Summary: <p>8 Useful Brief Interventions and Brief Therapies<br> Objectives<br> ~ We will review:<br> ~ Stages-of-Change Model<br> ~ Goals of Brief Intervention<br> ~ Components of Brief Interventions and Effective Brief Therapy<br> ~ Essential Knowledge and Skills for Brief Interventions<br> ~ When To Use Brief Therapy<br> ~ Approaches to Brief Therapy<br> ~ Components of Effective Brief Therapy</p> <p>~ Cognitive Behavioral (CBT)<br> ~ Cognitive Processing<br> ~ Trauma Focused CBT<br> ~ Brief Strategic/Interactional<br> ~ Brief Humanistic/Existential<br> ~ Brief Psychodynamic<br> ~ Brief Family therapy<br> ~ Time Limited Group Therapy</p> <p>Benefits<br> ~ Reduce no-show<br> ~ Increase treatment engagement<br> ~ Increase compliance<br> ~ Increase self-efficacy<br> ~ Reduce aggression and isolation<br> ~ Provide an interim for clients on waiting lists<br> Goals of Brief Interventions<br> ~ Goals should be…<br> ~ Specific<br> ~ Measurable<br> ~ Achievable in 8-10 weeks<br> ~ Realistic<br> ~ Time Limited<br> ~ Purpose: Reduce the likelihood of damage/additional problems from the current issue. (i.e. family, work, health, self-esteem, guilt, anger)</p> <p>Objectives for Brief Interventions<br> ~ It is important to extract at least one measurable change in the client's behavior<br> ~ Time management<br> ~ Expanding a support system<br> ~ Improving social skills<br> ~ Changing unhelpful thoughts<br> ~ Improving health behaviors<br> ~ Vulnerability awareness and prevention<br> ~ Vocational issues<br> ~ Support group attendance<br> ~ Forgiveness and acceptance<br> ~ Staying in the “here and now<br> ~ Identifying triggers for the mood or behavior<br> ~ Coping with high risk or triggering situations</p> <p>Components of Brief Interventions<br> ~ FRAMES<br> ~ Feedback<br> ~ Responsibility<br> ~ Identification of future goals for health, activities, hobbies, relationships<br> ~ Identification of the pros and cons of current behavior in terms of self or family/community<br> ~ Consequences of staying the same<br> ~ Reasons to change<br> ~ Sensible strategies for change<br> ~ Advice<br> ~ Menu<br> ~ Empathy<br> ~ Self-Efficacy</p> <p>Stages of Change<br> ~ Precontemplation: “I’m okay”<br> ~ Provide<br> ~ Information linking problems with current behaviors (thoughts, reactions) or issues (health, environment, social etc.)<br> ~ Education<br> ~ Motivational Interviewing: “List 5 ways substances use has impacted….”<br> ~ Family/Peer commentary specifically about the client<br> ~ Types<br> ~ Reluctant<br> ~ Increase knowledge of the problem, and the personal impact<br> ~ Rebellious<br> ~ Shift energy from fear of losing control to improving the next moment<br> ~ Resigned<br> ~ Rekindle hope/optimism by highlighting successes, strengths<br> Stages of Change<br> ~ Contemplation: “It’s getting a little hot, but I’m okay”<br> ~ Increase awareness of the consequences of the current problem<br> ~ Explore/address ambivalence by tipping the decisional balance scales<br> ~ Address anxiety and grief about change<br> ~ Help clients visualize change</p> <p>Treatment Needs: Preparation<br> ~ Preparation: “I’ll just stick my toe in and see.”<br> ~ Identify benefits of treatment<br> ~ Identify/address fears/apprehensions about treatment<br> ~ Give the client a list of options for treatment<br> ~ Clarify goals and strategies<br> ~ Identify and address barriers to change<br> ~ Highlight strengths and past successful strategies<br> ~ Garner social support<br> ~ Envision change and find motivating stories from others<br> ~ Identify motivations in each area and create small successes for components of the goal<br> ~ Increase self efficacy and hardiness (C3)<br> ~ Strengthen commitment<br> ~ Begin learning about the issues</p> <p>Stages of Change<br> ~ Action: “I’m tired of being hot.”<br> ~</p>
