It All Together: Setting Up and Carrying Out the Intervention II. Thinking about Changing Substance Use P/C/P Sequence: Precontemplation-Contemplation-Preparation Client Handouts:P/C/P Session 1: The Stages of Change Change Process Objective: Consciousness Raising P/C/P Session 2: A Day in the Life Change Process Objective: Consciousness Raising P/C/P Session 3: Physiological Effects of Alcohol Change Process Objective: Consciousness Raising P/C/P Session 4: Physiological Effects of Drugs Change Process Objective: Consciousness Raising P/C/P Session 5: Expectations Change Process Objective: Consciousness Raising P/C/P Session 6: Expressions of Concern Change Process Objective: Self-Reevaluation, Dramatic Relief P/C/P Session 7: Values Change Process Objective: Self-Reevaluation P/C/P Session 8: Pros and Cons Change Process Objective: Decisional Balance P/C/P Session 9: Relationships Change Process Objective: Environmental Reevaluation P/C/P Session 10: Roles Change Process Objective: Environmental Reevaluation P/C/P Session 11: Confidence and Temptation Change Process Objective: Self-Efficacy P/C/P Session 12: Problem Solving Change Process Objective: Self-Efficacy P/C/P Session 13: Setting a Goal and Preparing to Change Change Process Objective: Self-Liberation P/C/P Session 14: Review and Termination III. Making Changes in Substance Use A/M Sequence: Action/n/Maintenance A/M Session 1: The Stages of Change Change Process Objective: Consciousness Raising A/M Session 2: Identifying "Triggers"Change Process Objective: Stimulus Control A/M Session 3: Managing Stress Change Process Objective: Counterconditioning A/M Session 4: Rewarding My Successes Change Process Objective: Reinforcement Management A/M Session 5: Effective Communication Change Process Objectives: Counterconditioning, Reinforcement Management A/M Session 6: Effective Refusals Change Process Objectives: Counterconditioning, Reinforcement Management A/M Session 7: Managing Criticism Change Process Objectives: Counterconditioning, Reinforcement Management A/M Session 8: Managing Thoughts Change Process Objectives: Stimulus Control, Counterconditioning, Reinforcement Management A/M Session 10: New Ways to Enjoy Life Change Process Objectives: Stimulus Control, Counterconditioning, Reinforcement Management A/M Session 11: Developing an Action Plan Change Process Objective: Self-Liberation A/M Session 12: Recommitting after a Slip Change Process Objective: Self-Liberation A/M Session 13: Social Support Change Process Objective: Helping Relationships A/M Session 14: Identifying Needs and Resources Change Process Objective: Social Liberation A/M Session 15: Review and Termination Change Process Objectives: Self-Efficacy, Reinforcement ManagementAppendix. Professional Contacts and Suggested Resources References Index
\ From the Publisher"I have been using this book for a year in a chemical dependency intensive outpatient program, with great success and enthusiasm from the clients. Now our agency is using this format in all of our groups, including daytime, evening, and women's programs. It's a wonderful book, particularly because all the handouts I need are included and it's all completed in-group with no homework. I am very grateful to Dr. Velazquez and her coauthors for this user-friendly and effective program."--Elizabeth Ramos, CSAC, Cumberland County Mental Health Center, Fayetteville, North Carolina\ "[Title] is an excellent resource for counselors. The book describes an integrated multi-session group program designed to enhance motivation and help people enact change. A particular strength of the program is that each session can stand alone, allowing treatment to be customized for different groups or even implemented with individuals. Abundant reproducible materials are also a useful feature."--Mark B. Sobell, PhD, ABPP, Nova Southeastern University\ "Clinicians working with substance abusers will use the materials in this book on a daily basis. The exercises and tools are highly effective and engaging, strengthen the development of critical skills for recovery, and provide a framework for exploring client concerns and hopes in a supportive and nonthreatening way. This book complements other volumes that have become classics in the stages of change and motivational enhancement approaches. Full of concrete suggestions and practical advice, it is grounded in years of pioneering clinical work and research. As a substance abuse treatment professional, I will rely upon its wisdom in my own clinical work. It will also be an excellent text for graduate-level students of psychology, social work, and substance abuse counseling."--Madeleine Dupre, MA, Licensed Professional Counselor, Substance Abuse Program Manager, DeJarnette Center, Staunton, Virginia\ "A valuable addition to the treatment literature. A major strength of the book is the use of a motivational interviewing style approach to facilitate clients' understanding, commitment, and utilization of the different behavioral strategies for movement through relevant change processes at various points during treatment. This is an important resource for students and professionals interested in learning more about evidence-based treatment strategies for substance use problems. Given the solid foundation of the approach, the clarity and specificity of the implementation procedures, and the availability of tools to measure client progress, the book could easily be adapted for use in clinical trials with a variety of clients and settings."--Allen Zweben, DSW, Center for Addiction and Behavioral Health Research and School of Social Welfare, University of Wisconsin-Milwaukee\ \ \ \
