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Goal-Setting for Recovery

Goal-Setting for Recovery. This Node-Link-Mapping workbook will help you to prioritise and plan goals to work on, to break them down to small steps and review your progress with a keyworker or sponsor. Workshop Timetable. Introduction [5 mins]

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Goal-Setting for Recovery

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  1. Goal-Setting for Recovery This Node-Link-Mapping workbook will help you to prioritise and plan goals to work on, to break them down to small steps and review your progress with a keyworker or sponsor.

  2. Workshop Timetable • Introduction [5 mins] • Node-link mapping as an engagement tool [10 mins] • NLM exercise [10 mins] • Goal setting and the Recovery Plan [15 mins] • Exercise [10 mins] • Summary [5 mins]

  3. SUPPORT, STRUCTURE & GOAL DIRECTION • Quality of client-therapist alliance consistently associated with outcome • Therapists who stick more closely to an underlying theory of treatment experience better outcomes • Setting goals + greater clarity and organization are associated with more positive reactions to treatment and better outcomes • REWARDS & REWARDING ACTIVITES • Rewards during treatment for remaining substance-free [CM, CRA] • Planning for a generally more rewarding lifestyle [TSF, CBT, BFC] Common Components of Effective Treatment • ABSTINENCE-ORIENTED NORMS • Accepting abstinence-oriented norms and learning from abstinent role models [TSF, CRA] • Use role models who monitor sobriety [CBT, BFC} • Normative feedback about substance use and consequences [MET] • SELF-EFFICACY & COPING SKILLS • Focus on building self-efficacy and skills to manage high-risk situations and life stressors + obtain rewards that are an alternative to substance use [CBT, CRA] • Use group interactions to provide opportunities for sober behaviour leading to improvements in coping and self-efficacy [TSF] Moos R. Theory-Based Processes That Promote The Remission of Substance Use Disorders. ClinPsychol Rev (2007) 27(5): 537-551

  4. Node-Link Mapping

  5. Main “Parts” of Node-Link Maps A node, which is just an idea captured in a box, circle, or other shape WBA Premier League football teams For Example: • Links (named or not) show the relationship between nodes Premier League football teams For Example: “An Example of a Premier League football team is WBA” 6

  6. Over 50 publications have shown its effectiveness Worker Produced Jointly Produced Framework Provided by Worker Structured/ Free Structured Spontaneous Convey Information Represent & Explore Personal Issues Represent & Explore Personal Issues Node-Link Mapping Knowledge Maps Free Mapping Guide Maps

  7. An example of a ‘Free Map’ produced during a counselling session 8

  8. Over 50 publications have shown its effectiveness Worker Produced Jointly Produced Framework Provided by Worker Structured/ Free Structured Spontaneous Convey Information Represent & Explore Personal Issues Represent & Explore Personal Issues Node-Link Mapping Knowledge Maps Free Mapping Guide Maps

  9. H I V R R R Human Immuno- Deficiency Virus C C C People Only Can not be spread by animals, plants, or insects A major problem with the Immune System that fights disease Smallest living microbe (germ) Survives by invading cells and destroying them HIV is a human virus that invades and destroys the cells of the immune system. A I D S R R R R Acquired Immune Deficiency Syndrome C C C C Can be acquired. In other words, it can be spread Refers to the immune system. White blood cells that fight disease Not working. Deficient. Unable to fight germs A group of illnesses or symptoms related to a specific cause (HIV) AIDS is the late stage of HIV infection, resulting in illnesses and cancers the body can no longer fight off. An example of a ‘Knowledge’ Map 10

  10. Over 50 publications have shown its effectiveness Worker Produced Jointly Produced Framework Provided by Worker Structured/ Free Structured Spontaneous Convey Information Represent & Explore Personal Issues Represent & Explore Personal Issues Node-Link Mapping Knowledge Maps Free Mapping Guide Maps

  11. Exploring Self Strengths Health I’m pretty good looking; tall; mostly healthy Problem Solving Social Relationships When I’m clear headed I make pretty good decisions. I can also talk well. I have a couple of friends and I get along pretty well with my daughter. Emotions/Temperament Beliefs and Values I really want to change my life! I do know what it’s like to be happy. What are your I try hard to do the right thing. I love my daughter. strengths? Job/Career? I have computer skills I have had three jobsin the last 12 years I take work seriously An example of a ‘Guide Map’(filled in) How can you use your strengths to improve your life? Once I get control of my drug habit, maybe I can use my skills to go into secretarial work How useful was this map and discussion? Not useful 1---2---3---4---5---6---7---8---9---10 Very useful Comments: 13

  12. Free-Mapping Exercise • Interview the person next to you for 5 minutes • Ask about • education history and career to date • hobbies and interests • family • Use a free map to record the conversation

  13. Ed Senior Lecturer Addiction Psychiatry • Enjoys: • Spending time with his • kids • Running • WBA / Warwickshire Born in Bedford • Teaches: • MSc • Medical • students Slade Road CDT University BA/MA BM BCh, and later DM Medical School Focused on addictions Birmingham Psychiatry Training Scheme MRCPsych University of Birmingham ?

  14. Provide a workspace for exploring problems and solutions Improve therapeutic alliance Focus attention on the topic at hand BENEFITS OF MAPS Provide easy reference to earlier discussions Train clearer and more systematic thinking Provide a method for getting “unstuck” by providing new ideas Create memory aids for client and keyworker Useful structure for clinical supervision

  15. Goal setting

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  17. Worker:Date: __/__/__ Goalsetting Recovery planner Name: Life Area Satisfaction out of 10 What would have to change to increase my score out of 10? Priority Drug and/ or Alcohol use Mental HealthAnxiety, Mood, Stress, Relaxation Physical Health, Diet & Exercise Relationships (Partner or family) Social life & peer support Housing Job/ Education Money/ Debt Legal & crime

  18. 1 2 3 4 5 6 7 8 9 10 It can’t get any worse…………………...............….…It can’t get any better Goal Planner Rating Sheet Give each area of the Goal Planner map a score between 1 and 10 to show how happy you are now with this area of your life 1 = it can’t get any worse 5 = not unhappy, but not happy either 10 = it can’t get any better

  19. Name: Worker: Date: _ _ / _ _ / _ _ How useful was this map and discussion? 1 2 3 4 5 6 7 8 9 10 Signatures: My GOALS What I am AIMING to achieve? Small SMART goals and when I will achieve them                Goalsetting Recovery plan

  20. Name: Worker: Date: _ _ / _ _ / _ _ How useful was this map and discussion? 1 2 3 4 5 6 7 8 9 10 Comments: Specific Actions (3 – 5 small SMART steps) How will we know this has happened, what will be different? Possible problems and solutions By When Strengths you have or need Helpful people and useful thoughts My Goal Goalsetting The SMART Goal Getter

  21. Collaborative Goalsetting - (Insoo Kim Berg, 1999) 1. What and Who is important to the client. 2.Use this information to engage with the client. 3.What the client might want. 4.Is the client able and willing to do what it takes? 5.Negotiate small, simple, easy steps that client knowshow to do. (S.M.A.R.T.)  6.The client actually carries out according to his/her plan. 7.Review and reassess what is the next small step. 8.This gets repeated until the client reasons the level where it is “better enough” to stop. 9.All the credit for successes goes to the client.

  22. Name: Worker: Date: _ _ / _ _ / _ _ How useful was this map and discussion? 1 2 3 4 5 6 7 8 9 10 Signatures: My GOALS Progress I have made in tackling them What is left to do and who will help to do it? Goalsetting Recovery plan review

  23. Name: Worker: Date: _ _ / _ _ / _ _ How useful was this map and discussion? 1 2 3 4 5 6 7 8 9 10 Comments: Target What are we currently AIMING to achieve? SMART TASKS Freedom from dependency on drugs or alcohol Health and well being Quality of life and freedom from offending Goalsetting Targets and Tasks Citizenship & employability

  24. Goalsetting Your Achievement Date: _ _ / _ _ / _ _ Name: Worker: How can you use what you learned from this experience in the future? What was your success? How did you make it happen? What did you learn about yourself? How did you decide what might work? What did you do to make it happen? Comments: How useful was this map and discussion? 1 2 3 4 5 6 7 8 9 10

  25. Goalsetting The Brick Wall Date: _ _ / _ _ / _ _ Worker: Name: What have you learned from this experience? How will you do it differently next time? What made it unsuccessful? What were you feeling? What was going through your mind? What did you do? Comments: How useful was this map and discussion? 1 2 3 4 5 6 7 8 9 10

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