Module 5B

1. Module 5B Introduction Strategies for Working with Clients with Co-Occurring Disorders: Techniques for a Working with Clients with COD

2. In This Module . . . • Module 5A • Guidelines for a successful Therapeutic Relationship with a Client who has COD • Module 5B • Techniques for Working with Clients with CO

3. Key Techniques for Working With Clients Who Have COD 1. Motivational enhancement consistent with the client’s stage of change. 2. Contingency management techniques to address specific target behaviors. 3. Cognitive-behavioral therapeutic techniques. 4. Relapse prevention techniques. 5. Repetition and skills-building to address deficits in functioning. 6. Facilitate client participation in mutual self-help groups.

4. Motivational Interviewing (MI) Motivational Interviewing (MI) is a“client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence.” Source: Miller and Rollnick 2002, p. 25.

5. Key Techniques for Working With Clients Who Have COD 1. Motivational enhancement consistent with the client’s stage of change. 2. Contingency management techniques to address specific target behaviors. 3. Cognitive-behavioral therapeutic techniques. 4. Relapse prevention techniques. 5. Repetition and skills-building to address deficits in functioning. 6. Facilitate client participation in mutual self-help groups.

6. Key Techniques for Working With Clients Who Have COD 1. Motivational enhancement consistent with the client’s stage of change. 2. Contingency management techniques to address specific target behaviors. 3. Cognitive-behavioral therapeutic techniques. 4. Relapse prevention techniques. 5. Repetition and skills-building to address deficits in functioning. 6. Facilitate client participation in mutual self-help groups.

7. Key Techniques for Working With Clients Who Have COD 1. Motivational enhancement consistent with the client’s stage of change. 2. Contingency management techniques to address specific target behaviors. 3. Cognitive-behavioral therapeutic techniques. 4. Relapse prevention techniques. 5. Repetition and skills-building to address deficits in functioning. 6. Facilitate client participation in mutual self-help groups.

8. Relapse Prevention “. . . a central element of all clinical approaches to relapse prevention is anticipating problems that are likely to arise in maintaining change and labeling them as high-risk situations for resumed substance use, then helping clients to develop effective strategies to cope with those high-risk situations without having a lapse.” TIP 42, p. 128

9. Key Techniques for Working With Clients Who Have COD 1. Motivational enhancement consistent with the client’s stage of change. 2. Contingency management techniques to address specific target behaviors. 3. Cognitive-behavioral therapeutic techniques. 4. Relapse prevention techniques. 5. Repetition and skills-building to address deficits in functioning. 6. Facilitate client participation in mutual self-help groups.

10. Key Techniques for Working With Clients Who Have COD 1. Motivational enhancement consistent with the client’s stage of change. 2. Contingency management techniques to address specific target behaviors. 3. Cognitive-behavioral therapeutic techniques. 4. Relapse prevention techniques. 5. Repetition and skills-building to address deficits in functioning. 6. Facilitate client participation in mutual self-help groups.