Behavioral therapy for rural substance abusers a treatment intervention for substance abusers / Carl Leukefeld ... [and others.

Includes bibliographies and index.

Cover; Half-title; Title; Copyright; Contents; ACKNOWLEDGMENTS; INTRODUCTION; Developing the Therapy; The Clinical Approach; Overview of SBORT; MOTIVATIONAL INTERVIEWING; STRATEGIES FOR MOTIVATING CHANGE; Self-Motivating Statements; Listening with Empathy; Questions; Feedback; Affirm the Client; Dealing with Resistance; Reframing; STRATEGIES FOR STRENGTHENING COMMITMENT; Discussing a Plan; Communicating Choices; Exploring the Consequences of Action and Inaction; Information and Advice; Emphasizing Abstinence; Formalizing a Plan of Change; Reviewing; Asking for Commitment.

USING MOTIVATIONAL INTERVIEWING WITH THIS MANUALPRETREATMENT AND ASSESSMENT; ASSESSMENT QUESTIONS; 1. Circumstances Leading to Treatment; 2. Alcohol Use; 3. Drug Use; 4. Life Problems; 5. Dependency; 6. Functional Analysis; 7. Personal History; 8. Mental Status; 9. Spiritual Assessment; 10. Assessment of Risk; 11. Biomedical Evaluation; 12. Motivational Assessment; 13. Personalized Feedback; DUAL RELATIONSHIPS; RISK MANAGEMENT; CLINICAL SUPERVISION; CLINICAL SUPERVISION TECHNIQUES; HELPING CLIENTS REMAIN IN TREATMENT TO MEET TREATMENT GOALS; CASE MANAGEMENT; PHASE I-CASE MANAGEMENT SESSIONS.

PHASE I I -- C A S E MANAGEMENT SESSIONSBEHAVIORAL CONTRACTING; DEVELOPING THE BEHAVIORAL CONTRACT; EXAMPLE CONTRACT; SPECIAL ISSUES; THOUGHT MAPPING; THOUGHT MAPPING GOALS; USING THE MAP; EXAMPLE THOUGHT MAP; STRUCTURED STORYTELLING; SOCIAL SKILLS SESSIONS; GROUP PROCESS; PRACTICE EXERCISES; HELPING COGNITIVELY CHALLENGED CLIENTS; SKILLS SESSION 1: MANAGING THOUGHTS AND FANTASIES ABOUT ALCOHOL AND DRUGS; INFORMATION FOR THERAPISTS; MESSAGE TO CLIENTS; SKILLS; GROUP EXERCISE; SKILLS SESSION 1-HANDOUT 1; Reminder Sheet; Practice Exercise; SKILLS SESSION 2: COPING WITH CRAVINGS AND URGES.

INFORMATION FOR THERAPISTSMESSAGE TO CLIENTS; SKILLS; GROUP EXERCISE; SKILLS SESSION 2-HANDOUT 1; Reminder Sheet; SKILLS SESSION 2-HANDOUT 2; Practice Exercise; SKILLS SESSION 3: RELAXATION; INFORMATION FOR THERAPISTS; MESSAGE TO CLIENTS; SKILLS; GROUP EXERCISE; SKILLS SESSION 3-HANDOUT 1; Relaxation Rating Scale; SKILLS SESSION 3-HANDOUT 2; Practice Exercise; SKILLS SESSION 4: INCREASING PLEASANT ACTIVITIES; INFORMATION FOR THERAPISTS; MESSAGE TO CLIENTS; GROUP EXERCISE; SKILLS SESSION 4-HANDOUT 1; Reminder Sheet; SKILLS SESSION 4-HANDOUT 2; Practice Exercise.

SKILLS SESSION 5: PROBLEM SOLVINGINFORMATION FOR THERAPISTS; MESSAGE TO CLIENTS; SKILLS; GROUP EXERCISE; SKILLS SESSION 5-HANDOUT 1; Reminder Sheet; SKILLS SESSION 5-HANDOUT 2; Practice Exercise; SKILLS SESSION 6: AWARENESS AND MANAGEMENT OF NEGATIVE THINKING; INFORMATION FOR THERAPISTS; MESSAGE TO CLIENTS; SKILLS; GROUP EXERCISE; SKILLS SESSION 6-HANDOUT 1,; Reminder Sheet; SKILLS SESSION 6-HANDOUT 2; Practice Exercise; SKILLS SESSION 7: ANGER AWARENESS AND MANAGEMENT; INFORMATION FOR THERAPISTS; MESSAGE TO CLIENTS; SKILLS; GROUP EXERCISE; SKILLS SESSION 7-HANDOUT 1; Reminder Sheet.

Skills session 8: interpersonal violence.

The problems and needs of rural substance abusers vary from those of abusers in urban areas. Accordingly, the means of treatment must acknowledge and address these differences. Despite this call for specialized care, no theoretically grounded therapy has yet been made available to rural patients. Behavioral Therapy for Rural Substance Abusers, developed and piloted over three years by University of Kentucky faculty and staff and substance abuse counselors in rural eastern Kentucky, provides a model for effective treatment for this segment of the population. A two-phase outpatient treatment, th.

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