Details

Cognitive-Behavioural Integrated Treatment (C-BIT)


Cognitive-Behavioural Integrated Treatment (C-BIT)

A Treatment Manual for Substance Misuse in People with Severe Mental Health Problems
1. Aufl.

von: Hermine L. Graham, Alex Copello, Max J. Birchwood, Kim T. Mueser, Jim Orford, Dermot McGovern, Emma Atkinson, Jenny Maslin, Mike Preece, Derek Tobin, George Georgiou

60,99 €

Verlag: Wiley
Format: PDF
Veröffentl.: 09.01.2004
ISBN/EAN: 9780470857045
Sprache: englisch
Anzahl Seiten: 320

DRM-geschütztes eBook, Sie benötigen z.B. Adobe Digital Editions und eine Adobe ID zum Lesen.

Beschreibungen

This exciting new book addresses the important issue of how to provide integrated mental health and substance misuse treatment of individuals with these co-occurring disorders. Combining both theory and practice, by the use of illustrative clinical case material, it provides a survey of different approaches to the integration of mental health and substance misuse services. A unique collection of chapters, from authors who are experts in the field and pioneering innovative approaches, provides an international perspective (including UK, Germany, Australia, USA, Canada) of treatment. <p>Arranged in five sections, Section 1 provides an introduction to the issue of substance misuse amongst those with psychosis. Section 2 introduces a range of integrated service models from different countries. The third section provides a practical hands-on guide to assessment and treatment. The fourth section addresses the specific treatment needs of special population groups (including young people, forensic groups, homeless people and those with HIV/AIDS). The final section examines treatment outcome studies and implications for the future.</p> <p>Clinical psychologists, psychiatrists, nurses, case managers, and psychiatric social workers in training and practice in clinic, hospital and community settings will find this book an essential practical resource for working with individuals (and their families) with co-occurring disorders.</p>
<p>About the Authors xi</p> <p>Aims of the Book xv</p> <p>Acknowledgements xvii</p> <p><b>Part One: Introduction To Cognitive-Behavioural Integrated Treatment (C-Bit) 1</b></p> <p><b>1 Issues in Working with those with Coexisting Severe Mental Health Problems Who Use Substances Problematically 3</b></p> <p>The Nature of Coexisting Severe Mental Health and Alcohol/Drug Problems 3</p> <p>Models of Comorbidity 6</p> <p>Obstacles to Treatment and Behaviour Change 9</p> <p>Treatment Needs 10</p> <p><b>2 Overview of C-BIT Approach 14</b></p> <p>Objectives 14</p> <p>Structure 15</p> <p>How to Know When to Move on to the Next Phase 16</p> <p>Treatment Sessions 20</p> <p><b>3 Overview of C-BIT Theory and Techniques 22</b></p> <p>Brief Introduction to Cognitive Therapy 22</p> <p>Cognitive Therapy Techniques in C-BIT 28</p> <p><b>Part Two: Cognitive-Behavioural Integrated Treatment (C-Bit) 37</b></p> <p><b>C-Bit Core Components 39</b></p> <p><b>4 Assessment Phase: Screening and Assessment 39</b></p> <p>Clinical Assessment of Drug/Alcohol Use 40</p> <p>Assessment and Screening Tools 42</p> <p>Case Formulation 46</p> <p>Treatment Planning 49</p> <p><b>5 Treatment Phase 1: Engagement and Building Motivation to Change 51</b></p> <p>Strategies to Increase Engagement 51</p> <p>How to Put Drug/Alcohol Use on the Agenda 55</p> <p>Building on Motivation for Change 59</p> <p>Dealing with Resistance 64</p> <p>Identifying Social Networks Supportive of Change 65</p> <p>Finances/Money Management 68</p> <p><b>6 Treatment Phase 2: Negotiating Some Behaviour Change 73</b></p> <p>Identifying and Setting Achievable Harm-Reduction Goals 73</p> <p>Working with Resistance to Goal Setting 75</p> <p>Identifying Activities of Interest 79</p> <p>Engaging the Client’s Interest in the Activity 81</p> <p>How to Build Social Networks Supportive of Change 81</p> <p>Strategies to Increase Awareness of Problematic Links Between Mental Health and Substance Use 84</p> <p><b>7 Treatment Phase 3: Early Relapse Prevention 88</b></p> <p>Formulating Problems: Cognitive Model of Substance Use 88</p> <p>Relapse Prevention: Helping Your Clients Manage Their Substance Use 93</p> <p>Relapse Prevention: Including Social Network Member(s) 94</p> <p>Coping with Cravings and the Abstinence-Violation Effect 99</p> <p>Relapse Prevention: For Substance Use and Its Links with Mental Health 102</p> <p><b>8 Treatment Phase 4: Relapse Prevention/Relapse Management 106</b></p> <p>Including Social Network Member(s) in Relapse Prevention 107</p> <p>Identifying a Relapse Signature to Psychotic Relapses and Role of Substance Use 108</p> <p>Developing a Comprehensive Relapse-Prevention/ Relapse-Management Plan 116</p> <p>Using a Comprehensive Relapse-Prevention/ Management Plan—Relapse Drill 118</p> <p>Additional Treatment Components I—Skills Building 122</p> <p><b>9 Coping with Different Moods: Anxiety 122</b></p> <p>The Role of Substances in Creating or Maintaining Anxiety 122</p> <p>Starting Out: Assessing Anxiety 123</p> <p>Strategies to Manage Anxiety 125</p> <p>Cognitive-Behavioural Integrated Treatment</p> <p><b>10 Coping with Different Moods: Anger and Impulse Control 136</b></p> <p>The Role of Drugs/Alcohol in Creating/Maintaining Anger 137</p> <p>The Role of Psychosis in Creating/Maintaining Anger 138</p> <p>Starting Out: Assessing Anger 138</p> <p>Strategies to Manage Anger 140</p> <p>Impulse Control 148</p> <p><b>11 Coping with Different Moods: Depression 151</b></p> <p>The Role of Drugs/Alcohol in Creating and Maintaining Depression 152</p> <p>The Role of Psychosis in Creating/Maintaining Depression 152</p> <p>Starting Out: Assessing Depression 153</p> <p>Strategies to Manage Depression 154</p> <p><b>12 Communication: Social Skills 164</b></p> <p>Social Skills 165</p> <p>Social Skills Training for Mental Health Problems and Substance Use 166</p> <p>Social Skills Training 167</p> <p>Applying Social Skills to Specific Situations 173</p> <p>Assertiveness 175</p> <p>Assertiveness Training 178</p> <p>Strategies to Tackle Lack of Assertiveness 179</p> <p>Applying Assertiveness Skills to Specific Situations 188</p> <p><b>13 Self-Esteem 194</b></p> <p>Effect of Low Self-Esteem on Mental Health and Drug/Alcohol Use 194</p> <p>Effects of Psychosis and Drugs/Alcohol on Self-Esteem 195</p> <p>Starting Out: Assessing Self-Esteem 196</p> <p>Strategies to Improve Self-Esteem 197</p> <p><b>14 Lifestyle Balance 205</b></p> <p>Strategies to Encourage Lifestyle Balance 206</p> <p>Increasing Activity Levels 206</p> <p>Time Management 212</p> <p>Money Management 213</p> <p>Additional Treatment Components Ii—Families And Social Network Members 215</p> <p><b>15 Working with Families and Social Network Members 215</b></p> <p>Provision of Psychoeducation 216</p> <p>Encouraging Involvement 221</p> <p>Practical Coping Strategies and Skills 223</p> <p><b>Part Three: Implementation Issues 231</b></p> <p><b>16 Implementation Issues 233</b></p> <p>Overview 233</p> <p>Implementation Obstacles and Solutions 233</p> <p>Training and Supervision (Capacity Building) 237</p> <p>Organisational Factors 238</p> <p>Overview of the Evidence Base and Future Directions for</p> <p>Research 239</p> <p>Appendices 245</p> <p>References 285</p> <p>Index 295</p> <p>Cognitive-Behavioural Integrated Treatment</p>
“…an outstanding integrated treatment manual that is current, empirically supported and attractive to therapists and their clients…” (Addiction, June 2004) <p>“…extremely well written and presented…” (Mental Health Nursing, July 04)</p> <p>“...The two most striking characteristics of this excellent book are its authenticity and its usefulness...”  (Clinical Psychology, No.45, January 2005) </p>
<p><b>Dr Hermine L. Graham</b> is a Consultant Clinical Psychologist and Lecturer on the Doctorate in Clinical Psychology course at the University of Birmingham, UK. She has led a programme of collaborative research and service innovation in the NHS focused on the integration of substance misuse treatment into mental health services.</p>
<b>How do you engage a reluctant client in discussing alcohol/drug use and build motivation for change?</b> <p><b>Hermine L. Graham and her team of co-authors have specifically developed this treatment manual for clinicians and therapists who work with clients presenting with co-existing severe mental health and substance misuse problems.</b></p> <p><i>Cognitive-Behavioural Integrated Treatment(C-BIT)</i> provides a framework that is structured but flexible, assisting clinicians to initially engage with clients and collaboratively tackle alcohol and drug problems in the context of the client’s mental health difficulties. The book is set out in three parts:</p> <p>Part I sets the scene by outlining some of the background issues concerning co-existing substance use and mental health problems.</p> <p>Part II is a step-by-step manual and will guide you through the C-BIT approach, with practical strategies on how to deliver integrated interventions appropriate to your client’s stage of engagement with you.</p> <p>Part III addresses some of the key issues involved in the process of implementing integrated treatment. It highlights some of the implementation obstacles that can often arise during the developmental stages, with suggested strategies to address these issues.</p> <p>Each Part has supporting worksheets clearly displayed in the Appendices.</p> <p>This essential resource and handbook will be invaluable for clinicians, students, researchers, managers and health purchasers/providers in mental health and substance misuse settings.</p>

Diese Produkte könnten Sie auch interessieren:

Empirical Research in Teaching and Learning
Empirical Research in Teaching and Learning
von: Debra Mashek, Elizabeth Yost Hammer
PDF ebook
90,99 €
Prejudice
Prejudice
von: Rupert Brown
EPUB ebook
34,99 €
The Wiley-Blackwell Handbook of Childhood Social Development
The Wiley-Blackwell Handbook of Childhood Social Development
von: Peter K. Smith, Craig H. Hart
EPUB ebook
136,99 €