(精选)Psychological interventions and drug treatment provision教学课件.pptVIP

* * * * * * * * * * MI E.g. Generic Knowledge of drug misuse and mental health problems Establishing a positive relationship with the service user Basic An ability to adopt an evocative tone throughout the intervention which draws out the service user’s ideas, feeling and Specific A knowledge of the levels of reflection including: repeating; re-phrasing; paraphrasing; and reflecting feeling Meta An ability to integrate motivational interviewing into routine assessment systems * Psychological interventions and drug treatment provision Luke Mitcheson, Clinical Team, NTA “It’s time to talk” Drug treatment and psychological therapies, London conference 20th March 2009 Structure of talk Why psychological interventions? Psychosocial interventions in drug misuse: a framework and toolkit for implementing NICE-recommended treatment interventions Implementation and IAPT How does it fit together? The Long and Winding Road (Lennon/McCartney) Many times Ive been aloneAnd many times Ive criedAnyway youll never knowThe many ways Ive triedBut still they lead me backTo the long winding road You left me standing hereA long long time agoDont leave me waiting hereLead me to your door Expectations and attitudes “If you treat an individual... as if he were what he ought to be and could be, he will become what he ought to be and could be” Johann Wolfgang von Goethe (1749-1832)  Why psychological treatment? Treatment is relational – how we talk, and are with clients influences outcomes Represents the core of treatment Integrated with other approaches such as pharmacological stabilisation and detoxification Moves the debate on from abstinence vs. harm reduction Congruent with the recovery agenda Building hope and repairing damaged lives Building social capital Adaptive to specific problems at different points in recovery journeys Suite of evidence-based clinical guidance 2007 NICE: National Clinical Practice Guideline No. 51. Drug Misuse: Psychosocial Inter