Brief Integrated Motivational Intervention

Hermine L. Graham is a Consultant Clinical Psychologist and Lecturer at the University of Birmingham, UK. She has expertise in cognitive behavioural therapy, and has led the development and research of service models and treatment approaches for people with severe mental health and co-occurring alcohol and drug problems in Birmingham. This work has been highlighted as a model of “good practice,” and is referenced in national policy guidelines for the treatment of “dual diagnosis” (DoH, 2002). She has published widely in academic peer-reviewed journals and is co-author of Cognitive-Behavioural Integrated Treatment (C-BIT) (Wiley, 2004) and co-editor of Substance Misuse in Psychosis (Wiley, 2003). Alex Copello is Professor of Addiction Research at the School of Psychology at the University of Birmingham, UK, and Consultant Clinical Psychologist with the Birmingham and Solihull NHS Foundation Trust. His career has combined clinical and academic work, and his research has had a major impact on addiction treatment in the UK in recent years. He has published widely in academic journals and books. Max Birchwood is Professor of Youth Mental Health at the University of Warwick, UK. He pioneered the concept and practice of early intervention in psychosis, and opened the UK’s first Early Intervention in Psychosis service in 1994. He has published widely in the field of psychosis, and is the author of many books. Emma Griffith is a Lecturer and Clinical Tutor at the University of Bath, UK, and a Clinical Psychologist in Avon and Wiltshire Partnership Mental Health NHS Trust. She is accredited as a Cognitive Behavioural Psychotherapist by the British Association for Behavioural & Cognitive Psychotherapies (BABCP).

• About The Companion Website xiAbout The Authors xiiAcknowledgments xv1 Introduction 1A Window of Opportunity 1Brief Integrated Motivational Intervention (BIMI) 4Approach 4Timing 4Structure 52 Getting Started: Engagement And Brief Assessment 8Staying Motivated 8Step 1: Building Engagement And Assessment 9Session One Overview 10Session One Outline 10BIMI Brief Assessment 12Generating The Personalized Assessment Feedback Sheet 31Session Two Overview 36Session Two Outline 36Frequently Asked Questions (Faqs) 42Alcohol 43Drugs And Mental Health 46Additional Resources 523 Making Decisions About Change 53How To Decide On The Next Step 53How To Decide What Step Is Appropriate For The Client 53Step 2: Making Decisions With Your Client 56Outline Of Sessions 57Identifying The “Benefits” Of Using 57Identifying Positive Thoughts And Mis‐Held Beliefs About Alcohol And Drugs 58Taking Another Look At What You Think About Alcohol And Drugs 60Relationship Between Mental Health Problems And Substance Use 62Reviewing Any “Costs” Of Using 654 Change 69Step 3: Change Plans And Social Support 69Outline Of Sessions 71Taking Steps Toward My Goals 71Coping With Setbacks 72Strategies To Cope With Cravings And Urges 73 Social Support for Change 75Developing Supportive Social Networks 76Outline Of Sessions 76Helpful Information For Family Members Or Supportive Social Network Members 78Understanding Cannabis, Alcohol, And Other Substance Use, And How It Impacts On Family And Others 79Do Others Experience Similar Problems? 80How Do I Make Sense of This? 80Why Do I Feel So Stressed? 81To Sum It Up 82How Can I Best Support My Family Member or Friend? 835 Boosting Change 85Booster Session Content 85Booster Session Outline 86Review Self‐Motivational Statements of Concern And Intention To Change 87Review The Maintenance Cycle For Mental Health Problems And Substance Use 87Review Progress With Substance‐Related Goal And Skills To Tackle Setbacks 88Review Social Support For Change 88Link In With Community‐Based Substance Misuse Treatment Services 89Appendix Worksheets And Handouts 90Worksheet 1: What Do I Enjoy About Using or What Keeps Me Using? 97Worksheet 2: What I Enjoy About Using or What Keeps Me Using (Table) 99Worksheet 3: How Does My Use Sometimes Affect Me? 100Worksheet 4: Taking Steps Toward My Goal 101Handout 1: Helpful Information For Family Members Or Supportive Social Network Members 102Understanding Cannabis, Alcohol, And Other Substance Use, And How It Impacts on Family And Others 102Do Others Experience Similar Problems? 103How Do I Make Sense of This? 104Why Do I Feel So Stressed? 105To Sum It Up 105Handout 2: How Can I Best Support My Family Member Or Friend? 107Keeping Communication Open 107Supporting His or Her Goals 107References 108Index 115

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