Therapist summary sheet
Detailed intervention

Therapist summary sheet

Aims

  • Engagement and building motivation for change in relation to speed use.
  • Prepare to quit/cut down on speed use.
  • Introduction to behavioural self-monitoring.

Materials needed for session 1

Key elements of session 1

Phase 1: Building motivation to change

After presenting rationale for intervention, use the following strategies for eliciting self-motivational statements:
  • presenting the rationale intervention
  • a typical day
  • personal feedback from assessment
  • impact on lifestyle
  • explore the pros and cons of using speed (complete exercise 1 grid)
  • explore concerns
  • explore health risks
  • financial costs of using
  • looking back
  • looking forward
  • self vs self as a user
  • encountering ambivalence
  • summarise
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Phase 2: Strengthening commitment

Use the following strategies:
  • ask a transitional question
  • communicate free choice
  • address fears
  • provide information and advice
  • setting goals

Phase 3: Behavioural self-monitoring

Use the following strategies:
  • introduce rationale for behavioural self-monitoring
  • elicit concerns about high risk situations and triggers for using
  • introduce link between triggers, thoughts about using and urges to use
  • use urge diary
  • summarise

Phase 4: Case formulation

  • explain rationale for formulation
  • agree on the elements of the formulation
  • jointly develop a treatment plan

Phase 5: Session termination

  • summarise
  • shoring up commitment
  • establishing a contract
  • set homework, including:
    • identify triggers for using
    • start cutting down if appropriate
    • complete an urge diary for the next week

Detailed intervention

Engagement and building motivation for change in amphetamine use

Familiarise yourself with motivational approaches. Clients will be at various stages of change for their amphetamine use and associated harms. A motivational approach will address each harm the client is experiencing during the course of the intervention. You will need to gauge how quickly you can move to discussing amphetamine use with each individual client.

Phase 1: Building motivation to change
Phase 2: Strengthening commitment
Phase 3: Behavioural self-monitoring
Phase 4: Case formulation
Phase 5: Session termination