Behavioral Therapy for Rural Substance Abusers

Overview

The problems and needs of rural substance abusers vary from those of abusers in urban areas. Accordingly, the means of treatment must acknowledge and address these differences. Despite this call for specialized care, no theoretically grounded therapy has yet been made available to rural patients.

Behavioral Therapy for Rural Substance Abusers, developed and piloted over three years by University of Kentucky faculty and staff and substance abuse counselors in rural eastern ...

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Overview

The problems and needs of rural substance abusers vary from those of abusers in urban areas. Accordingly, the means of treatment must acknowledge and address these differences. Despite this call for specialized care, no theoretically grounded therapy has yet been made available to rural patients.

Behavioral Therapy for Rural Substance Abusers, developed and piloted over three years by University of Kentucky faculty and staff and substance abuse counselors in rural eastern Kentucky, provides a model for effective treatment for this segment of the population. A two-phase outpatient treatment, this approach combines group and individual sessions in an environment that is both comfortable and useful for the client.

The success of this method lies in its regional approach to therapy. Rather than using role-playing techniques to examine old behaviors, therapy is designed around storytelling activities. Rural patients respond more positively to such time-honored traditions and thus become active participants in their own treatment.

This manual offers a clear and well-constructed guide through the strategies of Structured Behavioral Outpatient Rural Therapy (SBORT). Supplemented with illustrations, sample exercises, and case studies, Behavioral Therapy for Rural Substance Abusers is a vital tool in meeting the treatment needs of an otherwise ignored rural population.

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Editorial Reviews

From the Publisher
"An extremely useful eclectic approach to the treatment of substance use disorders." — Drug and Alcohol Review
Booknews
Presents a model of a two-phase outpatient treatment plan for rural drug abusers, developed and piloted over three years by University of Kentucky faculty and staff and substance abuse counselors in rural eastern Kentucky. Treatment combines group and individual sessions, with therapy designed around storytelling activities rather than role playing. Includes b&w drawings, sample exercises, and case studies, plus reproducible handouts. The volume is not indexed. Leukefeld is affiliated with the University of Kentucky College of Medicine's Center on Drug and Alcohol Research. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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Product Details

  • ISBN-13: 9780813109848
  • Publisher: University Press of Kentucky
  • Publication date: 10/28/2000
  • Series: Medicine/Social Work Series
  • Pages: 224
  • Product dimensions: 8.50 (w) x 11.00 (h) x 1.10 (d)

Meet the Author

Carl Leukefeld, professor at the University of Kentucky College of Medicine, Center on Drug and Alcohol Research, is a co-author of Reducing the Risks for Substance Abuse: A Lifespan Approach.

Theodore Godlaski is assistant professor of psychiatry at the University of Kentucky Medical Center.

James Clark is a professor in the College of Social Work at the University of Kentucky.

Cynthia Brown is a research assistant at the Center on Drug and Alcohol Abuse.

Lon Hays is professor and chair of the department of psychiatry at the University of Kentucky Medical Center.

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Table of Contents

Acknowledgments
Introduction 1
Motivational Interviewing 6
Strategies for Motivating Change 11
Strategies for Strengthening Commitment 19
Using Motivational Interviewing with This Manual 24
Pretreatment and Assessment 25
Assessment Questions 26
Dual Relationships 39
Risk Management 41
Clinical Supervision 43
Clinical Supervision Techniques 44
Helping Clients Remain in Treatment to Meet Treatment Goals 45
Case Management 47
Phase I-Case Management Sessions 49
Phase II-Case Management Sessions 51
Behavioral Contracting 56
Developing the Behavioral Contract 57
Example Contract 58
Special Issues 58
Thought Mapping 62
Thought Mapping Goals 63
Using the Map 63
Example Thought Map 67
Structured Storytelling 70
Social Skills Sessions 72
Group Process 73
Practice Exercises 74
Helping Cognitively Challenged Clients 75
Skills Session 1: Managing Thoughts and Fantasies about Alcohol and Drugs 76
Information for Therapists 76
Message to Clients 76
Skills 77
Group Exercise 77
Skills Session 1-Handout 1 88
Skills Session 2: Coping with Cravings and Urges 89
Information for Therapists 89
Message to Clients 89
Skills 89
Group Exercise 92
Skills Session 2-Handout 1 94
Skills Session 2-Handout 2 95
Skills Session 3: Relaxation 96
Information for Therapists 96
Message to Clients 96
Skills 97
Group Exercise 98
Skills Session 3-Handout 1 107
Skills Session 3-Handout 2 108
Skills Session 4: Increasing Pleasant Activities 109
Information for Therapists 109
Message to Clients 109
Group Exercise 109
Skills Session 4-Handout 1 112
Skills Session 4-Handout 2 113
Skills Session 5: Problem Solving 114
Information for Therapists 114
Message to Clients 114
Skills 115
Group Exercise 116
Skills Session 5-Handout 1 121
Skills Session 5-Handout 2 122
Skills Session 6: Awareness and Management of Negative Thinking 123
Information for Therapists 123
Message to Clients 123
Skills 123
Group Exercise 124
Skills Session 6-Handout 1 129
Skills Session 6-Handout 2 130
Skills Session 7: Anger Awareness and Management 131
Information for Therapists 131
Message to Clients 131
Skills 131
Group Exercise 133
Skills Session 7-Handout 1 137
Skills Session 8: Interpersonal Violence 138
Information for Therapists 138
Message to Clients 138
Skills 139
Group Exercise 140
Skills Session 8-Handout 1 143
Skills Session 9: Close and Intimate Relationships 144
Information for Therapists 144
Message to Clients 144
Skills 145
Group Exercise 147
Skills Session 9-Handout 1 150
Skills Session 9-Handout 2 151
Skills Session 10: HIV/AIDS 153
Message to Clients 153
Skills 153
Group Exercise 154
Skills Session 11: Enhancing Social Support Networks 159
Information for Therapists 159
Message to Clients 159
Skills 159
Group Exercise 160
Skills Session 11-Handout 1 162
Skills Session 11-Handout 2 163
Skills Session 12: Self-Help and Connectedness 164
Information for Therapists 164
Group Exercise 166
Message to Clients 169
Skills Session 12-Handout 1 173
References 174
App NIDA Cue Cards 182
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