Cover Page

Brief Integrated Motivational Intervention

A Treatment Manual for Co-occurring Mental Health and Substance Use Problems

Hermine L. Graham, Alex Copello, Max Birchwood, and Emma Griffith
















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To Chloe and Niamh (HG)

To my family and friends (EG)

About the Companion Website

This book is accompanied by a companion website:

www.wiley.com/go/graham/bimi

The website includes:

Handouts and worksheets

About the Authors

Hermine L. Graham is a consultant clinical psychologist and lecturer at the University of Birmingham, United Kingdom. She has expertise in cognitive behavioral therapy, and has led the development and research of service models and treatment approaches for people with severe mental health and co‐occurring alcohol and drug problems in Birmingham. This work has been highlighted as a model of “good practice,” and is referenced in national policy guidelines for the treatment of “dual diagnosis” (DOH, 2002). She has published widely in peer‐reviewed academic journals and is co‐author of Cognitive‐Behavioral Integrated Treatment (C‐BIT): A Treatment Manual for Substance Misuse in People with Severe Mental Health Problems (Wiley, 2004) and co‐editor of Substance Misuse in Psychosis: Approaches to Treatment and Service Delivery (Wiley, 2003).

Alex Copello is a professor of addiction research at the School of Psychology at the University of Birmingham, United Kingdom, and a consultant clinical psychologist with the Birmingham and Solihull Mental Health NHS Foundation Trust. His career has combined clinical and academic work, and his research has had a major impact on addiction treatment in the United Kingdom in recent years. He has been widely published in academic scientific journals and has authored and edited many books, including Social Behavior and Network Therapy for Alcohol Problems (Routledge, 2009); Coping with Alcohol and Drug Problems: The Experiences of Family Members in Three Contrasting Cultures (Routledge, 2005); Cognitive‐Behavioral Integrated Treatment (C‐BIT): A Treatment Manual for Substance Misuse in People with Severe Mental Health Problems (Wiley, 2004); and Substance Misuse in Psychosis: Approaches to Treatment and Service Delivery (Wiley, 2003).

Max Birchwood is a professor of youth mental health at the University of Warwick, United Kingdom. He pioneered the concept and practice of early intervention in psychosis and opened the UK’s first early intervention in psychosis service in 1994. He has published widely in the field of psychosis and is the author of many books, including Early Intervention in Psychosis: A Guide to Concepts, Evidence and Interventions (Wiley, 2000); Cognitive Therapy for Delusions, Voices and Paranoia (Wiley, 1996); A Casebook of Cognitive Behavior Therapy for Command Hallucinations: A Social Rank Theory Approach (Routledge, 2005); Cognitive‐Behavioral Integrated Treatment (C‐BIT): A Treatment Manual for Substance Misuse in People with Severe Mental Health Problems (Wiley, 2004); and Substance Misuse in Psychosis: Approaches to Treatment and Service Delivery (Wiley, 2003).

Emma Griffith is a Lecturer and Clinical Tutor for the Doctorate in Clinical Psychology at the University of Bath, UK, and also works as a Principal Clinical Psychologist in Avon and Wiltshire Partnership Mental Health NHS Trust. She is accredited as a Behavioural and Cognitive Psychotherapist in CBT by the British Association for Behavioural & Cognitive Psychotherapies (BABCP). She has published a number of journal articles and is the co‐author of a book chapter.

Acknowledgments

The research trial that evaluated the Brief Integrated Motivational Intervention program was funded by the National Institute for Health Research (NIHR)—Research for Patient Benefit research grant (PB‐PG‐1010‐23138), and sponsored by Birmingham and Solihull Mental Health NHS Foundation Trust (BSMHFT). We are thankful for the invaluable input from Nick Freemantle and Paul McCrone as co‐applicants in the research trial, and grateful to Latoya Clarke, Kathryn Walsh, and Chrysi Stefanidou for their involvement as research associates. We greatly appreciate the support and involvement of the inpatient and community staff and service users in BSMHFT who were willing to trial the approach. Special thanks are owed to Jon Kennedy and Gary Roberts for their openness to us piloting the approach on the inpatient units, and to the members of the COMPASS program team (Jo Leci, Rob O’Brien, David Ryan, Catherine Henry, Helen Tuffey, Debbie Boulton, Sue Middleton, and Gemma Martin) and Dionne Harleston for their input into drafts of the manual and for being willing to trial the treatment approach. We also appreciate the input of Blessing Marandure on the effects of cannabis on mental health and Greg Griffith for producing Figure 2.1. Finally, we thank the service user researchers and consultants for ensuring this treatment approach was relevant.