Assessment
First RBT intervention completed with a new family
Substance Misuse Safety Plan
The whole family and any other relevant supports in the natural ecology.
When do we do RBT?
If substance misuse is a driver to abuse or neglect, if it impacts the client's functioning in other domains, if they request help or someone in the ecology has treatment as a desired outcome.
Why do we complete a functional analysis?
To understand the function of the use and the triggers to use.
How frequently do we do drug screens?
At least three times a week.
The name of the form we use to explain the voucher process.
Voucher system contract.
A person who can take care of the children if the caregiver tests positive for substances.
Why would a client participate in RBT?
To be a better parent, to make child protection happy, vouchers
When do we complete a functional analysis?
At the beginning of treatment (initial FA) and after a relapse (relapse FA).
What do we do if the line on the test is very light?
Any line is considered positive.
The tool we use to assess stage of change.
URICA
How long is a safety plan enacted?
Until the parent tests negative.
Reinforcement Based Treatment.
What's the title of the first two columns of the FA form?
Internal/ External Triggers.
What do you do if the urine is cold and there is not a reading on the temperature strip?
This is considered a positive test.
The tool that helps clients think about the pros and cons of continued use.
Cost Benefit Analysis.
What are some examples of strategies a parent could use if they feel like using substances.
Call a friend, go on a walk, exercise, dance, cook, play with their children, call the therapist, change locations, journal, take a bath, etc.
What do you do if the drug screen is negative?
Give the client a voucher, beg celebration, graph.
What's the middle column on the FA form?
Behaviors.
What do you do if the drug test is positive.
Enact the safety plan, complete a relapse FA and graph.
What is the goal of the Confidential Feedback Report.
Sharing the summary of information we have gathered throughout the assessment process.
What are some things a child could do if they are afraid their parent is/ is going to use substances.
Call and adult, call the therapist, go to a neighbors.
What tools help us assess if the client has a history of problematic use?
ASI, client's history.
What are the last two columns on the FA form?
Short term positive and negative consequences.
How is a safety plan enacted.
The therapist informs the parent of the positive screen, locates the children and calls the safety support to plan for supervision. Ensures that the parent has somewhere safe to go if they are leaving the house.