presented by: glenda springsted spencer, ms, lac
TRANSCRIPT
Presented by:Glenda Springsted Spencer, MS, LAC
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Not Rural – “Frontier”
Cando
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Large Service Area
Average Client 150 miles from home.
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Clients Typically Have
Other Options
Average Client Dual diagnosis. Multiple treatments.
We have to offer something clients can’t get at other facilities.
Center for Solutions
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Everyone is Struggling
Individuals
Families
Schools
Communities
The legal system
Mental health
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Our Treatment Philosophy
All clients are “IDEAL”
No matter what the problem, pathology, or issue, each
client deserves an opportunity for success
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Our Treatment Philosophy
1. NO single treatment approach is appropriate for all individuals.
2. Effective treatment tends to multiple needs of the individual – co-occurring disorders are treated simultaneously.
3. Multiple disciplines are critical components of treatment.
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Our Treatment Philosophy
4. Medications can be an important component of treatment success.
5. Treatment does not need to be voluntary to be effective.
6. Individual treatment plans must be reassessed continually & modified as necessary.
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Our Treatment Philosophy
7. Remaining in treatment for an adequate period of time is critical for treatment effectiveness.
8. Recovery from addiction be a long-term process and frequently requires multiple treatments.
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Goal-Focused Therapeutic Approach
Assists Clients change by constructing solutions
Solution Focused Therapy
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Treatment GoalsPa
tient
s ChemicalDependency
TreatmentPrograms G
oals
Improved relationships
Legal issuesSelf sufficiency
Self supportEducation
Employment issuesMedical problems
Emotional well-being
Sobriety
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Can you have long-term sobriety
without addressing the other issues?Improved relationships
Legal issuesSelf sufficient
Self supportEducation
EmploymentMedical problems
Emotional well-being
Sobriety May orMay not
Solution Focused Therapy
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Success Requires Both
Sobriety by itself is a shallow
victory without
Improved relationships
Legal issuesSelf sufficientSelf supportEducation
EmploymentMedical problems
Emotional well-being
Solution Focused Therapy
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
1. The client is NOT powerless
2. A focus on future exceptions and opportunities
3. Honesty can be helpful but is not essential
Changing the way we look at addiction.
Solution Focused Therapy
Focus on:
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
4. The client does not need insight to begin to change
5. Success is measured by change
6. The Problem is not based on pathology
Changing the way we look at addiction.
Solution Focused Therapy
Focus on:
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
7. Change can happen quickly rather than slowly
8. Each client will develop their own plan for recovery
Changing the way we look at addiction.
Solution Focused Therapy
Focus on:
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
9. People are resourceful. They have all they need to solve their problems.
“So many times it happens that we live our lives in chains and never even know we have the key.” (a quote from the Eagles)
Changing the way we look at addiction.
Solution Focused Therapy
Focus on:
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Treatment Success
Simply treating chemical dependency results in high
rates of recidivism.
The national average success rate is very,
very low.
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Solution Focused Therapy
Focus on each client’s “strengths” and “capabilities”
Changing the way we look at addiction:
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Focusing on what is positive, on the solution, and on the future, encourages change in the desired direction.
Solution Focused Therapy
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Solution Focused Therapy
Changing the way we look at addiction:
“no shame, no blame”
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Since we focuses on “process of change” rather than the problem, major problems do not necessarily require different treatment.
Task of counselor is to help the client translate seemingly major problems into clearly defined and achievable goals
Solution Focused Therapy
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Message is Critical
Successful treatment requires that you change the message that people are giving themselves.
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Message is Critical
We believe EVERYTHING we tell ourselves.
Addicts have a tendency to speak in terms of “absolutes”
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Our Message
The CFS Chant
I am “STRONG”
I am “POWERFUL”
I “OVERCOME”
I AM A ”LEADER”
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Clients want things to be different…. how will that happen?
Our Focus
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Is on the future and what the future will look like when their life changes.
Our Focus
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Is the client has the skills to solve their own problems…they simply need some help to realize it.
Our Focus
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Change is inevitable and constant
ViewsSolutions Focused Therapy
ChangeBe the change you want to see in the world.
Gandhi
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Easier to find solutions than to dissolve problems
ViewsSolutions Focused Therapy
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Therapist focuses on exceptions to the problem
ViewsSolutions Focused Therapy
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Small change & success lead to
increased motivation to
succeed
ViewsSolutions Focused Therapy
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Empowering model of treatment
Causes a rapid shift in thinking
Cost effective
Worker burnout prevention
Responsibility for change rests with the client
SFT Advantages
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
1. Describe in detail the problem you wish to solve?
2. Why do you wish to solve this problem at this time?
Assignment #1
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
In the circle below (which represents 100% of the time) shade in the percentage of times the problem you wish to solve actually appears.
Problems
ExceptionalTimes 25%
75%
Assignment #2
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
What is different?
Where are you?
Who are you with? Not with?
What would others say is different?
When do these times occur?
How often do they occur?
What do you notice different about yourself?
Summarize in video language…
Assignment #2
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
The Miracle QuestionSuppose tonight you go to bed and fall asleep, and while you are sleeping a miracle happens. The miracle is that the problem you identified earlier is solved, but you don’t know that the miracle has happened because you were asleep. When you wake up in the morning, what will be some of the first things you will notice that will be different that will tell you a miracle has happened?
Assignment #3
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Problem Resolution PlanDescribe the problem
How do you want it to change
Solution StrategiesWhat has worked, what is working and what will work in the future?
Where – Who – When – What
Support Systems
Assignment #4
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Despite knowing better, we often ignore the warnings
The Far Side
August 7, 2002
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
MoodsMoods
Thoughts
&
Feelings
Thoughts
&
Feelings
BehaviorsBehaviors
Back to Using
Relapse Triggers
Assignment #5
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Change
“God Bless the flexible, at least they won’t get bent out of shape.”
Tamara Hall, 2006
Where only excellence in addiction treatment will do
Finding Solutions forSubstance Abuse
In Rural America
Center for Solutions…
Center for SolutionsCando, North Dakota
Thank you…
Presented by:Glenda Springsted Spencer, MS, LAC