The leading manual on group-based treatment of substance use disorders, this highly practical book is grounded in the transtheoretical model and emphasizes the experiential and behavioral processes of change. The program helps clients move through the stages of change by building skills for acknowledging a problem, deciding to act, developing and executing a plan, and accomplishing other critical tasks. The expert authors provide step-by-step guidelines for implementing the 35 structured sessions, along with strategies for enhancing motivation. In a large-size format with lay-flat binding for easy photocopying, the volume includes 58 reproducible handouts. Purchasers get access to a Web page where they can download and print the reproducible materials. New to This Edition *Reflects significant developments in research and clinical practice. *Eight new sessions focusing on the brain and substance use, gratitude, self-control, mindfulness, acceptance, and more. *Updated discussions of motivational interviewing and the use of cognitive-behavioral techniques with groups. *41 of the 58 handouts are new or revised; all are now downloadable. See also Substance Abuse Treatment and the Stages of Change, Second Edition, by Gerard J. Connors et al., which explores how the transtheoretical model can inform treatment planning and intervention in diverse clinical contexts.

This authoritative book presents a groundbreaking evidence-based approach to conducting therapy groups for persons with substance use disorders. The approach integrates cognitive-behavioral, motivational interviewing, and relapse prevention techniques, while capitalizing on the power of group processes. Clinicians are provided with a detailed intervention framework and clear-cut strategies for helping clients to set and meet their own treatment goals. More than two dozen ready-to-use reproducible assessment tools, handouts, homework exercises, and session outlines are supplied in a convenient large-size format.

Gain a practical perspective on group therapy as a treatment for addiction! As more and more researchers and clinicians recognize group therapy as the primary psychosocial intervention in the treatment of substance abusers, there is a growing need for a comprehensive resource that places the wide range of theories and ideas about the treatment into practical perspective. The Group Therapy of Substance Abuse is the first book to bridge the gap between substance abuse treatment and group psychotherapy by presenting expert analyses that address all major schools of thought. The book includes clinical examples and specific recommendations for treatment techniques, reflecting a variety of viewpoints from the leading clinicians, scholars, and teachers in the field. Because of its therapeutic efficacy and cost effectiveness, group therapy has come to play an increasingly important role as the psychosocial therapy of choice for an ever-increasing numbers of patients with substance abuse disorders. For ease of use, The Group Therapy of Substance Abuse is divided into several sections, including a discussion of the basic theoretical approaches on which most group treatments of substance abusers are based; the uses of group treatment approaches in specific treatment settings; and the uses of group treatment with specific patient populations. The Group Therapy of Substance Abuse also includes diverse perspectives on: interpersonal and psychodynamic approaches to therapy cognitive behavioral methods outpatient, inpatient, and partial-hospitalization groups network therapy and 12-step groups treatment of gay, lesbian, bisexual, adolescent, and elderly abusers therapeutic community groups Essential for professionals who treat substance abusers, The Group Therapy of Substance Abuse is also an excellent textbook for scholars and students in the mental health field. The book adds depth to the practicing (and soon-to-be practicing) clinician's understanding of how best to address the complex problem of addiction.

Packed with practical clinical tools, this book presents an empirically supported treatment expressly designed for clients with both bipolar disorder and substance use disorders. Integrated group therapy teaches essential recovery behaviors and relapse prevention skills that apply to both illnesses. The volume provides a complete session-by-session overview of the approach, including clear guidelines for setting up and running groups, implementing the cognitive-behavioral treatment techniques, and troubleshooting frequently encountered problems. In a large-size format for easy reference and photocopying, the book features more than 30 reproducible handouts, forms, and bulletin board materials.

Based on the author's 18 years of experience supervising group therapists, this quintessentially practical book is designed to help practitioners think through and formulate appropriate strategies in their clinical work. Utilizing many clinical examples, and providing explanations throughout for her interventions, Vannicelli pays special attention to the therapeutic stance -- where the clinician positions him or herself in relation to the patient, and why; and how various strategies and techniques maximize the patient's opportunity for therapeutic growth. A hallmark of Dr. Vannicelli's approach, richly illustrated in this work, is her sensitivity to countertransference and the ways it can be used productively in clinical practice. Alone among books in the substance abuse field, REMOVING THE ROADBLOCKS analyzes the group therapy issues that arise in the three populations most commonly seen in substance abuse clinics -- substance abusers themselves, adult children of alcoholics, and other family members. The author describes characteristics unique to each population and addresses overlap among them in terms of basic procedures, formats, and hurdles that group leaders face. The book also differs from most psychotherapy texts by giving the reader an opportunity to "hear the voice" of an experienced therapist as she provides examples of various kinds of interventions and demonstrates how they might actually be communicated and implemented. Rather than reading about psychotherapy or about various kinds of problems, one has the sense of experiencing a thorough consultation with a truly seasoned supervisor. A particularly useful feature is the appendix at the end of the volume, which provides examples of assessment and intake questionnaires, history questionnaires, ground rules for treatment, contracts, and other practical materials. Designed for all mental health professionals who work with substance abusers, the book's focus on practical clinical issues also makes it ideal for paraprofessionals. It is an excellent text for courses on substance abuse in social work, psychology, nursing, and other disciplines, as well as for courses in group psychotherapy.

The Harvard Cocaine Recovery Project, a National Institute on Drug Abuse-funded randomized clinical trial, was initiated in 1986 to compare different approaches for treating cocaine abusers. Modified Dynamic Group Therapy (MDGT), one of the models used in the study, is a short-term supportive-expressive psychodynamic group approach specifically adapted for cocaine addicts. While many previous studies of substance abuse treatment were compromised by extraordinarily high dropout rates, this approach retained nearly 70% of group members for the entire length of treatment. This book describes MDGT and provides a practical guide to implementation. Based on an understanding of the psychological vulnerabilities of addicts, the MDGT model addresses the modifications in psychodynamic technique that are necessary for addicts' needs. It focuses on four main areas of difficulty involving self-regulation; affect, self-esteem, relationship, and self-care problems. Both supportive and expressive, the approach helps group members identify, process, and modify the characterological traits that mask addict's vulnerabilities. With this approach, a well-led group can heighten self-esteem, improve self-care, combat feelings of isolation and shame, and strengthen the individual's capacity for positive change. Concomitant involvement with an individual therapist/counselor is encouraged as a means to support and facilitate the group therapy, especially early in group treatment, and to maintain a flexible individual and group treatment context for self-exploration and understanding. Bringing the model to life are detailed vignettes and transcripts of groups in different phases of recovery. These cases demonstrate techniques, illustrate technical issues, and illuminate major themes that unfold during treatment.

This pragmatic guide -- from a team of experts including cognitive therapy originator Aaron T. Beck -- describes how to implement proven cognitive and behavioral addiction treatment strategies in a group format. It provides a flexible framework for conducting ongoing therapy groups that are open to clients with any addictive behavior problem, at any stage of recovery. Practical ideas are presented for optimizing group processes and helping clients build essential skills for coping and relapse prevention. Grounded in decades of research, the book features rich case examples and reproducible clinical tools that can be downloaded and printed in a convenient 8 1/2" x 11" size.

An indispensable collection of ready-to-use, proven exercises Providing immediately useful group counseling suggestions and tips for addictions counselors, Group Exercises for Addiction Counseling offers powerful techniques that can be adapted to any clinical practice. Written in the author's gentle yet purposeful voice, this reader-friendly resource is filled with guidance for developing an addictions counseling group; handling Stage 2 confrontations of the leader; and building group member awareness. In addition, the author helps counselors enhance client awareness of addiction-related stressors and how to cope with those stressors. Group Exercises for Addiction Counseling contains valuable information on: Addiction recovery Family, relationships, and culture Feelings exploration Group community building Recovery skills Values Opening and closing each group session Fostering care, respect, and honesty in the group counseling setting, the techniques found in Group Exercises for Addiction Counseling allow counselors to help their clients break out of dysfunctional interaction patterns and live better lives.

Solution-Focused Substance Abuse Treatment describes the standard of care for substance abuse treatment, demonstrates how solution-focused brief therapy exceeds this standard, and shows how it can effectively be used in substance abuse evaluation, case management, and both individual and group treatment. Beginning and advanced concepts are provided to address the questions of even the most advanced clinician, all placed in the context of cultural awareness. Most importantly, the author answers the many questions professionals may have about how solution-focused brief therapy can be successfully integrated into the field of substance abuse. It provides a thorough understanding of the issues that therapists face when working with this at times challenging population, and demonstrates how the use of solution-focused brief therapy can minimize power struggles and enhance client success. Sample forms and handouts are included, as are additional resources for effective evaluation and treatment.