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

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.