Upload
garth
View
24
Download
0
Tags:
Embed Size (px)
DESCRIPTION
Goal-Setting for Recovery. This Node-Link-Mapping workbook will help you to prioritise and plan goals to work on, to break them down to small steps and review your progress with a keyworker or sponsor. Workshop Timetable. Introduction [5 mins] - PowerPoint PPT Presentation
Citation preview
Goal-Setting for Recovery
This Node-Link-Mapping workbook will help you to prioritise and plan goals to work on, to break them down to small steps and review your progress with a keyworker or sponsor.
Workshop Timetable
• Introduction [5 mins]• Node-link mapping as an engagement tool
[10 mins]• NLM exercise [10 mins]
• Goal setting and the Recovery Plan [15 mins]• Exercise [10 mins]• Summary [5 mins]
SUPPORT, STRUCTURE & GOAL DIRECTION
•Quality of client-therapist alliance consistently associated with outcome •Therapists who stick more closely to an underlying theory of treatment experience better outcomes•Setting goals + greater clarity and organization are associated with more positive reactions to treatment and better outcomes
REWARDS & REWARDING ACTIVITES
•Rewards during treatment for remaining substance-free [CM, CRA]•Planning for a generally more rewarding lifestyle [TSF, CBT, BFC]
SELF-EFFICACY & COPING SKILLS
• Focus on building self-efficacy and skills to manage high-risk situations and life stressors + obtain rewards that are an alternative to substance use [CBT, CRA]
• Use group interactions to provide opportunities for sober behaviour leading to improvements in coping and self-efficacy [TSF]
ABSTINENCE-ORIENTED NORMS
•Accepting abstinence-oriented norms and learning from abstinent role models [TSF, CRA]•Use role models who monitor sobriety [CBT, BFC}•Normative feedback about substance use and consequences [MET]
Common Components of
Effective Treatment
Moos R. Theory-Based Processes That Promote The Remission of Substance Use Disorders. Clin Psychol Rev (2007) 27(5): 537-551
NODE-LINK MAPPING
Main “Parts” of Node-Link Maps
• A node, which is just an idea captured in a box, circle, or other shape
For Example:
• Links (named or not) show the relationship between nodes
For Example:
Premier League football teams
Premier League football teams WBA
“An Example of a Premier League football team is WBA”
6
7
Node-LinkMapping
Knowledge Maps Free Mapping Guide Maps
WorkerProduced Structured
ConveyInformation
Represent & ExplorePersonal Issues
Represent & ExplorePersonal Issues
JointlyProduced Spontaneous Structured/
Free
FrameworkProvided by
Worker
Over 50 publications haveshown its effectiveness
An example of a ‘Free Map’ produced during a counselling
session
8
9
Node-LinkMapping
Knowledge Maps Free Mapping Guide Maps
WorkerProduced Structured
ConveyInformation
Represent & ExplorePersonal Issues
Represent & ExplorePersonal Issues
JointlyProduced Spontaneous Structured/
Free
FrameworkProvided by
Worker
Over 50 publications haveshown its effectiveness
H I V
HumanImmuno-
DeficiencyVirus
People Only Can not be
spread by animals,plants, or insects
A major problem with the Immune
System that fightsdisease
Smallest livingmicrobe (germ)
Survives by invadingcells and destroying
them
A I D
Acquired Immune Deficiency
Can be acquired. In other words,it can be spread
Refers to theimmune system.White blood cellsthat fight disease
Not working.Deficient.
Unable to fightgerms
S
Syndrome
A group of illnessesor symptoms relatedto a specific cause
(HIV)
HIV is a human virus that invades and destroys the cells of the immune system.
AIDS is the late stage of HIV infection, resulting in illnesses and cancers the body can no longer fight off.
R R R
R R R R
C C C
C C C C
An example of a
‘Knowledge’ Map
10
12
Node-LinkMapping
Knowledge Maps Free Mapping Guide Maps
WorkerProduced Structured
ConveyInformation
Represent & ExplorePersonal Issues
Represent & ExplorePersonal Issues
JointlyProduced Spontaneous Structured/
Free
FrameworkProvided by
Worker
Over 50 publications haveshown its effectiveness
StrengthsExploring Self
I’m pretty good looking; tall; mostly
healthy When I’m clear headed I make
pretty good decisions.I can also talk well.
I try hard to do the right thing.
I love my daughter.
How can you use your strengths to improve your life?
What are your strengths?
Job/Career?
Emotions/Temperament Beliefs and Values
Social Relationships
Health
Problem Solving
I have computer skillsI have had three jobsin the last 12 years
I take work seriously
I really want to change my life! I do know what it’s like to be happy.
I have a couple of friends and I get
along pretty well with my
daughter.
Once I get control of my drug habit, maybe I can use my skills to go into secretarial work
How useful was this map and discussion?Not useful 1---2---3---4---5---6---7---8---9---10 Very useful
Comments:
An example of a ‘Guide Map’
(filled in)
13
Free-Mapping
Exercise• Interview the person next to you for 5
minutes
• Ask about– education history and career to date– hobbies and interests– family
• Use a free map to record the
conversation
Ed
Senior LecturerAddiction Psychiatry
Teaches:• MSc• Medical students
Slade RoadCDT
Enjoys:• Spending time with his kids • Running• WBA / Warwickshire
Born in Bedford
Birmingham Psychiatry Training Scheme
University of Birmingham
?
BA/MA
BM BCh, and later DM
MRCPsychFocused onaddictions
University
Medical School
BENEFITS OF MAPS
Provide a workspace for
exploring problems and solutions
Improve therapeutic alliance
Focus attention on the topic at hand
Train clearer and more systematic thinking
Create memory aids for client and keyworker
Provide a method for getting “unstuck”
by providing new ideas
Provide easy reference to earlier discussions
Useful structure for clinical supervision
GOAL SETTING
19
Worker: Date: __/__/__Name:
Life Area Satisfaction out of 10
What would have to change to increase my score out of 10?
Priority
Drug and/ or Alcohol use
Mental Health Anxiety, Mood,
Stress, Relaxation
Social life & peer support
Relationships (Partner or family)
Housing
Legal & crime
Physical Health, Diet & Exercise
Money/ Debt
Job/ Education
Goalsetting Recovery planner
1 2 3 4 5 6 7 8 9 10It can’t get any worse…………………...............….…It can’t get any better
Goal Planner Rating Sheet
Give each area of the Goal Planner map a score between 1 and 10 to show how happy you are now with this area of your life
1 = it can’t get any worse5 = not unhappy, but not happy either
10 = it can’t get any better
How useful was this map and discussion? 1 2 3 4 5 6 7 8 9 10 Signatures:
Name: Worker: Date: _ _ / _ _ / _ _
Goals
ettin
g Recovery
p
lan
My GOALS What I am AIMING to achieve? Small SMART goals and when I will achieve them
How useful was this map and discussion? 1 2 3 4 5 6 7 8 9 10 Comments:
Name: Worker: Date: _ _ / _ _ / _ _
Goals
ettin
g Th
e S
MA
RT G
oal G
ette
r
Specific Actions (3 – 5 small SMART steps)
How will we know this has happened, what will be different? Possible problems and solutions
By When
Strengths you have or need Helpful people and useful thoughts
My Goal
Collaborative Goalsetting - (Insoo Kim Berg, 1999)
• 1. What and Who is important to the client. • 2. Use this information to engage with the client. • 3. What the client might want.
• 4. Is the client able and willing to do what it takes?
• 5. Negotiate small, simple, easy steps that client knows how to do. (S.M.A.R.T.)
• 6. The client actually carries out according to his/her plan. • 7. Review and reassess what is the next small step.
• 8. This gets repeated until the client reasons the level where it is “better enough” to stop.
• 9. All the credit for successes goes to the client.
How useful was this map and discussion? 1 2 3 4 5 6 7 8 9 10 Signatures:
Name: Worker: Date: _ _ / _ _ / _ _
Goals
ettin
g Recovery
pla
n re
vie
w
What is left to do and who will help to do it?My GOALS Progress I have made in tackling them
How useful was this map and discussion? 1 2 3 4 5 6 7 8 9 10 Comments:
Goals
ettin
g Targ
ets
an
d T
asks
Name: Worker: Date: _ _ / _ _ / _ _
TargetWhat are we currently
AIMING to achieve?SMART TASKS
Freedom from
dependency on drugs or
alcohol
Health and well being
Citizenship & employability
Quality of life andfreedom
from offending
Goals
ettin
g You
r Ach
ievem
en
t
Nam
e:
Work
er:
Date
: _ _ / _ _ / _ _
How
use
ful w
as th
is map
an
d d
iscussio
n? 1
2 3
4 5
6 7
8 9
10 C
om
ments:
Wh
at d
id y
ou
learn
ab
ou
t you
rself?
How
did
you
decid
e
wh
at m
igh
t work?
Wh
at d
id y
ou
do to
m
ake
it hap
pen
?
Wh
at w
as y
ou
r su
ccess?
How
did
you
make it
happ
en
?
How
can
you
use
wh
at y
ou
learn
ed
from
this e
xp
erie
nce
in th
e fu
ture
?
Goals
ettin
g Th
e B
rick W
all
Nam
e:
Work
er:
Date
: _ _ / _ _ / _ _
How
use
ful w
as th
is map
an
d d
iscussio
n? 1
2 3
4 5
6 7
8 9
10 C
om
ments:
Wh
at w
ere
you
feelin
g?
Wh
at w
as g
oin
g th
rou
gh
you
r min
d?
Wh
at d
id y
ou
do?
What m
ade it u
nsu
ccessfu
l?
Wh
at h
ave y
ou
learn
ed
from
this e
xp
erie
nce
?
How
will y
ou
do it d
iffere
ntly
next tim
e?