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Apéndice G: Hojas de Ejercicios para los Pacientes (Appendix G)

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Brief Treatment for Substance Use Disorders: A Guide for Behavioral Health Providers is a clinician guidebook that describes a six-session brief treatment for patients with alcohol and opiate use disorders who are screened in a primary care setting. The goal of this treatment is to reduce or stop substance use. The intervention uses a motivational enhancement/cognitive behavioral therapy (MET/CBT) approach to build motivation to initiate substance use change and maintain recovery; the approach employs motivational interviewing principles and relapse prevention strategies. The treatment places a strong emphasis on patient engagement in the early phases of treatment and is appropriate for those currently committed to change and those more ambivalent to change.

This tool was developed for use by licensed clinical social workers with limited expertise in substance abuse treatment. It can be implemented by mental health counselors from a variety of backgrounds (e.g., social work, psychology, addiction counseling, and nursing) in a variety of settings, such as primary care and specialty substance abuse clinics. This guidebook has been adapted from various evidence-based interventions developed by researchers at RAND. These interventions have been associated with decreased substance use outcomes at follow-up. The guidebook was developed iteratively by first adapting the session content for the patient population at Venice Family Clinic in California. Thereafter, three researchers outside RAND with expertise in motivational interviewing, relapse prevention, and substance abuse provided feedback. Clinicians from Venice Family Clinic also provided feedback while piloting the guidebook with their clients.

Table of Contents

  • Session 1

    Exploring the Patient's Substance Use

  • Session 2

    Internal and External Triggers

  • Session 3

    Patient Substance Use, Mood/Pain, and Health

  • Session 4

    Helpful and Harmful Activities

  • Session 5

    Communication and the Patient's Social Support Network

  • Session 6

    Moving Forward into the Future

  • Appendix A

    How to Respond to Sustain Talk

  • Appendix B

    Monitoring Patients on Medication or Assessing If Patients Are Interested in Medication

  • Appendix C

    Handling Relapse and No-Shows

  • Appendix D

    Resources for Pain Management Therapy

  • Appendix E

    How to Find a 12-Step Meeting

  • Appendix F

    Continuing with MI Sessions

  • Appendix G

    Patient Worksheets

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