2015-05-21 Evidence-based Solution-focused Brief Therapy Webinarslides

5/19/15

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Evidenced-Based Solution-Focused Brief Therapy: Its Effective Use with the Most

Challenging Clients Presented by Teri Pichot, LCSW, MAC, LAC

May 21, 2015

Misti Storie, MS, NCC, APC

Director of Training & Professional Development

NAADAC, the Association for Addiction Professionals

www.naadac.org

[email protected]

Produced By NAADAC, the Association for Addiction Professionals

www.naadac.org/webinars


www.naadac.org/solutionfocusedbrieftherapy Cost to Watch: Free CE Hours Available: 1.5 CEs CE Certificate for NAADAC Members: Free CE Certificate for Non-members: $20

To obtain a CE Certificate for the time you spent watching this webinar:

1. Watch this entire webinar.

2. Pass the online CE quiz, which is posted at

www.naadac.org/solutionfocusedbrieftherapy

3. If applicable, submit payment for CE certificate or join NAADAC.

4. A CE certificate will be emailed to you within 21 days of submitting the quiz.

CE Certificate

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Using GoToWebinar (Live Participants Only)

Control Panel

Asking Questions

Audio (phone preferred)

Polling Questions

Webinar Learning Objectives

Understand the difference between problem-solving and solution-building

Understand what the research tells us about what causes change for clients

Identify three skills that they can immediately begin using with clients

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Teri Pichot, LCSW, MAC, LAC www.denversolutions.com [email protected]

Webinar Presenter

Audience Polling Question #1

The word Brief in Solution-Focused Brief Therapy is defined as:

Extratherapeutic Factors 40%

Therapy Relationship Factors 30%

Therapeutic Technique 15%

Expectancy, Hope, Placebo 15%

What Causes Change??

Miller, S. D., Duncan, B. L., & Hubble, M. A. (1997). Escape from babel. New York, NY: Norton.

87% Client/extra-therapeutic factors 13% Effect of the service delivered

From 13% effect of the service (appearing as partially overlapping factors): 1% (8% from 13%) is for the specific model/technique used. 4% (30%- +) for the Model/Technique delivered (meaning with the

power of allegiance and placebo added to the specific model). 5-7% (38-54%) for the Therapeutic Alliance 5-9% (46-69%) for Therapist Effect

Latest on What Causes Change

Duncan, B. L., Miller, S. D., Wampold, B. E., & Hubble, M. A. (2010). The heart & soul of change: Delivering what works in therapy, 2nd edition. Washington, DC: APA.

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Audience Polling Question #2

Solution-Focused Brief Therapy was created by:

Audience Polling Question #3 The primary motivation for creating Solution-Focused Brief Therapy was:

Evaluate the problem Diagnose the problem Utilize known information about the diagnosed

problem

Evaluate client resources/strengths Determine the best course of treatment Implement the treatment

Problem Solving Problem Solving

www.denversolutions.com

Problem

Determine the desired goal

Assist the client in creating a detailed description of the goal

Assist the client in evaluating where he/she is in relation to the desired goal

Assist the client in evaluating times in which he/she was successful in moving toward the desired goal

Work backward to discover keys to success

Solution Building Solution Building


Problem

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FAMILY

IDENTIFIED

CLIENT

LEGAL SYSTEM/

SOCIAL SERVICES

REGULATION

COMMUNITY

Definition of a Client in SFBT

Audience Polling Question #4 Solution-Focused Brief Therapy is basically the same as Motivational Interviewing.

Keep Delete

Change

What We Do with Client Words X x x

x x X

Problems Outcome

Process

What People Bring to the Conversation

x x x

X x x

Curiosity Time for both Cant be curious and know at the same time

SF approach holds back suggestions

More likely to do things client identified as helpful

Less pressure on professional to fix it

Resolves yes buts

Give vs. Discover

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How will you know I gave you the right resource?

What will you have done to better the odds of this resource working for you?

What will be different afterward that will let you know this was a good choice for you?

What will you have done to keep this resource working for you?

Helpful Questions

Any time you are tempted to give concrete resources that arent urgent

Any time a client wants you to fix it and it isnt urgent

Any time you are frustrated by the client not following through with previous referrals/suggestions

When to Use

Identifying a quality, skill, or trait the client will have Working in past-tense

Asking how life is different, how they did it, etc.

Empowers

Helps to determine whats needed (support, meds, therapy)

Working from the Solution-Side

Any time you are stuck

Any time you need direction

Any time you need to increase client hope

When to Use

Do we explore the problem? (i.e., the cause, the outcome of bad decisions, the whys of bad choices)

Do we explore what is important to the client or what is helping the client get closer to what he/she wants? (i.e., successes, good decisions, the whys of good choices)

Verbal Paths

Its a way of working with clients

Specifically helpful when you are becoming overwhelmed and feeling hopeless about the clients problems

Any time other professionals are becoming negative about the client

Any time the client is becoming discouraged during a conversation

When to Use

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Designed around a specific event Working in past-tense Imagine that it is just past the event Keep the outcome vague Imagine that you feel proud of how you handled it despite the

outcome

What did you do, what did you say, how did you do it, etc.

Fast Forwarding

Any time a specific event is resulting in stress or a mental health symptom (or exacerbating it)

Any time client is having a difficult time seeing past the event

Any time you need to increase client hope that they can get through an event

When to Use

Make concepts measurable

Provide assessment information

Provide the tool to measure change

Neutral tool to explore exceptions and highlight change

Use 0-10 or 1-10 scales

The 10 equals the desired goal

The 1 must be defined

Scales

Any time clients are thinking black/white Any time clients arent giving themselves credit

Any time hope is needed

Any time perspective is needed

Any time you need to understand a concept better

When to Use

Assist the client in exploring how the changes impact all elements of his/her system

Assist the client in keeping the plan realistic and inclusive of all factors

Increase the clients ability to step into someone elses shoes

(Increases empathy)

Relationship Questions

Any time you need to increase meaning Any time you need the client to become more

empathic about how her decision might impact others

Any time you want to increase critical thinking

Any time you want to increase motivation for change

When to Use

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Pichot, T. (2012). Animal-assisted brief Therapy: A solution-focused approach (2nd ed). New York, NY: Routledge.

Pichot, T., with Smock, S. A. (2009). Solution-focused substance abuse treatment. New York, NY: Routledge.

Pichot, T., & Dolan, Y. (2003). Solution-focused brief therapy: Its effective use in agency settings. Binghamton, NY: Haworth.

References

Teri PIchot, LCSW, MAC, LAC www.denversolutions.com [email protected]

THANK YOU

www.naadac.org/solutionfocusedbrieftherapy Cost to Watch: Free CE Hours Available: 1.5 CEs CE Certificate for NAADAC Members: Free CE Certificate for Non-members: $20

To obtain a CE Certificate for the time you spent watching this webinar:

1. Watch this entire webinar.

2. Pass the online CE quiz, which is posted at

www.naadac.org/solutionfocusedbrieftherapy

3. If applicable, submit payment for CE certificate or join NAADAC.

4. A CE certificate will be emailed to you within 21 days of submitting the quiz.

CE Certificate

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2015-05-21 Evidence-based Solution-focused Brief Therapy Webinarslides

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