Group Treatment for Substance Abuse

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

P/C/P Session 1: The Stages of Change

Change Process Objective: Consciousness Raising

P/C/P Session 2: Myths and Misconceptions

Change Process Objectives: Consciousness Raising, Self-Reevaluation

P/C/P Session 3: Alcohol’s Effects on the Body

Change Process Objectives: Consciousness Raising, Self-Reevaluation

P/C/P Session 4: Drugs’ Effects on the Body

Change Process Objectives: Consciousness Raising, Self-Reevaluation

P/C/P Session 5: The Brain and Substance Use

Change Process Objective: Consciousness Raising

P/C/P Session 6: Expectations

Change Process Objectives: Consciousness Raising, Self-Reevaluation

P/C/P Session 7: Personal Values

Change Process Objectives: Self-Reevaluation, Emotional Arousal

P/C/P Session 8: Expressions of Concern

Change Process Objectives: Self-Reevaluation, Environmental Reevaluation, Emotional Arousal

P/C/P Session 9: Relationships

Change Process Objective: Environmental Reevaluation

P/C/P Session 10: Tipping the Balance of Change

Change Process Objectives: Decisional Balance, Self-Reevaluation, Environmental Reevaluation

P/C/P Session 11: Gratitude

Change Process Objective: Emotional Arousal

P/C/P Session 12: Roles

Change Process Objective: Environmental Reevaluation

P/C/P Session 13: Self-Control

Change Process Objective: Self-Liberation

P/C/P Session 14: Temptation and Confidence

Change Process Objectives: Self-Efficacy, Self-Reevaluation, Environmental Reevaluation

P/C/P Session 15: Problem Solving

Change Process Objectives: Self-Efficacy, Social Liberation

P/C/P Session 16: Preparing for Change

Change Process Objective: Self-Liberation

P/C/P Session 17: Review and Termination

Change Process Objectives: Self-Reevaluation, Self-Efficacy

III. Making Changes in Substance Use

A/M Sequence: Action–Maintenance

A/M Session 1: The Stages of Change

Change Process Objective: Consciousness Raising

A/M Session 2: High-Risk Situations

Change Process Objective: Stimulus Control

A/M Session 3: Mindfulness

Change Process Objective: Counterconditioning

A/M Session 4: Disrupting Habits

Change Process Objectives: Stimulus Control, Counterconditioning

A/M Session 5: Managing Cravings and Urges

Change Process Objectives: Stimulus Control, Counterconditioning, Reinforcement Management

A/M Session 6: Acceptance

Change Process Objective: Counterconditioning

A/M Session 7: Rewarding My Successes

Change Process Objective: Reinforcement Management

A/M Session 8: Assertive Communication

Change Process Objectives: Counterconditioning, Reinforcement Management

A/M Session 9: Effective Refusals

Change Process Objectives: Counterconditioning, Reinforcement Management

A/M Session 10: Managing Criticism

Change Process Objectives: Counterconditioning, Reinforcement Management

A/M Session 11: Positive Thinking

Change Process Objectives: Stimulus Control, Counterconditioning, Reinforcement Management

A/M Session 12: Managing Anxiety

Change Process Objectives: Stimulus Control, Counterconditioning

A/M Session 13: Wellness

Change Process Objectives: Stimulus Control, Counterconditioning, Reinforcement Management

A/M Session 14: Moving Forward

Change Process Objective: Self-Liberation

A/M Session 15: Recommitting after a Slip

Change Process Objective: Self-Liberation

A/M Session 16: Social Support

Change Process Objective: Helping Relationships

A/M Session 17: Building Your Future

Change Process Objective: Social Liberation

A/M Session 18: Review and Termination

Change Process Objectives: Self-Efficacy, Reinforcement Management

Appendix. Professional Contacts and Suggested Resources

References

Index