Example: tourism industry

Counselor's Treatment Manual

counselor s Treatment ManualMatrix Intensive Outpatient Treatment for People With Stimulant Use DisordersThis page intentionally left blankCounselor s Treatment Manual Matrix Intensive Outpatient Treatment for People With Stimulant Use Disorders DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Substance Abuse Treatment 1 Choke Cherry Road Rockville, MD 20857 Acknowledgments Numerous people contributed to this document, which is part of the Methamphetamine Treatment Project (MTP). The document was written by Jeanne L. Obert, , ; Richard A. Rawson, ; Michael J. McCann, ; and Walter Ling, The MTP Corporate Authors provided valuable guidance and support on this document. This publication was developed with support from the University of California at Los Angeles (UCLA) Coordinating Center through Grant No.

teaches clients time management and schedul­ ing skills, and entails conducting regular drug and breath-alcohol testing. A sample schedule of treatment activities is shown in Figure I-1. Program Components This section describes the logistics and philosophy of each of the ive types of counseling sessions

Tags:

  Manual, Management, Treatment, Counselor, Counselor s treatment manual

Information

Domain:

Source:

Link to this page:

Please notify us if you found a problem with this document:

Other abuse

Transcription of Counselor's Treatment Manual

1 counselor s Treatment ManualMatrix Intensive Outpatient Treatment for People With Stimulant Use DisordersThis page intentionally left blankCounselor s Treatment Manual Matrix Intensive Outpatient Treatment for People With Stimulant Use Disorders DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Substance Abuse Treatment 1 Choke Cherry Road Rockville, MD 20857 Acknowledgments Numerous people contributed to this document, which is part of the Methamphetamine Treatment Project (MTP). The document was written by Jeanne L. Obert, , ; Richard A. Rawson, ; Michael J. McCann, ; and Walter Ling, The MTP Corporate Authors provided valuable guidance and support on this document. This publication was developed with support from the University of California at Los Angeles (UCLA) Coordinating Center through Grant No.

2 TI11440. MTP was funded by the Center for Substance Abuse Treatment (CSAT), Substance Abuse and Mental Health Services Administration (SAMHSA), Department of Health and Human Services (HHS). The research was conducted from 1998 to 2002 in cooperation with the following institutions: County of San Mateo, San Mateo, CA (TI11411); East Bay Recovery Project, Hayward, CA (TI11484); Friends Research Institute, Inc., Concord, CA (TI11425); Friends Research Institute, Inc., Costa Mesa, CA (TI11443); Saint Francis Medical Center of Hawaii, Honolulu, HI (TI11441); San Diego Association of Governments, San Diego, CA (TI11410); South Central Montana Regional Mental Health Center, Billings, MT (TI11427); and UCLA Coordinating Center, Los Angeles, CA (TI11440). The publication was produced by JBS International, Inc. (JBS), under Knowledge Application Program (KAP) contract numbers 270-99-7072 and 270-04-7049 with SAMHSA, HHS.

3 Christina Currier served as the CSAT Government Project Officer. Andrea Kopstein, , , served as the Deputy Government Project Officer. Cheryl Gallagher, , served as CSAT content advisor. Disclaimer The views, opinions, and content of this publication are those of the authors and do not necessarily reflect the views, opinions, or policies of SAMHSA or HHS. Public Domain Notice All materials appearing in this publication except those taken from copyrighted sources are in the public domain and may be reproduced or copied without permission from SAMHSA or the authors. Citation of the source is appreciated. However, this publication may not be reproduced or distributed for a fee without the specific, written authorization of the Office of Communications, SAMHSA, HHS. Electronic Access and Printed Copies This publication may be ordered or downloaded from SAMHSA s Publications Ordering Web page at Or, please call SAMHSA at 1-877-SAMHSA-7 (1-877-726-4727) (English and Espa ol).

4 Recommended Citation Center for Substance Abuse Treatment . counselor s Treatment Manual : Matrix Intensive Outpatient Treatment for People With Stimulant Use Disorders. HHS Publication No. (SMA) 13-4152. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2006. Originating Office Quality Improvement and Workforce Development Branch, Division of Services Improvement, Center for Substance Abuse Treatment , Substance Abuse and Mental Health Services Administration, 1 Choke Cherry Road, Rockville, MD 20857. HHS Publication No. (SMA) 13-4152 First Printed 2006 Reprinted 2007, 2008, 2009, 2010, 2011, 2013, and 2014 Contents I. Introduction to the Matrix Intensive Outpatient Treatment for People With Stimulant Use Disorders Approach and Package .. 1 Background .. 1 Matrix IOP Approach .. 2 The Role of the counselor .. 6 Working With Client Co-Leaders and Client Facilitators.

5 7 The Matrix IOP Package .. 8 Introduction to theCounselor s Treatment Manual .. 9 II. The Role of Drug and Breath-Alcohol Testing in Matrix IOP .. 11 Philosophy .. 11 Procedure .. 11 Addressing a Positive Urine Test .. 12 III. Individual/Conjoint Sessions .. 15 Introduction .. 15 Session 1: Orientation .. 17 Session 2: Client Progress/Crisis Intervention .. 19 Session 3: Continuing Treatment 21 Handouts for Individual/Conjoint Sessions .. 22 IV. Early Recovery Skills Group .. 31 Introduction .. 31 Session 1: Stop the 37 Session 2: Identifying External Triggers .. 40 Session 3: Identifying Internal Triggers .. 43 Session 4: Introducing 12-Step or Mutual-Help Activities .. 45 Session 5: Body Chemistry in Recovery .. 48 Session 6: Common Challenges in Early Recovery .. 50 Session 7: Thinking, Feeling, and 52 Session 8: 12-Step Wisdom .. 55 iii counselor s Treatment Manual : Matrix Intensive Outpatient Treatment Handouts for Early Recovery Skills Group Sessions.

6 56 V. Relapse Prevention Group .. 85 Introduction .. 85 Session 1: Alcohol .. 92 Session 2: Boredom .. 94 Session 3: Avoiding Relapse 96 Session 4: Work and Recovery .. 98 Session 5: Guilt and Shame ..100 Session 6: Staying Busy .. 102 Session 7: Motivation for 104 Session 8: Truthfulness .. 106 Session 9: Total Abstinence ..108 Session 10: Sex and 110 Session 11: Anticipating and Preventing Relapse .. 112 Session 12: 114 Session 13: Be Smart, Not Strong .. 116 Session 14: Defining Spirituality .. 118 Session 15: Managing Life; Managing Money .. 120 Session 16: Relapse Justification I .. 122 Session 17: Taking Care of 124 Session 18: Emotional Triggers .. 126 Session 19: 128 Session 20: Recognizing Stress .. 130 Session 21: Relapse Justification 133 Session 22: Reducing Stress .. 136 Session 23: Managing Anger .. 138 Session 24: Acceptance.

7 140 Session 25: Making New Friends .. 142 Session 26: Repairing 144 Session 27: Serenity Prayer .. 146 Session 28: Compulsive 148 iviv Contents Session 29: Coping With Feelings and Depression .. 150 Session 30: 12-Step and Mutual-Help Programs .. 153 Session 31: Looking Forward; Managing 156 Session 32: One Day at a Time .. 158 Elective Session A: Client Status Review .. 160 Elective Session B: Holidays and 162 Elective Session C: Recreational Activities .. 164 Handouts for Relapse Prevention Group 165 VI. Social Support Group .. 233 Introduction .. 233 Social Support Group Topics .. 234 Appendices Appendix A. The Methamphetamine Treatment Project .. 243 Appendix B. Notes on Group Facilitation .. 245 Appendix C. Sample Agreement for Co-Leaders and Client Facilitators .. 247 Appendix D. Acronyms and Abbreviations List.

8 249 Appendix E. Further Reading .. 251 Appendix F. Field 253 Appendix G. References .. 255 Appendix H. 257 v This page intentionally left blank I. Introduction to the Matrix Intensive Outpatient Treatment for People With Stimulant Use Disorders Approach and Package The Matrix Intensive Outpatient Treatment for People With Stimulant Use Disorders (IOP) pack age provides a structured approach for treating adults who abuse or are dependent on stimulant drugs. The approach followed in the Treatment package was developed by the Matrix Institute in Los Angeles, California, and was adapted for this Treatment package by the Knowledge Application Program of the Center for Substance Abuse Treatment of the Substance Abuse and Mental Health Services Administration (SAMHSA). The Matrix IOP package comprises five components: counselor s Treatment Manual (this document) counselor s Family Education Manual CD-ROM that accompanies the counselor s Family Education Manual Client s Handbook Client s Treatment Companion The Matrix IOP model and this Treatment pack age based on that model grew from a need for structured, evidence-based Treatment for clients who abuse or are dependent on stimulant drugs, particularly methamphetamine and cocaine.

9 This comprehensive package provides substance abuse Treatment professionals with an intensive outpatient Treatment model for these clients and their families: 16 weeks of structured program ming and 36 weeks of continuing care. Background The Matrix IOP method was developed initially in the 1980s in response to the growing numbers of individuals entering the Treatment system with cocaine or methamphetamine dependence as their primary substance use disorder. Many tradi tional Treatment models then in use were devel oped primarily to treat alcohol dependence and were proving to be relatively ineffective in treating cocaine and other stimulant dependence (Obert et al. 2000). To create effective Treatment protocols for clients dependent on stimulant drugs, Treatment professionals at the Matrix Institute drew from numerous Treatment approaches, incorporating into their model methods that were empirically tested and practical.

10 Their Treatment model incorporated elements of relapse prevention, cognitive behavioral, psychoeducation, and family approaches, as well as 12-Step program support (Obert et al. 2000). The effectiveness of the Matrix IOP approach has been evaluated numerous times since its incep tion (Rawson et al. 1995; Shoptaw et al. 1994). SAMHSA found the results of these studies prom ising enough to warrant further evaluation ( , Obert et al. 2000; Rawson et al. 2004). In 1998, SAMHSA initiated a multisite study of treatments for methamphetamine dependence and abuse, the Methamphetamine Treatment 1 counselor s Treatment Manual : Matrix Intensive Outpatient Treatment Project (MTP). The study compared the clinical and cost effectiveness of a comprehensive Treatment model that follows a Manual developed by the Matrix Institute with the effectiveness of Treatment approaches in use at eight community-based Treatment programs, including six programs in California, one in Montana, and one in Hawaii.


Related search queries