ABSTRACT

The difference between treatment adoption and harmful, ongoing substance use is often the therapeutic strategies and skills employed by clinicians. In fact, evidence-based social work and psychotherapy practices can facilitate the process of systemic change. In this chapter, the authors introduce clinical skills that can be applied directly to addiction interventions in order to bridge the gap between the theory and practice of successful intervention. It is a “hands-on” reference for how to move a person to “yes,” with direct guidance on application.

The chapter begins with a look at the stages of change model as the main concept behind what it means to help someone “change.” Then the text introduces practical clinical skills that can be used during an intervention, first with the family and then with the identified loved one. The authors explain the importance and application of strategies such as motivational interviewing, 12-step facilitation, values clarification, and boundary-setting for family members. Additionally, this chapter offers clear direction on other therapeutic strategies such as solution-focused coaching and cognitive behavioral therapy in action, with specific guidelines on the use of such strategies, even offering specific language and practical application tips.