Brief Integrated Motivational Intervention

BRIEF INTEGRATED MOTIVATIONAL INTERVENTIONBRIEF INTEGRATED MOTIVATIONAL INTERVENTIONA TREATMENT MANUAL FOR CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE PROBLEMSBrief Integrated Motivational Intervention provides clinicians and specialist practitioners with a brief, evidence-based treatment approach for motivating clients who have comorbid mental health and alcohol and drug misuse issues. Developed by an expert team with many years of research and practice experience in the fields of psychosis and addiction, this approach combines cognitive behavioural therapy (CBT), motivational interviewing, and the authors' own cognitive-behavioural integrated treatment (C-BIT). It allows practitioners to engage clients in meaningful dialogue for change during short windows of opportunity following relapses or admittance to psychiatric hospital, and helps clients consider the impact of substance misuse on their mental health. Easy to understand and implement, this guide also includes helpful tools for practitioners, such as session-specific content, illustrative case material, easy-to-use worksheets, and additional information for family members and friends.

About The Companion Website xiAbout The Authors xiiAcknowledgments xv1 Introduction 1A Window of Opportunity 1Brief Integrated Motivational Intervention (BIMI) 4Approach 4Timing 4Structure 52 Getting Started: Engagement And Brief Assessment 8Staying Motivated 8Step 1: Building Engagement And Assessment 9Session One Overview 10Session One Outline 10BIMI Brief Assessment 12Generating The Personalized Assessment Feedback Sheet 31Session Two Overview 36Session Two Outline 36Frequently Asked Questions (Faqs) 42Alcohol 43Drugs And Mental Health 46Additional Resources 523 Making Decisions About Change 53How To Decide On The Next Step 53How To Decide What Step Is Appropriate For The Client 53Step 2: Making Decisions With Your Client 56Outline Of Sessions 57Identifying The "Benefits" Of Using 57Identifying Positive Thoughts And Mis-Held Beliefs About Alcohol And Drugs 58Taking Another Look At What You Think About Alcohol And Drugs 60Relationship Between Mental Health Problems And Substance Use 62Reviewing Any "Costs" Of Using 654 Change 69Step 3: Change Plans And Social Support 69Outline Of Sessions 71Taking Steps Toward My Goals 71Coping With Setbacks 72Strategies To Cope With Cravings And Urges 73Social Support for Change 75Developing Supportive Social Networks 76Outline Of Sessions 76Helpful Information For Family Members Or Supportive Social Network Members 78Understanding Cannabis, Alcohol, And Other Substance Use, And How It Impacts On Family And Others 79Do Others Experience Similar Problems? 80How Do I Make Sense of This? 80Why Do I Feel So Stressed? 81To Sum It Up 82How Can I Best Support My Family Member or Friend? 835 Boosting Change 85Booster Session Content 85Booster Session Outline 86Review Self-Motivational Statements of Concern And Intention To Change 87Review The Maintenance Cycle For Mental Health Problems And Substance Use 87Review Progress With Substance-Related Goal And Skills To Tackle Setbacks 88Review Social Support For Change 88Link In With Community-Based Substance Misuse Treatment Services 89Appendix Worksheets And Handouts 90Worksheet 1: What Do I Enjoy About Using or What Keeps Me Using? 97Worksheet 2: What I Enjoy About Using or What Keeps Me Using (Table) 99Worksheet 3: How Does My Use Sometimes Affect Me? 100Worksheet 4: Taking Steps Toward My Goal 101Handout 1: Helpful Information For Family Members Or Supportive Social Network Members 102Understanding Cannabis, Alcohol, And Other Substance Use, And How It Impacts on Family And Others 102Do Others Experience Similar Problems? 103How Do I Make Sense of This? 104Why Do I Feel So Stressed? 105To Sum It Up 105Handout 2: How Can I Best Support My Family Member Or Friend? 107Keeping Communication Open 107Supporting His or Her Goals 107References 108Index 115