224 -Overview of Brief Interventions

Summary: 10 Useful Brief Interventions and Brief Therapies Instructor: Dr. Dawn-Elise Snipes, PhD, LPC-MHSP, LMHC Objectives ~ We will review: ~ Stages-of-Change Model ~ Goals of Brief Intervention ~ Components of Brief Interventions and Effective Brief Therapy ~ Essential Knowledge and Skills for Brief Interventions ~ When To Use Brief Therapy ~ Approaches to Brief Therapy ~ Components of Effective Brief Therapy ~ Cognitive Behavioral (CBT) ~ Cognitive Processing ~ Trauma Focused CBT ~ Brief Strategic/Interactional ~ Brief Humanistic/Existential ~ Brief Psychodynamic ~ Brief Family therapy ~ Time Limited Group Therapy Who Can Use Brief Interventions ~ Primary care physicians ~ Substance abuse treatment providers ~ Emergency department staff members ~ Nurses ~ Social workers ~ Health educators ~ Lawyers ~ Mental health workers ~ Teachers ~ EAP counselors ~ Crisis hotline workers, student counselors ~ Clergy Benefits ~ Reduce no-show ~ Increase treatment engagement ~ Increase compliance ~ Increase self-efficacy ~ Reduce aggression and isolation ~ Provide an interim for clients on waiting lists Goals of Brief Interventions ~ Making a measurable change in specific target behaviors ~ Helping the client demonstrate a new understanding and knowledge of problems and issues ~ Improving the client's personal relationships ~ Resolving other identified problems Characteristics of Brief Interventions ~ They are either problem focused or solution focused; they target the symptom and not what is behind it. ~ They use interventions appropriate to the stages of change model ~ They clearly define goals related to a specific change or behavior. ~ They should be understandable to both client and clinician. ~ They should produce immediate results. ~ The therapeutic style is highly active, empathic, and sometimes directive. ~ Responsibility for change is placed clearly on the client. ~ Early in the process, the focus is to help the client have experiences that enhance self-efficacy and confidence that change is possible. ~ Termination is discussed from the beginning. ~ Outcomes are measurable. Objectives for Brief Interventions ~ It is important to extract at least one measurable change in the client's behavior ~ Time management ~ Expanding a support system ~ Improving social skills ~ Changing unhelpful thoughts ~ Improving health behaviors ~ Vulnerability awareness and prevention ~ Vocational issues ~ Support group attendance ~ Forgiveness and acceptance ~ Staying in the “here and now” ~ Identifying triggers for the mood or behavior ~ Coping with high risk or triggering situations Goals Setting Within Brief Interventions ~ Goals should be… ~ Specific ~ Measurable ~ Achievable in 8-10 weeks ~ Realistic ~ Time Limited ~ Purpose: Reduce the likelihood of damage/additional problems from the current issue. (i.e. family, work, health, self-esteem, guilt, anger) Components of Brief Interventions ~ FRAMES ~ Feedback ~ Responsibility ~ Identification of future goals for health, activities, hobbies, relationships ~ Identification of the pros and cons of current behavior in terms of self or family/community ~ Consequences of staying the same ~ Reasons to change ~ Sensible strategies for change ~ Advice ~ Menu ~ Empathy ~ Self-Efficacy Stages of Change ~ Precontemplation: “I’m okay” ~ Provide ~ Information linking problems with current behaviors (thoughts, reactions) or issues (health, environment, soci

224 -Overview of Brief Interventions

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