Quick Guide for Clinicians - SAMHSA Store - Substance Abuse and ...

More documents

Recommendations

Info

10 Substance Abuse Treatment: Group Therapyindividual’s substance abuse and addiction. Somecommon errant beliefs of individuals enteringrecovery are• “I’m a failure.”• “I’m different.”• “I’m not strong enough to quit.”• “I’m unlovable.”• “I’m a (morally) bad person.”Principal characteristics. Cognitive–behavioraltherapy groups work to change learned behaviorby changing thinking patterns, beliefs, and perceptions.The group leader focuses on providing astructured environment within which group memberscan examine the behaviors, thoughts, andbeliefs that lead to their maladaptive behavior.For example, one model of a cognitive–behavioralgroup for individuals with posttraumatic stress disorder(PTSD) and substance abuse is designed to• Educate clients about the two disorders• Promote self-control skills to manage overwhelmingemotions• Teach functional behaviors that may have deterioratedas a result of the disorders• Provide relapse prevention trainingThe group format is an important element of themodel, given the importance of social support forPTSD and substance use disorders. In addition,
Groups Commonly Used in Substance Abuse Treatment 11group treatment is a relatively low-cost modality,so it can reach a larger number of clients.Leadership skills and styles. Some cognitive–behavioral approaches focus more on behavior,others on core beliefs, still others on developingproblem-solving capabilities. The level of interactionby the counselor in cognitive–behavioralgroups can vary from quite directive to relativelyinactive. Perhaps the most common leadershipstyle in such groups is active engagement and aconsistently directive orientation.Techniques. Specific techniques may vary by thespecific orientation of the leader but, in general,include the ability to (1) teach group membersabout self-destructive behavior and thinking thatleads to maladaptive behavior, (2) focus on problem-solvingand short- and long-term goal setting,and (3) help clients monitor feelings and behavior,particularly those associated with substance use.4. Support GroupsMany people with substance use disorders avoidtreatment because the treatment itself threatensto increase their anxiety. Support groups bolstermembers’ efforts to develop and strengthen theirability to manage their own thinking and emotionsand to develop better interpersonal skills as theyrecover from substance abuse.
Page 1 and 2: Quick GuideFor CliniciansBased on T
Page 3 and 4: ContentsWhy a Quick Guide? . . . .
Page 5 and 6: What Is a TIP?3WHAT IS A TIP?The TI
Page 7 and 8: Introduction5• Help members learn
Page 9 and 10: Groups Commonly Used in Substance A
Page 11: Groups Commonly Used in Substance A
Page 25 and 26: Criteria for the Placement of Clien
Page 31 and 32: Group Development and Phase-Specifi
Page 41 and 42: Group Leadership: Concepts and Tech
Page 53 and 54: Glossary 51Group Agreement: A contr
Page 55 and 56: Glossary 53Process-Oriented Therapy
Page 57 and 58: Ordering InformationTIP 41Substance

Quick Guide for Clinicians - SAMHSA Store - Substance Abuse and ...

Create successful ePaper yourself

Delete template?

Save as template?