Community Reinforcement Approach - Treating Cocaine Addiction
CONTENTS
Foreword
Background
- Psychosocial Interventions
- Supporting Research
- Use With Other Populations
- Concurrent Alcohol Dependence
Program Overview
- Lifestyle Changes
- Vouchers
- Other Drug Abuse
- Treatment Parameters
- Schedule
- Components
- Structure
Clinical Approach
- Counseling Style
- Flexibility
- Empathy
- Active Involvement
- Directive but Collaborative
- Social Reinforcement
- Counseling Techniques
- Behavioral Techniques
- Additional Resources
- Progress Graphs
- Counseling Structure
- Preparation
- Session Protocol
- Recent Problems or Crises
- Special Issues
- Absences
- Tardiness
- Extra Sessions
- Drug and Alcohol Use
- Concurrent Treatment
- Premature Termination
- Documentation of Patient Contact
- Clinical Supervision
The Voucher Program
- Objective Monitoring
- Urinalysis Schedule
- Specimen Collection
- Laboratory Analysis
- Presenting the Results
Intake
- Initial Contact
- Screen Applicants
- Schedule Intake
- Intake Procedures
- Assessment
- Self-Administered Questionnaires
- Program Description
- Structured Interviews
- Initial Treatment Session
- Get to Know the Patient
- Provide Overview and Rationale
- Introduce the Voucher Program
- Describe Abstinence Contract
- Explain Urinalysis Monitoring
- Explain Voucher Program
- Review Abstinence Contract
- Priming
- Problem List
- Practical Needs Assessment
- Appointment Book
- Significant Others
- Disulfiram Procedures (if applicable)
- Collect Urine
- Schedule the Next Session
Early Counseling Sessions
- Outline a Treatment Plan
- Sessions One and Two
- Urinalysis Results
- Complete Intake and Treatment Orientation
- Introduce Functional Analysis and Stimulus Control
- Assist With Practical Needs
- Use the Appointment Book
- Start To Develop the Treatment Plan
- Discuss Areas for Change
- Prioritize Problems
- Set Specific Target Goals
- Follow Through
Drug Avoidance Skills
- Functional Analysis
- Components of Functional Analysis
- Triggers
- Behavior
- Positive Consequences
- Negative Consequences
- Conduct a Functional Analysis
- Self-Management Planning
- Rationale
- Initiate Training
- Make the Plan
- Drug Refusal Training
- Rationale
- Refusing Cocaine and Other Drugs
- Components of Effective Refusal
- Practice Refusal Skills
Lifestyle Change Components
- Time Management
- Develop Time-Management Skills
- Apply Time Management
- Social/Recreational Counseling
- Rationale
- List Activities and People
- Set Goals and Assess Progress
- Facilitate Change
- Problemsolving
- Rationale
- Steps for Problemsolving
- Recognize the Problem
- Identify the Problem
- Brainstorm
- Select Approach
- Evaluate Effectiveness
- Practice
- Vocational Counseling
- Rationale
- Set Goals
- Treatment Components
- Social-Skills Training
- Assertiveness Training
- Rationale
- Define Interpersonal Style
- Assertiveness Skills
- Practice
- Set Goals and Assess Progress
- HIV/AIDS Prevention
- Rationale
- AIDS Knowledge Pretest
- Video and Discussion
- Pamphlets and Condoms
- AIDS Knowledge Posttest
- HIV Antibody and Hepatitis B Testing
- Provide Information
- Discuss Results
Relationship Counseling
- Session One
- Introduce Relationship Counseling
- Introduction Exercise
- Relationship Happiness Scale
- Daily Reminder To Be Nice
- Session Two
- Perfect Relationship Form
- Positive Requests
- Session Three
- Session Four
- Sessions Five - Eight
Other Substance Abuse
- General Approach
- Treatment Goals
- Abstinence
- Reduced Use
- No Intervention
- Concurrent Alcohol Use
- Abstinence
- What Is Disulfiram?
- Medical Oversight
- Disulfiram Protocol
- Limited Alcohol Use/Safe Drinking
- Patients Who Hesitate or Refuse
- Backup Agreement
- Marijuana Use
Other Psychiatric Problems
- Depressive Symptomatology
- Evaluate Suicide Risk
- Monitor Symptoms
- Treatment
- Anxiety
- Relaxation Protocol
- Relaxation Exercise and Practice
- Applications
- Insomnia Protocol
- Rationale
- Sleep Diary
- Sleep-Hygiene Rules
- Sleep Restriction and Stimulus Control
- Practice
Clinical Supervision
- Weekly Clinical Staff Supervision
- Counselor Treatment Team Meetings
References
Authors: Alan J. Budney, PhD, Stephen T. Higgins, PhD,
Delinda E. Mercer, PhD, and Gloria Carpenter, MEd
University of Vermont
National Institute on Drug Abuse
NIH Publication Number 98-4309
Printed April 1998
|
 |
|
|
advertisement
Additional Information
Substance Abuse
FPN_7_7
Teens and
Mental Health
FPN_7_8
Problem Drinking
Alcohol Abuse
Depression
FPN_7_14
Tobacco Use
and Dependence
Domestic Violence
FPN_7_18
Commonly
Abused Drugs
Anger and
Aggression
|
