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