Overcoming Addictions: Skills Training for People with Schizophrenia / Edition 1

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Treating substance abuse in people who have schizophrenia is difficult even when hallucinations and delusions are under control.
Residual symptoms, poor interpersonal skills, and learning disabilities make it hard to learn to cope with situations that promote drug use. Overcoming Addictions tackles these obstacles to successful treatment.
This manual helps therapists teach groups of individuals with schizophrenia how to avoid drugs and alcohol, recognize signs that they may be headed toward relapse, and build healthy habits and healthy pleasures into their daily routine. The book emphasizes an attitude of acceptance, tolerance, and optimism toward patients. Each chapter includes suggested scripts for use in training sessions. Patients attend three types of training: basic training, which consists of eight 45-minute sessions designed to engage and motivate new patients while teaching basic relapse prevention concepts; skills training, which includes twenty-seven 45-minute sessions in which patients role-play nine specific skills (e.g., how to say "no" to a pushy dealer) after viewing the Substance Abuse Management Module (SAMM) Skills Illustration Videotape; and practice sessions, in which group members apply the concepts they have learned to real-life situations.The Substance Abuse Management Module Skills Illustration Videotape is used during the skills training and is designed to accompany Overcoming Addictions. In realistic settings, actors model the nine skills taught during the skills training sessions.

Presents SAMM course w/session overviews & outlines, class materials, handouts & assessment/outcome measuring tools.

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Editorial Reviews

A manual for therapists teaching groups of people with schizophrenia how to avoid drugs and alcohol, recognize signs of relapse, and build healthy habits and pleasures into their routine, emphasizing an attitude of acceptance and optimism toward patients. Each chapter includes suggested scripts for use in each training session. Patients attend basic training sessions on relapse prevention, skills training sessions with role-plays, and practice sessions in which group members apply what they've learned to real-life situations. The author is affiliated with the Addictive Behaviors Research Center and Center for Clinical Research at the University of Washington, and the National Center for Excellence in Substance Abuse Treatment and Education in the Veterans Affairs Puget Sound Health Care System. Includes a glossary, and numerous forms and other materials for clients in the program. Lacks a subject index. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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Product Details

  • ISBN-13: 9780393702996
  • Publisher: Norton, W. W. & Company, Inc.
  • Publication date: 5/28/1999
  • Edition description: 1 ED
  • Edition number: 1
  • Pages: 258
  • Sales rank: 246,647
  • Product dimensions: 8.00 (w) x 10.00 (h) x 0.54 (d)

Meet the Author

Thad A. Eckman, Ph.D., is Program Manager, Dual Diagnosis Treatment Program, and Research Psychologist, Department of Biobehavioral Sciences, at UCLA School of Medicine.

Lisa J. Roberts, M.A., is Research Assistant, Addictive Behaviors Research Center and Center for Clinical Research, University of Washington; and Mental Health Research Specialist, National Center of Excellence in Substance Abuse Treatment and Education, Veterans Affairs Puget Sound Health Care System.

Andrew Shaner, M.D., is Associate Director of Mental Health at the VA Medical Center, West Los Angeles, and Associate Professor of Psychiatry at UCLA School of Medicine.

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Table of Contents

Foreword 5
Foreword 7
Acknowledgments 9
Introduction to SAMM 13
Basic Training 27
What Is Basic Training? 27
Overview of Eight Sessions 27
Sess. 1 Damage Control 29
Sess. 2 Emergency Card 33
Sess. 3 Habits and Craving Control 37
Sess. 4 High-Risk Situations 45
Sess. 5 Warning Signs 49
Sess. 6 Healthy Pleasures and Healthy Habits 54
Sess. 7 Why Quit Drugs? 59
Sess. 8 Money Management 65
Skills Training 68
What Is Skills Training? 68
Overview of Nine Skills 68
Rationale for Skills Training 69
How to Conduct Skills Training Sessions 72
Skill 1 Quitting After a Slip 83
Skill 2 Reporting a Slip 90
Skill 3 Refusing Drugs Offered by a Dealer 98
Skill 4 Refusing Drugs Offered by a Friend or Relative 106
Skill 5 Getting an Appointment with a Busy Person 114
Skill 6 Getting a Support Person 121
Skill 7 Reporting Symptoms and Side Effects to a Doctor 129
Skill 8 Asking Someone to Join You in a Healthy Pleasure 137
Skill 9 Negotiating with a Representative Payee 145
Practice Sessions 154
What Are Practice Sessions? 154
How to Conduct Practice Sessions 154
Bibliography 162
Glossary 166
App. A Forms and Other Materials for SAMM 170
App. B Knowledge and Skills Test 194
App. C Therapist Competence and Adherence Scale 221
App. D Consumer Satisfaction Questionnaire 228
App. E Flip Chart 233
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