Summarise
Shoring up commitment
Establishing a contract
Setting homework
Session 1 homework

Summarise

Summarise all of the information gained so far, including treatment plan and goals.

Shoring up commitment

Ask for commitment to the identified treatment goals using the suggested strategies:
  • Obtain a verbal, concrete plan;
  • Clarify what the client intends to do to bring about change;
  • Reinforce perceived benefits of change and consequences of not changing;
  • Elicit concerns or doubts they have that might interfere with carrying out the plan;
  • Identify other obstacles to the plan. How could the client deal with these?

Establishing a contract

It is important to stress to the client that the therapist is capable of helping facilitate change in the client, but ultimately it requires the commitment from the client. This requires certain ground rules (Graham, 2000, p 24):
  • Agree on the number of future sessions, frequency and location;
  • Attendance – the client should be able to explain the reasons for missing a session;
  • Promptness – the client should be on time for sessions or contact the therapist if they cannot be on time;
  • Completion of homework – treatment relies on the therapist/client making a decision about the appropriate skills to learn and how best to learn them. Top of page

Setting homework

Throughout sessions 1, 2, 3 and 4, set homework appropriate to the level of the client's motivation and participation in sessions. Work collaboratively with your client, using prompts if necessary to help the client through the homework process. Compliance with, and completion of, homework should set the precedent for the homework to be undertaken in forthcoming sessions.

Session 1 homework

  • Identify any additional triggers for use that may become apparent during the week and bring to session 2.
  • Begin to cut down the speed use (in preparation for quitting completely or reaching lower level of use) if that is appropriate to the agreed treatment goal.
  • Complete an urge diary for the week and bring to session 2.