Presenting at the Australian College of Mental Health College Greater Western Sydney on Friday the 26th March 2010
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1. Listening for Solutions Skillfully and patiently weaving a
therapeutic conversation Therapeutic Options Embracing Diversity
2010 Albert Morrison MNurs (AdvPrac)
3. Gosford Mental Health Centre Therapeutic Options Embracing
Diversity
4. Talk Therapies Does therapy work? Study after study and
studies of studies clearly demonstrate that it does and the average
client is better off than 80% of the untreated sample. The Heart
and Soul of Change: What works in Therapy, p4. 2009 Therapeutic
Options Embracing Diversity
6. All approached work equally as well with some of the people
some of the time. No difference in outcomes between different types
of treatment or different amounts of competing therapeutic
approaches. Godley, S. H. Jones, N., Funk, R., Ives, M Passetti, L.
(2004). Comparing Outcomes of Best Practice and Researched-Based
Outpatient Treatment Protocols for Adolescents , Journal of
Psychoactive Drugs. 36(1), 35-38 Therapeutic Options Embracing
Diversity
7. Meta-analysis of all studies between 1980-2006 comparing
bona fide treatments for children with ADHD, conduct disorder,
anxiety, or depression: No difference in outcome between approaches
intended to be therapeutic; Miller, S. D., Wampold, B. E, &
Varhely, K. (2008). Direct comparisons of treatment Modalities for
youth disorders: A Meta-analysis. Psychotherapy Research, 18(1).
5-14 Therapeutic Options Embracing Diversity
8. Which approach fits with, engages, and helps that particular
client at this moment in time? Miller, S. (2004) Therapeutic
Options Embracing Diversity
9. If its not working its not the technique its the
relationship engagement is the number one predictor of outcomes
Miller, S.(2004) Therapeutic Options Embracing Diversity
10. Therapeutic Options Embracing Diversity
11. THE ALLIANCE Biggest Predictor of Outcome Therapeutic
Options Embracing Diversity
12. Solution Focused in a Nutshell Therapeutic Options
Embracing Diversity
13. Solution Focused in a Nutshell The client constructs his or
her own solution based on his or her own resources and successes De
Shazer, 1988, P. 50 Therapeutic Options Embracing Diversity
14. Solution Focused in a Nutshell First developed at the brief
family therapy practice Milwaukee in the United States. Not for
profit organisation started in 1978 and in 1982 therapists noticed
exceptions to problems in the therapeutic engagement. Centre closed
in 2007 rights transferred to the Solution Focused Therapy
Association http//www.sfbta.org (2009) Therapeutic Options
Embracing Diversity
15. Solution Focused in a Nutshell Therapeutic Options
Embracing Diversity
16. Outcome Research SFBT may be helpful to clients May be
useful in a broad range of applications Research moving in the
right direction Efficacy phase More careful study needed Gingerich,
J. W., & Eisengart, S. (2000) Therapeutic Options Embracing
Diversity
17. Solution Focused in a Nutshell How will you know that
talking to me today will be helpful? When discharged how will you
know that being here in hospital has been helpful? How will you
know that you're ready for discharge? How will the magistrate know
that you are ready to go home? Therapeutic Options Embracing
Diversity
18. Solution Focused in a Nutshell Whats better? What tells you
that things are better? Whats different? What are you doing
instead? Therapeutic Options Embracing Diversity
19. Solution Focused in a Nutshell Exception When the problem
is less or absent what happens? Getting the detail Therapeutic
Options Embracing Diversity
20. Therapeutic Options Embracing Diversity
21. Solution Focused in a Nutshell What is the first thing, the
smallest thing you will you notice that will tell you that the
miracle has happened? What else will be happening? What else will
you notice? Therapeutic Options Embracing Diversity
22. Solution Focused in a Nutshell SCALING
0--------------------------------------------------10 Therapeutic
Options Embracing Diversity
23. THE PROJECT Therapeutic Options Embracing Diversity
24. TINI SURVEY 1 Prior to the commencement of this practice
development activity a pre-project survey was distributed to all 32
nursing staff on the 19th January 2009. A total of 50% returned
their survey by the due date 4th February 2009. Therapeutic Options
Embracing Diversity
25. TINI SURVEY 1 Nurses were asked to list 3 things that they
knew about SFBT 81% were able to list at least something 56% felt
moderately confident in using SFBT in their practice Therapeutic
Options Embracing Diversity
26. TINI SURVEY 1 62% indicated that SFBT should be part of
their practice 56% had greater than 5yrs experience Therapeutic
Options Embracing Diversity
27. TINI In-service & Workshop In- Therapeutic Options
Embracing Diversity
28. Therapeutic Options Embracing Diversity
29. TINI 2 23 surveys were distributed to staff at the
conclusion of project with 12 surveys returned 52% 75% of
respondents had more knowledge of SFBT than at the start of the
project Therapeutic Options Embracing Diversity
30. TINI 2 66% of respondents had used SFBT in their nursing
practice in the last 12 months 90% of respondents indicated that
SFBT was helpful in establishing and maintaining a therapeutic
relationship with their clients Therapeutic Options Embracing
Diversity
31. TINI 2 91% of respondents would like to see SFBT as an
ongoing part of nursing practice 66% of responded that they would
like more training in SFBT Therapeutic Options Embracing
Diversity
32. De Shazer, S. (1988) Clues: Investigating solutions in
brief therapy. New York; Norton Gingerich, J., W. & Eisengart,
(2000). Solution-Focused Brief Therapy: A Review of the Outcome
Research. Family Practice 39. (4) 477-498 Godley, S. H. Jones, N.,
Funk, R., Ives, M Passetti, L. (2004). Comparing Outcomes of Best
Practice and Researched-Based Outpatient Treatment Protocols for
Adolescents , Journal of Psychoactive Drugs. 36(1), 35-38 Jong, P.
& Berg, I (2008) Interviewing for Solutions (3rd ed.). Belmont,
CA Thomson. http//www.sfbta.org (2009) Miller, S. D., Wampold, B.
E, & Varhely, K. (2008). Direct comparisons of treatment
Modalities for youth disorders: A Meta-analysis. Psychotherapy
Research, 18(1). 5-14 Duncan, B. I., Miller, S. D., & Sparks,
J. A. (2004). The Heroic Client. Wiley San Francisco Therapeutic
Options Embracing Diversity
33. Listening for Solutions Skillfully and patiently weaving a
therapeutic conversation Therapeutic Options Embracing
Diversity