Treatment Models for Substance Abuse Flashcards
What is Behavioral and Cognitive Practices?
Effective for alcohol and other drug dependencies, includes behavioral self-control training.
What are some components of Behavioral practice treatment?
Community reinforcement, behavior tracking, social skills training, couples/family counselling, self-control training.
What are some cognitive behavioral assumptions with substance abuse?
Involves complex cognitive and behavioral process, is largely learned and can be modified.
What is a major goal for CBT?
To teach coping skills to resist substance use and to reduce problems.
What does CBT (Cognitive Behavioral Therapy) counselling require?
Careful review of the unique components of each clients substance use as well as warm, supportive, collaborative counselling relationships.
What are some CBT interventions that target “triggers”?
Social, environmental, emotional, cognitive, physical, and useful techniques such as ride the craving wave/surf the urge.
What is behavior contracting?
Counselor and client contract, external incentives such as vouchers, groceries, movie theater tickets.
What is CRAFT (Community Reinforcement and Family Training)?
Work with concerned others. More constructive ways of interacting. Natural consequences.
What are brief interventions?
Includes FRAMES, often delivered by other professionals, target to those in early stage of change.
What is FRAMES?
Feedback, responsibility, advice, menu of alternatives, empathy, self-efficacy.
What is solution focused counselling?
Focuses on successes, achievements, strengths, resources, and abilities of the client. Research is positive with treatment plan based reinforcement.
What is motivational interviewing?
Created by William Miller, it enhances the change process, is relationship centered, client-centered, collaborative, has an attitude and set of techniques.
What does motivational interviewing include?
It includes and makes use of Prochaska and DiClemente’s Transtheoretical Model of Change (Stages of Change).
What are the stages of change?
Pre-contemplation, contemplation, preparation, action, maintenance and relapse.
What is pre-contemplation?
Stage 1. Denial about the situation/addiction. Unable to see the negative consequences of what they are doing.
What is contemplation?
Stage 2. Considering change, ambivalent about the situation. Starting to see the problems.
What is preparation?
A half stage of contemplation, where the subject is determined to change, and begins thinking about a plan.
What is action?
Stage 4, where the change is implemented.
What is maintenance?
Stage 5. Maintaining the change and the positive behaviors.
What is relapse?
A stage that can happen at any time. A normal part of change. Signals a need for additional change. If relapse loops occur, the stages must be restarted from wherever the relapse occurred.
What is resistance?
Exchange in which client appears to work against the change.
What happens with Welcome Resistance?
Sign of turning point in the relationship. Time to do something differently, switch direction. Strategy: roll with resistance.
What are the primary principles of helping clients achieve change?
Expressing empathy, developing discrepancy, rolling with resistance, support self-efficacy.
What are some techniques for early on in the process?
Asking open ended questions. Reflective listening in which you repeat back what the client is saying. Affirmation, enhancing strengths. Summerization, eliciting change talk.
