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Informationen zum Autor Dr Hermine L. Graham is a Consultant Clinical Psychologist and Lecturer on the Doctorate in Clinical Psychology course at the University of Birmingham, UK. She has led a programme of collaborative research and service innovation in the NHS focused on the integration of substance misuse treatment into mental health services. Klappentext How do you engage a reluctant client in discussing alcohol/drug use and build motivation for change? Hermine L. Graham and her team of co-authors have specifically developed this treatment manual for clinicians and therapists who work with clients presenting with co-existing severe mental health and substance misuse problems. Cognitive-Behavioural Integrated Treatment(C-BIT) provides a framework that is structured but flexible, assisting clinicians to initially engage with clients and collaboratively tackle alcohol and drug problems in the context of the client's mental health difficulties. The book is set out in three parts: Part I sets the scene by outlining some of the background issues concerning co-existing substance use and mental health problems. Part II is a step-by-step manual and will guide you through the C-BIT approach, with practical strategies on how to deliver integrated interventions appropriate to your client's stage of engagement with you. Part III addresses some of the key issues involved in the process of implementing integrated treatment. It highlights some of the implementation obstacles that can often arise during the developmental stages, with suggested strategies to address these issues. Each Part has supporting worksheets clearly displayed in the Appendices. This essential resource and handbook will be invaluable for clinicians, students, researchers, managers and health purchasers/providers in mental health and substance misuse settings. Zusammenfassung This treatment manual was developed specifically for clinicians! who work with clients who have co-existing severe mental health and substance abuse problems! who may not be motivated to tackle their drug/alcohol problems and be poorly engaged with treatment services. Inhaltsverzeichnis About the Authors xi Aims of the Book xv Acknowledgements xvii Part One: Introduction To Cognitive-Behavioural Integrated Treatment (C-Bit) 1 1 Issues in Working with those with Coexisting Severe Mental Health Problems Who Use Substances Problematically 3 The Nature of Coexisting Severe Mental Health and Alcohol/Drug Problems 3 Models of Comorbidity 6 Obstacles to Treatment and Behaviour Change 9 Treatment Needs 10 2 Overview of C-BIT Approach 14 Objectives 14 Structure 15 How to Know When to Move on to the Next Phase 16 Treatment Sessions 20 3 Overview of C-BIT Theory and Techniques 22 Brief Introduction to Cognitive Therapy 22 Cognitive Therapy Techniques in C-BIT 28 Part Two: Cognitive-Behavioural Integrated Treatment (C-Bit) 37 C-Bit Core Components 39 4 Assessment Phase: Screening and Assessment 39 Clinical Assessment of Drug/Alcohol Use 40 Assessment and Screening Tools 42 Case Formulation 46 Treatment Planning 49 5 Treatment Phase 1: Engagement and Building Motivation to Change 51 Strategies to Increase Engagement 51 How to Put Drug/Alcohol Use on the Agenda 55 Building on Motivation for Change 59 Dealing with Resistance 64 Identifying Social Networks Supportive of Change 65 Finances/Money Management 68 6 Treatment Phase 2: Negotiating Some Behaviour Change 73 Identifying and Setting Achievable Harm-Reduction Goals 73 Working with Resistance to Goal Setting 75 Identifying Activi...
