Documentation
Baseline: Client struggles with daily use of substances.
Client will learn and practice 3 or more relapse prevention skills to support with decreasing substance use from 7 to 4 days a week.
What is an objective?
This explores the drivers of a behavior, both positive and negative
What is a FIT?
Square Breathing, Belly Breathing, Deep Breathing
What are breathing exercises?
Encouragement, Limit Setting, Monitoring, Problem Solving, and Positive Involvement.
What are the core principles/focuses of PMTO?
Families Actively Improving Relationships
What is FAIR?
Clinician will utilize DBT strategies to teach client mindfulness, interpersonal effectiveness, distress tolerance, and emotion regulations skills.
What is an intervention?
The process of creating a timeline to breakdown all the steps that led up to a behavior (i.e., explore events, thoughts, and emotions)
What is a Sequence of Events?
5-4-3-2-1 technique, naming movies we know, body awareness, count backwards from 100 by 7
What are grounding exercises?
"Sarah, put your dish in the sink now, please."
What is an effective direction?
Reinforce effort, relationships & roles, and small steps
What are the 3 R's?
Projected schedule: 9 months
Frequency: 4-5 days a week
Duration: 45-60 minutes
Provider credentials: CSWA, QMHP-R
What is the treatment recommendation breakdown?
The process of understanding the function drugs have on an individual's life, exploring positive and negative consequences as well as internal and external cues that influence behaviors.
What is a functional assessment?
Leaves on a Stream, Progressive Muscle Relaxation, Body Scan
What are mindfulness exercises?
Social Reinforcers, Token Systems, Incentive Charts, Contracts
What are levels of encouragement?
Mental Health, Substance Use, Parenting, Ancillary Needs
What are the 4 quadrants FAIR addresses?
Identifying information of client, DSM-5 diagnoses, and areas of functioning impacted by use.
"Client presents as a 42-year-old Caucasian female with two children. Client is diagnosed with stimulant use disorder meeting 9/11 criteria and significant impact on social functioning, exacerbated mental health symptoms, and neglecting personal and occupational obligations."
What is a mental formulation for a SUDs assessment?
The act of reinforcing positive behaviors with a reward (i.e., receiving Fair bucks after giving a UA and purchasing an item from the Fair store)
"when...then..."
What is contingency management?
Active listening, assertive communication, DEAR MAN, reflections, "I" statements
What are communication skills?
The ratio of limit setting to encouragement.
What is 1 to 5?
The act of teaching skills to a parent/client we want them to use with children.
What is parallel processing?
Detoxification and withdrawal potential; physical health; emotional/behavioral/cognitive functioning; readiness for change; potential for continued problem/use/relapse; recovery environment
What are the level of care dimensions?
An agreement the client makes to engage in sober and/or safe activities.
What is a sobriety and/or safety contract?
Brainstorming, pros and cons, identifying barriers, trying it out, review/analyze outcomes.
What are problem-solving skills?
Effective directions.
What is the first parenting tool of PMTO?
Not having the skills versus not wanting/being willing to do something
What is "I can't/I won't?"