Description
The leading manual on group-based treatment of substance use disorders, this highly practical book is grounded in the transtheoretical model and emphasizes the experiential and behavioral processes of change. The program helps clients move through the stages of change by building skills for acknowledging a problem, deciding to act, developing and executing a plan, and accomplishing other critical tasks. The expert authors provide step-by-step guidelines for implementing the 35 structured sessions, along with strategies for enhancing motivation. In a large-size format with lay-flat binding for easy photocopying, the volume includes 58 reproducible handouts. Purchasers get access to a Web page where they can download and print the reproducible materials.
New to This Edition
*Reflects significant developments in research and clinical practice.
*Eight new sessions focusing on the brain and substance use, gratitude, self-control, mindfulness, acceptance, and more.
*Updated discussions of motivational interviewing and the use of cognitive-behavioral techniques with groups.
*41 of the 58 handouts are new or revised; all are now downloadable.
See also Substance Abuse Treatment and the Stages of Change, Second Edition, by Gerard J. Connors et al., which explores how the transtheoretical model can inform treatment planning and intervention in diverse clinical contexts.
Chapter
Purpose, Goals, and Organization of This Manual
Part I. How to Help People Change
1. How People Change: The Transtheoretical Model
Doing the Right Thing at the Right Time
Moving through the Stages of Change
How the Processes Facilitate Movement through the Stages
The Difference between Processes of Change and Strategies
Adapting This Manual to Your Needs
2. Strategies for Facilitating Change
Using a Motivational Approach
Obstacles and Opportunities in Promoting Client Motivation
MI and TTM Walking Together: Connecting Motivational Enhancement with Change Process Use
Connecting Our Approach with Traditional Treatment Strategies
3. Putting It All Together: Setting Up and Carrying Out the Intervention
Overview of the Group Treatment
Who Should Conduct Groups?
Group Size, Frequency and Number of Sessions, and Session Length
Intake, Screening, and Assessment
Brief Refresher on Group Work
Part II. Thinking about Changing Substance Use: P/C/P Sequence: Precontemplation–Contemplation–Preparation
P/C/P Session 1: The Stages of Change
P/C/P Session 2: Myths and Misconceptions
P/C/P Session 3: Alcohol’s Effects on the Body
P/C/P Session 4: Drugs’ Effects on the Body
P/C/P Session 5: The Brain and Substance Use
P/C/P Session 6: Expectations
P/C/P Session 7: Personal Values
P/C/P Session 8: Expressions of Concern
P/C/P Session 9: Relationships
P/C/P Session 10: Tipping the Balance of Change
P/C/P Session 11: Gratitude
P/C/P Session 13: Self-Control
P/C/P Session 14: Temptation and Confidence
P/C/P Session 15: Problem Solving
P/C/P Session 16: Preparing for Change
P/C/P Session 17: Review and Termination
Part III. Making Changes in Substance Use A/M Sequence: Action–Maintenance
A/M Session 1: The Stages of Change
A/M Session 2: High-Risk Situations
A/M Session 3: Mindfulness
A/M Session 4: Disrupting Habits
A/M Session 5: Managing Cravings and Urges
A/M Session 6: Acceptance
A/M Session 7: Rewarding My Successes
A/M Session 8: Assertive Communication
A/M Session 9: Effective Refusals
A/M Session 10: Managing Criticism
A/M Session 11: Positive Thinking
A/M Session 12: Managing Anxiety
A/M Session 14: Moving Forward
A/M Session 15: Recommitting after a Slip
A/M Session 16: Social Support
A/M Session 17: Building Your Future
A/M Session 18: Review and Termination
Appendix. Professional Contacts and Suggested Resources
Group Treatment for Substance Abuse, Second Edition
：A Stages-of-Change Therapy Manual
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