This authoritative book presents a groundbreaking evidence-based approach to conducting therapy groups for persons with substance use disorders. The approach integrates cognitive-behavioral, motivational interviewing, and relapse prevention techniques, while capitalizing on the power of group processes. Clinicians are provided with a detailed intervention framework and clear-cut strategies for helping clients to set and meet their own treatment goals. More than two dozen ready-to-use reproducible assessment tools, handouts, homework exercises, and session outlines are supplied in a convenient large-size format.
Clinical psychologists, social workers, substance abuse counselors, and other clinicians who treat clients with addiction and substance use problems.
Table of Contents
I. Rationale, Research, and Assessment
1. Guided Self-Change Treatment and Its Successful Extension to Group Therapy
2. Overview of Motivational Interviewing Strategies and Techniques
3. Assessment: A Running Start for Treatment
II. Guided Self-Change: a Cognitive-Behavioral Motivational Intervention For Individual and Group Therapy
4. Guided Self-Change Treatment in an Individual Format
5. Integrating Motivational Interviewing and Cognitive-Behavioral Techniques into Group Therapy
III. Conducting and Managing Groups: Pregroup Planning, Group Cohesion, and Difficult Situations and Clients
6. Building Group Cohesion: Music Comes from the Group
7. Managing Groups: Structural Issues
8. Managing Difficult Clients in Groups
9. The Way Ahead
A. Alcohol Use Disorders Identification Test (AUDIT) and Scoring Key
B. Drug Abuse Screening Test (DAST-10) and Scoring Key
C. Drug Use History Questionnaire (DUHQ)
D. Brief Situational Confidence Questionnaire (BSCQ)
"Comprehensive and up to date, this book presents essential tools for addressing one of the most prevalent and disabling mental health problems. While a group treatment format has advantages over individual treatment, it is also associated with a number of clinical challenges. These challenges are clearly and effectively addressed by the authors. This invaluable resource is destined to become required reading for mental health care providers who want to further develop their clinical skills."-Stefan G. Hofmann, PhD, Department of Psychology, Boston University
"The Sobells are preeminent in the addiction treatment field. This engaging book presents the evidence behind their innovative group treatment approach and synthesizes decades of research and clinical experience. Readers will find a wealth of clinical examples, practical advice, handouts, and tools to measure client progress. The Sobells show how leading a group is like conducting an orchestra, and provide wise insights into 'making the music come from the group.'"-Mary Marden Velasquez, PhD, Director, Health Behavior Research and Training Institute, University of Texas at Austin
"Group therapy is a standard treatment for substance use disorders, but there is limited guidance for group therapists committed to providing empirically supported treatments. The Sobells fill that gap with this book, which provides a beautiful blend of science and clinical wisdom; great handouts for clients; clear instructions for therapists; and meaningful clinical examples. The authors share their experience and thoughts in a way that invites both therapists-in-training and experienced therapists to use their approach. This book is a gem."-Barbara S. McCrady, PhD, Distinguished Professor of Psychology and Director, Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico
Linda Carter Sobell, PhD, ABPP, is Professor and Associate Director of Clinical Training at the Center for Psychological Studies at Nova Southeastern University, where Mark B. Sobell, PhD, ABPP, also serves as Professor. Together, they are Codirectors of the Guided Self-Change Clinic. Their research and hundreds of publications focus on brief motivational interventions, the process of self-change, and the Timeline Followback assessment method. Each is a recipient of numerous awards for their contributions to the field of addictions, including the Distinguished Scientific Contribution Award from the Society of Clinical Psychology, Division 12 of the American Psychological Association; the Charles C. Shepard Science Award from the Centers for Disease Control and Prevention and the Agency for Toxic Substances and Disease Registry; and the Lifetime Achievement Award from the Addictions Special Interest Group of the Association for Behavioral and Cognitive Therapies.