This practical manual presents a 29-session treatment program designed to engage, motivate, and stimulate processes of change in clients at all stages of recovery.

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This practical manual presents a 29-session treatment program designed to engage, motivate, and stimulate processes of change in clients at all stages of recovery. The program is based on the research-supported transtheoretical model of behavior change. The manual employs skills-building activities and interventions that are likely to be most effective with clients as they cycle from the earlier stages of change precontemplation, contemplation, and preparation to the later stages, action and maintenance. Each of the structured sessions is presented in a consistent, highly accessible format, including a clear rationale, summary of objectives, and overview of the main activities that will take place. Step-by-step guidelines for implementation are provided, as well as strategies for using a motivational interviewing style. The manual is complete with all needed handouts and exercise forms, ready to photocopy and distribute to clients. Ideal for use with groups, the approach can easily be adapted to individual treatment.

Size: 8 1/2" x 11", 222 pages, paperback

Introduction

I. How to Help People Change

1. How People Change: The Transtheoretical Model

2. Strategies for Facilitating Change

3. Putting It All Together: Setting Up and Carrying Out the Intervention

II. Thinking about Changing Substance Use

P/C/P Sequence: Precontemplation--Contemplation--Preparation

*Session 1: The Stages of Change

Change Process Objective: Consciousness Raising

*Session 2: A Day in the Life

Change Process Objective: Consciousness Raising

*Session 3: Physiological Effects of Alcohol

Change Process Objective: Consciousness Raising

*Session 4: Physiological Effects of Drugs

Change Process Objective: Consciousness Raising

*Session 5: Expectations

Change Process Objective: Consciousness Raising

*Session 6: Expressions of Concern

Change Process Objective: Self-Reevaluation, Dramatic Relief

*Session 7: Values

Change Process Objective: Self-Reevaluation

*Session 8: Pros and Cons

Change Process Objective: Decisional Balance

*Session 9: Relationships

Change Process Objective: Environmental Reevaluation

*Session 10: Roles

Change Process Objective: Environmental Reevaluation

*Session 11: Confidence and Temptation

Change Process Objective: Self-Efficacy

*Session 12: Problem Solving

Change Process Objective: Self-Efficacy

*Session 13: Setting a Goal and Preparing to Change

Change Process Objective: Self-Liberation

*Session 14: Review and Termination

III. Making Changes in Substance Use

A/M Sequence: Action--Maintenance

*Session 1: The Stages of Change

Change Process Objective: Consciousness Raising

*Session 2: Identifying "Triggers"

Change Process Objective: Stimulus Control

*Session 3: Managing Stress

Change Process Objective: Counterconditioning

*Session 4: Rewarding My Successes

Change Process Objective: Reinforcement Management

*Session 5: Effective Communication

Change Process Objectives: Counterconditioning, Reinforcement Management

*Session 6: Effective Refusals

Change Process Objectives: Counterconditioning,

Reinforcement Management

*Session 7: Managing Criticism

Change Process Objectives: Counterconditioning,

Reinforcement Management

*Session 8: Managing Thoughts

Change Process Objectives: Stimulus Control, Counterconditioning, Reinforcement Management

*Session 9: Managing Cravings and Urges

Change Process Objectives: Stimulus Control, Counterconditioning, Reinforcement Management

*Session 10: New Ways to Enjoy Life

Change Process Objectives: Stimulus Control, Counterconditioning, Reinforcement Management

*Session 11: Developing an Action Plan

Change Process Objective: Self-Liberation

*Session 12: Recommitting after a Slip

Change Process Objective: Self-Liberation

*Session 13: Social Support

Change Process Objective: Helping Relationships

*Session 14: Identifying Needs and Resources

Change Process Objective: Social Liberation

*Session 15: Review and Termination

Change Process Objectives: Self-Efficacy, Reinforcement Management

*Appendix: Professional Contacts and Suggested Resources

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