Behavioral therapy for rural substance abusers : a treatment intervention for substance abusers / Carl Leukefeld ... [and others].

Format:

Book

Contributor:

Leukefeld, Carl G.

Language:

English

Subjects (All):

Substance abuse--Treatment--United States.

Substance abuse.

Substance abuse--Treatment.

Rural population.

Medical care.

United States.

Rural population--Medical care--United States.

Substance-Related Disorders--therapy.

Behavior Therapy--methods.

Rural Population.

Medical Subjects:

Substance-Related Disorders--therapy.

United States.

Behavior Therapy--methods.

Rural Population.

Physical Description:

181, A14 p : illustrations ; 28 cm

Place of Publication:

Lexington, Ky. : University Press of Kentucky, [2000]

Contents:

Developing the Therapy 2

The Clinical Approach 4

Overview of SBORT 5

Motivational Interviewing 6

Strategies for Motivating Change 11

Self-Motivating Statements 11

Listening with Empathy 13

Feedback 15

Affirm the Client 16

Dealing with Resistance 16

Reframing 18

Strategies for Strengthening Commitment 19

Discussing a Plan 20

Communicating Choices 20

Exploring the Consequences of Action and Inaction 21

Information and Advice 21

Emphasizing Abstinence 22

Formalizing a Plan of Change 23

Reviewing 24

Asking for Commitment 24

Using Motivational Interviewing with This Manual 24

Pretreatment and Assessment 25

Assessment Questions 26

1. Circumstances Leading to Treatment 26

2. Alcohol Use 26

3. Drug Use 27

4. Life Problems 27

5. Dependency 27

6. Functional Analysis 29

7. Personal History 29

8. Mental Status 31

9. Spiritual Assessment 34

10. Assessment of Risk 35

11. Biomedical Evaluation 36

12. Motivational Assessment 37

13. Personalized Feedback 37

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

Reminder Sheet

Skills Session 2 Coping with Cravings and Urges 89

Information for Therapists 89

Message to Clients 89

Skills 89

Group Exercise 92

Information for Therapists 96

Message to Clients 96

Skills 97

Relaxation Rating Scale

Skills Session 4 Increasing Pleasant Activities 109

Information for Therapists 109

Skills Session 5 Problem Solving 114

Skills Session 6 Awareness and Management of Negative Thinking 123

Skills Session 7 Anger Awareness and Management 131

Skills Session 8 Interpersonal Violence 138

Skills Session 9 Close and Intimate Relationships 144

Skills Session 10 HIV/AIDS 153

Skills Session 11 Enhancing Social Support Networks 159

Skills Session 12 Self-Help and Connectedness 164.

Notes:

Includes bibliographical references (pages [174]-181) and index.

ISBN:

0813109841

OCLC:

42603132