Group Treatment for Substance Abuse: A Stages-of-Change Therapy Manual / Edition 1

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Overview

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, 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.
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Editorial Reviews

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
 

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Product Details

  • ISBN-13: 9781572306257
  • Publisher: Guilford Publications, Inc.
  • Publication date: 7/15/2001
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 222
  • Sales rank: 124,960
  • Product dimensions: 8.50 (w) x 10.84 (h) x 0.42 (d)

Meet the Author

Mary Marden Velasquez, PhD, is Associate Professor in the Department of Family Practice and Community Medicine at the University of Texas-Houston Medical School.
 
Gaylyn Gaddy Maurer, MA, is an outreach counselor at the University of Houston Campus Recreation and Wellness Center.
 
Cathy Crouch, MSW, is Director of Programs with the SEARCH Homeless Project in Houston.
 
Carlo C. DiClemente, PhD, is Professor and Chair of the Department of Psychology at the University of Maryland, Baltimore County.

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Table of Contents


Introduction
I. How to Help People Change
1. How People Change: The Transtheoretical Model
2. Strategies for Facilitating Change
3. 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 Management

Appendix. Professional Contacts and Suggested Resources
References
Index

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