models of treatment and education with dui offenders tom wilson counseling center boise, idaho
TRANSCRIPT
Models of Treatment and Education with DUI Offenders
Tom Wilson Counseling Center
Boise, Idaho
Education Model• 12 to 24 hours presented over
several weeks
• Identifies goals as reducing risk for relapse and reducing risk for recidivism
• Intended for lower risk offenders
Based on the following manualized curriculum:“Driving With Care: Alcohol, other Drugs, and Driving Safety Education,
Level II Education” Kenneth W. Wanberg, Harvey B. Milkman and David S. Timken.
Education Approach
• The education model uses a cognitive-behavioral model of behavior change to reduce the risk for relapse and recidivism
• Assumes that most clients are in pre-contemplation stage, i.e., don’t really think they have a problem other than DUI
Motivation Techniques
• Facilitator uses non-confrontational, Socratic questioning methods to “develop discrepancy” between client’s and society/groups’ view of problem
• Motivational interviewing techniques used to facilitate change
Lesson Topics• LESSON 1: PROGRAM ORIENTATION:
DEVELOPING A WORKING RELATIONSHIP
• LESSON 2: ALCOHOL AND OTHER DRUG IMPAIRED DRIVING: THE LAWS AND BEYOND THE LAWS
• LESSON 3: HOW OUR THINKING, ATTITUDES AND BELIEFS CONTROL OUR ACTIONS
• LESSON 4: HOW BEHAVIOR IS LEARNED AND CHANGED: LEARNING SELF-CONTROL AND DRIVING WITH CARE
Lesson Topics• LESSON 5: ALCOHOL AND OTHER
DRUGS: HOW DO THE FACTS AND IDEAS ABOUT ALCOHOL AND OTHER DRUG USE FIT YOU?
• LESSON 6: ALCOHOL AND OTHER DRUG USE PATTERNS: HOW DO THEY FIT YOU?
• LESSON 7: PROBLEM OUTCOMES OF ALCOHOL AND OTHER DRUG USE: PATTERNS OF MISUSE AND ABUSE: HOW DO THEY FIT YOU?
• LESSON 8: PATHWAYS TO RELAPSE AND RECIDIVISM
Lesson Topics• LESSON 9: PROCESS AND STEPS TO
PREVENTING RELAPSE AND RECIDIVISM
• LESSON 10: PREVENTING RELAPSE
AND RECIDIVISM: BUILDING PERSONAL VALUES AND PROSOCIAL ATTITUDES AND BEHAVIORS AND DRIVING WITH CARE
• LESSON 11:PREVENTING RELAPSE AND RECIDIVISM: MANAGING STRESS AND EMOTIONS
• LESSON 12: PREVENTING RELAPSE AND RECIDIVISM: BUILDING HEALTHY FAMILY AND SOCIAL RELATIONSHIPS
Sample Worksheet, Page 1
1. Date of arrest2. Time of arrest3. Location of arrest4. Persons you were with5. Time took first drink6. Total drinks or drug doses from first to arrest7. Kind of alcohol8. Where did most drinking take place9. Blood alcohol level
Your DWI Event: Describe and evaluate the specific circumstances surrounding your DWI arrest? Type of event?
Sample Worksheet, Cont’d
10. Events before started to drink: who with, where, what was happening, conflicts with people
11. Thoughts you remember before you started drinking
12. Events during drinking: who with, where, what was happening, conflicts with people
13. Feelings and emotions you remember before and after started drinking
14. How did you act when you were arrested?
Sample Worksheet, Cont’d
15. Where were you taken after your arrest?
16. How long did you stay where you were taken?
17. Who were among the first persons in your family that you spoke to after you were arrested?
18. What did they say and do? Write down their reaction.
19. What were your thoughts after you returned home?
20. What were your feelings after you returned home?
Therapy Program• Consists of 21, two-hour manual guided sessions and homework
• Designed for clients who meet diagnostic criteria for alcohol abuse or dependence or who have a high BAC of .15 or greater
• 2 or more DUIs
• Has completed Level 2 Education
• Requires active participation in a group process and increased accountability
Therapy Group Expectations• Complete all exercises and worksheets• Attend all sessions and pay all fees• Actively participate in group• Complete homework, thinking reports• Alcohol and Drug Free• Follow group rules and program policies
Therapy Session TopicsSESSION 1: UNDERSTANDING AND ENGAGING THE CHANGE
PROCESS
SESSION 2: PROGRAM ORIENTATION II: TARGETS AND TOOLS FOR CHANGE
SESSION 3: PATHWAYS TO AOD OUTCOMES AND ADDICTION
SESSION 4: AOD PROBLEM OUTCOMES AND PATTERNS
Therapy Session TopicsSESSION 5: MANAGING AOD CRAVINGS AND URGES
SESSION 6: SKILLS IN COGNITIVE SELF-CONTROL: RECOGNIZING AND CHANGING NEGATIVE THOUGHTS
SESSION 7: SKILLS IN COGNITIVE SELF-CONTROL: RECOGNIZING AND CHANGING ERRORS IN THINKING
Therapy Session TopicsSESSION 8: SKILLS IN COGNITIVE SELF-CONTROL: MANAGING STRESS
AND DEPRESSION
SESSION 9: SKILLS IN COGNITIVE SELF-CONTROL: RECOGNIZING AND MANAGING ANGER
SESSION 10: SOCIAL AND RELATIONSHIP SKILLS BUILDING: COMMUNICATION TOOLS AND SKILLS
Therapy Session TopicsSESSION 11: SOCIAL AND RELATIONSHIP SKILLS BUILDING: STARTING
A CONVERSATION
SESSION 12: SOCIAL AND RELATIONSHIP SKILLS BUILDING: GIVING/RECEIVING POSITIVE REINFORCEMENT
SESSION 13: SOCIAL AND RELATIONSHIP SKILLS BUILDING: LEARNING PROBLEM SOLVING
SESSION 14: SOCIAL AND RELATIONSHIP SKILLS BUILDING: ASSERTIVENESS SKILLS
Therapy Session TopicsSESSION 15: SOCIAL AND RELATIONSHIP SKILLS BUILDING: LEARNING
AND PRACTICING REFUSAL SKILLS
SESSION 16: SOCIAL AND RELATIONSHIP SKILLS BUILDING: DEVELOPING AND KEEPING INTIMATE AND CLOSE RELATIONSHIPS
SESSION 17: STRENGTHENING RECIDIVISM AND RELAPSE PREVENTION SKILLS
SESSION 18: RELAPSE AND RECIDIVISM PREVENTION: YOUR RELAPSE AND RECIDIVISM PREVENTION PLAN AND LIFESTYLE
BALANCE
Therapy Session TopicsSESSION 19: COMMUNITY RESPONSIBILITY SKILLS: STRENGTHENING
CHARACTER AND PROSOCIAL VALUES AND BEHAVIOR
SESSION 20: COMMUNITY RESPONSIBILITY SKILLS: UNDERSTANDING AND PRACTICING EMPATHY
SESSION 21: COMMUNITY RESPONSIBILITY AND RELATIONSHIP SKILLS: RESOLVING CONFLICTS AND NEGOTIATION
Client Feedback• General client satisfaction rated as high
• Clients liked structured format and task orientation
• Clients liked facilitator’s non-confrontational style
• Clients appreciated facilitator’s skill in managing disruptive group members
• Clients identified with some of the group members
• Client retention rate 90% (successfully completed program)
• Did not like being forced into treatment
• Did not like having to pay for treatment