sedgwick county drug court: substance abuse web viewcounseling inc: entry and advanced levels...

COUNSELING INC: Entry and Advanced Levels Substance Abuse CurriculumCreated by Peter Ninemire, LMSW, LCAC

Entry Monday: Living In Balance- EBP

Wednesday – Matrix Family Ed

Friday – Matrix Model – EBP

Week1LIVING IN BALANCE – Session 1

Definitions, Terms and Self-Diagnosis(utilize role-play sheet suggested for session)

Part 1: Definitions and termsPart 2: Self Assessment exercise - Part 3: Biological aspects of addictionRe: Neurotransmitters - Utilize NIDA/HBO Series on Addiction Video “What is Addiction” (Video 2 – Vignette 1) Prior to Physical Dependence, withdrawal symptomsTolerance/cross tolerance (show video?)

Family education groupTopic: Cross addiction: back door to relapse( Handout # 13 )

Matrix Early recovery skills – Lecture Scheduling

(Hand out # 1, 2,3, &4 ) Matrix Early recovery skills session 1Topic: Stop the cycle

Eliminated Drug Court Booklet - Made room for more material?

Maybe carryover early work on Living in Balance sessions

Week 2 LIVING IN BALANCE – Session 2

Alcohol and Other Drug EducationPart 1: Stimulant Drugs – utilize CNS video on Use, Abuse and Addiction – The physiology, Neurochemistry and Sociology of Drugs and Compulsive Behaviors

Uppers Video: 13:15 (disk 2 – chapter 3)Present Power Point Slide Presentation

TCU Mapping the Journey

Exploring Self

Matrix Early recovery skills session 2 Lecture - Identifying external triggers Family Video Lecture/ Discussion Topic: Medical aspects of chemical dependencyThe Neurobiology of Addiction (Video)( Handout # 10 )

Entry Level Group

CNS Productions – Cocaine and Crack – A craving for More

Week 3 LIVING IN BALANCE – Session 2 (continued)

Alcohol and Other Drug Education - Part 2:Psychedelic and Hallucinogenic Drugs (to include marijuana) The physiology, Neurochemistry and Sociology of Drugs

Matrix Family Education Group?

Triggers and Cravings Presentation Video/Notes

CNS Productions – Marijuana Neurochemistry and Physiology

Matrix Early recovery skills Session 3 Lecture - Identifying internal triggers


Maybe carryover early work on Living in

1

and Compulsive Behaviors

Video: (Other Drugs – Other addictions) 19:55 (disk 2 – chapter 7) Optional - selected slides from Present Power Point Slide Presentation, and/or utilize CNS vignettes on marijuana

Balance sessions

Entry Monday - Alongside am/pm COC groups

Wednesday FridayWeek 4 LIVING IN BALANCE – Session 2

(continued)

Part 3 – Depressant Drugs

The physiology, Neurochemistry and Sociology of Drugs and Compulsive BehaviorsDowners Video: 18:25 (disk 2 – chapter 4)Present Power Point Slide Presentation

Opioid Drugs – Vignettes (NIDA/HBO series on Opiate tx or CNS Video on opiates


Social Improvement

Matrix Early recovery skills session # 4 Lecture - Topic: 12 step introduction (Handout # 11 )


Maybe carryover early work on Living in Balance sessions?


Part 4: A look at Drugs and the Brain

Utilize NIDA/HBO Series on Addiction Video “What is Addiction” (Video 2 – Vignette 1) in conjunction with NIDA power point by Peter

Recommend showing power point first


Decision MakingMatrix Early recovery skills session # 5 Lecture - Topic: Your body chemistry in recovery (Handout # 12 )



2


Part 4: A look at Drugs and the Brain

Your Brain after Drugs and the Memory of Drugs

CNS Productions - videoThe Neurochemistry of Relapse and Recovery

Utilize CNS video on memory bumps


Taking Control

Matrix Early recovery skills session # 6 Lecture - Topic: early recovery problems (Handout # 13 & 14 )



Friday night - perhaps addiction related video?

Entry Monday - Alongside am/pm COC groups


Part I: Triggers, Cravings, and Avoiding Relapse

Part II: How a Trigger Leads to a Relapse

Utilize NIDA/HBO Series on Addiction Video “The Science of Relapse” (Video 2 – Vignette 1)

Family Discussion Topic: avoiding and coping with relapse( Handout # 9 )

Matrix Early recovery skills session # 7 Lecture - Topic: thinking , feeling and doing (Handout # 15 & 16)


Planning for Sobriety

Part I: Planning for Your Sobriety

Role Play Exercises #4 and #5

Part II: The Road to Recovery



Monitoring progress

Matrix Early recovery skills session # 8 Lecture - Topic: Keep it simple (Handout # 17 )

3

Part III: Relapse Decisions and Recovery


Alcohol and Tobacco

Part I: Alcohol and Alcoholism

An Interview with Mark Whillenberg, M.D.From HBO Video Series on Addiction(Disk 3 – Vignette 2)

Discusses the different factors that can lead to alcoholism, including genetics and psychiatric disorders.

Effects of AlcoholCNS Productions – Alcohol and its effects

Part II: Tobacco

Matrix Family Education Group

Relapse Prevention Family Group

Questions for Alcohol: The Substance, the Addiction, the Solution

CNS Video on Alcoholism

Matrix Early recovery skills session # 9 Lecture - Topic: Heartfelt matters (Handout # 10)

ENTRY Monday - Alongside am/pm COC groups


Spirituality

Part I: What is Spirituality

Part II: Your higher power and prayer


Relapse and Disease

Matrix Early recovery skills session # 10 Lecture - Topic: setting goals (Handout # 11 & 12 )


Sex, Drugs and Alcohol

Part I: Sex and DrugsAlcohol and other drug use and sexSex as a trigger

Part II: Sexual Problems

TCU Unlock your thinking and open you mind

Feelings, thoughts and mind traps

Matrix Early recovery skills session # 11 Video topic: Cross addiction-the back door to relapse (Handout # 13 )

4


Stress and Emotional Well-being

Part I: Stress

Part II: Reacting to Stress


Roadblocks to healthy thinking

The Power of Self Talk (5 weeks at Counselor Discretion) Counselor to input sequence of material presented here as it occurs in group.

ENTRY Monday - Alongside am/pm COC groups

Wednesday FridayWeek13 LIVING IN BALANCE – Session 9

Part I: Review of information about Stress

Part II: Restructuring your life

Part III: Coping strategies


Thinking and behavior cycles

The Power of Self Talk (5 weeks at Counselor Discretion) Counselor to input sequence of material presented here as it occurs in group


Negative Emotions

Part I: Depression

Part II: Guilt and Fear

The physiology, Neurochemistry and Sociology of Drugs and Compulsive Behaviors

Video: (Mental Health & Drugs) 16:20 (disk 1 – chapter 10)

Understanding and Reducing Angry Feelings

Understanding anger

Entry Level GroupThe Power of Self Talk (5 weeks at Counselor Discretion) Counselor to input sequence of material presented here as it occurs in group.

5

Present Power Point Slide Presentation

Week15 LIVING IN BALANCE – Session 11

Anger and Communication

Part 1: Understanding Anger

Part II: Expressing Anger


Managing anger in relationships



Part I: Relapse

Part II: Exercises for Relapse Prevention

Possibly utilize Role Play Exercises


The aggression cycle


Entry Monday Wednesday FridayWeek1 Power Point Presentation: Neuroscience of

addiction (Peter’s on Lap Top)

Nora Volkow “What is Addiction” HBO Video Series on Addiction (Video 2 – Vignette 1)

Family Video lecture Topic: Triggers and cravings presentation

Evening Entry Level Group

Getting Started (Change Company brochure)

5-weeks to utilize at counselors discretion

Matrix Early recovery skills – Lecture Scheduling

(Hand out # 1, 2,3, &4 )

Matrix Early recovery skills session 1Topic: Stop the cycle( Handouts # 5, 6, & 7)

Week 2 Neuroscience and the Biopsychosocio effects of addiction (Review in different format)

Psychological Affects of Addiction (Wheel of Addiction Lecture involving clients

Family Video LectureTopic: Alcohol, the substance, addiction & solution( Handout # 2)


Getting Started (Change Company

Matrix Early recovery skills session 2 Lecture - Identifying external triggers

Drug Court Booklet

Topic: Commitment to drug court & making the choice towards a responsible lifestyle

6

brochure)


( Home work: Pg 1-5 of drug court work book)

Week 3 Interview with Dr. Volkow on Addiction - HBO Video Series on Addiction (Video 3 – Vignette 1)Introduce BIO on Dr. Volkow and concepts in it.

Drugs, Brains, and Behavior – NIDA Brochure on previously reviewed material – to be discussed in small client groups & reported back to group

Family Video Lecture/ Discussion

Topic: My name is Bill W/ AA-12 steps( Handout # 3,4 &5 )




Matrix Early recovery skills Session 3 Lecture - Identifying internal triggers

Drug Court Booklet

Topic: My top three problems( Home work: Pg 6-9 of drug court work book)

Entry Monday Wednesday FridayWeek 4 The Bio-Psycho-Social Model of Addiction

The biopsychosocial model addresses addiction as a process that impacts biology, causes personality problems and results in social dysfunction. (Present and review in both hours)

Family Video Lecture/ Discussion Topic: The science of Methamphetamines( Handout # 6 )




Matrix Early recovery skills session # 4 Lecture - Topic: 12 step introduction (Handout # 11 )

Drug Court Booklet

Topic: Things about me/ My story( Home work: Pg 10- 15 of drug court work book)

Week 5 Understanding Relapse – The Science of RelapseFrom HBO Video Series on Addiction (Video 2 – Vignette 2)

Family Video Lecture/ Discussion Topic: Roadmap to recovery( Handout # 7 )

Matrix Early recovery skills session # 5 Lecture - Topic: Your body chemistry in recovery (Handout # 12 )

7

Treatment and Recovery from Addiction from Peter’s Neuro-biopsychosocio handout.(Community and EB Tx effective in Community where symptoms occur)




Drug Court Booklet

Topic: Thinking Errors - Making excuses, Ignoring responsible action, sense of “above the law” & asserting power over others.( Home work: Pg 16-21 of drug court work book)

Week 6 The CBT Approach from HBO Video Series on Addiction – (Disc 3 – Vignette 3)

(How to get the most out of group. - Ask the group why this is so?) – Group Therapy, joining forces and leveling – nine basic support group rules – An introduction to mutual support groups for Alcohol and Drug Abuse

Family Video Lecture/ DiscussionTopic: stages of family recovery( Hand out # 8)


CNS Productions - Methamphetamine – Neurochemistry and Recovery

Matrix Early recovery skills session # 6 Lecture - Topic: early recovery problems (Handout # 13 & 14 )

Drug Court Booklet

Topic: Thinking Errors-Self serving acts of kindness, lazy thinking and getting sidetracked( Home work: Pg 22- 25 of drug court work book)

Entry Monday Wednesday FridayWeek 7 CNS – Use, Abuse and Addiction


History Video: 14:40 (disk 1 – chapter 1)Present Power Point Slide Presentation with support from Word NarrativePresent Overview and Outline as neededKey words and phrasesClient worksheet folder exercisesTest

Family Discussion Topic: avoiding and coping with relapse( Handout # 9 )


BOTH GROUPS view and process separately


Matrix Early recovery skills session # 7 Lecture - Topic: thinking , feeling and doing (Handout # 15 & 16)

Drug Court Booklet

Topic: Exploring Values-criminal lifestyle choices, dishonesty vs. honesty.( Home work: Pg 26-31 of drug court work book)

Week 8 CNS – Use, Abuse and Addiction


Family Video Lecture/ Discussion Topic: Medical aspects of chemical dependencyThe Neurobiology of Addiction (Video)

Matrix Early recovery skills session # 8 Lecture - Topic: Keep it simple (Handout # 17 )

8

Heredity, Environment and Psychoactive Drugs Video: 13:50 (disk 2 – chapter 2)Present Power Point Slide Presentation with support from Word NarrativePresent Overview and Outline as neededKey words and phrasesClient worksheet folder exercisesTest

( Handout # 10 )

Entry Level Group

CNS Productions – Cocaine and Crack – A craving for More

Drug Court Booklet

Topic: Exploring Values- Intolerance vs. tolerance( Home work: Pg 32- 35 of drug court work book)



Uppers Video: 13:15 (disk 2 – chapter 3)Present Power Point Slide Presentation with support from Word NarrativePresent Overview and Outline as neededKey words and phrasesClient worksheet folder exercisesTest

Family video lectureTopic: Families in recovery( Handout # 11 & 12 )

Entry Level Group

CNS Productions – Alcohol and its effects

Matrix Early recovery skills session # 9 Lecture - Topic: Heartfelt matters (Handout # 10)

Drug Court Booklet

Topic: Exploring Values- Irresponsibility vs. responsibility( Home work: Pg 36- 39 of drug court work book)

ENTRY Monday Wednesday FridayWeek 10 CNS – Use, Abuse and Addiction


Downers Video: 18:25 (disk 2 – chapter 4)Present Power Point Slide Presentation with support from Word NarrativePresent Overview and Outline as neededKey words and phrasesClient worksheet folder exercisesTest

Family education groupTopic: Cross addiction: back door to relapse( Handout # 13 )

Entry Level Group

CNS Productions – Marijuana Neurochemistry and Physiology

Matrix Early recovery skills session # 10 Lecture - Topic: setting goals (Handout # 11 & 12 )

Drug Court Booklet

Topic: Exploring Values( Home work: Pg 40-- 43 of drug court work book)


The physiology, Neurochemistry and Sociology of Drugs and Compulsive

Living with an AddictionHandout #14

The CRAFT Approach (#3 video from HBO

Matrix Early recovery skills session # 11 Video topic: Cross addiction-the back door to relapse

9

Behaviors

Alcohol Video: 16:50 (disk 2 – chapter 5)Present Power Point Slide Presentation with support from Word NarrativePresent Overview and Outline as neededKey words and phrasesClient worksheet folder exercisesTest

Series on addiction) – coaching families on getting family members help

Entry Level Group

The Power of Self Talk (5 weeks at Counselor Discretion) 21Counselor to input sequence of material presented here as it occurs in group.

Supplemental Handouts – “Addictive Beliefs” and “Reframing your Automatic thoughts”.

(Handout # 13 )

Drug Court Booklet

Topic: Warning Signs that lead to trouble , Anger( Home work: Pg 44-47 of drug court work book)

Week 12CNS – Use, Abuse and Addiction


Alcohol Video: 16:50 (disk 2 – chapter 6)Present Power Point Slide Presentation with support from Word NarrativePresent Overview and Outline as neededKey words and phrasesClient worksheet folder exercisesTest

Marijuana – Escape to Nowhere

Handout #15 (Questions for Marijuana – Escape to Nowhere

Entry Level Group



Drug Court Booklet

Topic: Warning Signs that lead to trouble- accusations, boredom, dishonesty( Home work: Pg 48-51 of drug court workbook)

ENTRY Monday Wednesday FridayWeek13 CNS – Use, Abuse and Addiction


Video: (Other Drugs – Other addictions) 19:55 (disk 2 – chapter 7)Present Power Point Slide Presentation with support from Word NarrativePresent Overview and Outline as neededKey words and phrasesClient worksheet folder exercisesTest

Topic: A Mothers Desperation( HBO Video Series on Addiction)

Beginning on Disc 1 - Ending session on Disc 4

Entry Level Group


Supplemental Handouts – “Addictive Beliefs” and “Reframing your Automatic

Drug Court Booklet

Topic: Keeping Track: Responsible lifestyle calendars, Weekly Progress reports to the judge.( Home work: Pg 52-57 & 67 of drug court workbook)

South Boston Drug Court

(Disk 4 – 2nd to last Vignette from HBO Series on Addiction)

10

thoughts”.



Video: (Prevention) 19:00 (disk 1 – chapter 8)Present Power Point Slide Presentation with support from Word NarrativePresent Overview and Outline as neededKey words and phrasesClient worksheet folder exercisesTest

Family Group: Family Dynamics & Codependency

Client will gain understanding of the roles family members play.

Entry Level Group



My Name is Bill W – The Power of the 12 StepsVideo on Founders of Alcoholics Anonymous

(Process after 60 minutes of video)

Week15CNS – Use, Abuse and AddictionThe physiology, Neurochemistry and Sociology of Drugs and Compulsive Behaviors

Video: (Treatment) 13:43 (disk 1 – chapter 9)Present Power Point Slide Presentation with support from Word NarrativePresent Overview and Outline as neededKey words and phrasesClient worksheet folder exercisesTest

Family Group - Abusive Relationships - Client will gain an understanding of the different types of abuse and how it impacts the whole family.



My Name is Bill W – The Power of the 12 StepsVideo on Founders of Alcoholics Anonymous

(Process after 60 minutes of video)

ENTRY Monday Wednesday FridayWeek16 CNS – Use, Abuse and Addiction


Video: (Mental Health & Drugs) 16:20 (disk 1 – chapter 10)

Family Group - Manipulation & Emotional Blackmail: How the dysfunctional family uses manipulation to control others and how emotional blackmail fits in.

Supplemental Materials - The Recipe for Raising Drug-Free Kids: Frequent Family Dinners

Earl Hightower (From NADCP Conference)

The Power of Recovery

With follow-up group process

11

Present Power Point Slide Presentation with support from Word NarrativePresent Overview and Outline as neededKey words and phrasesClient worksheet folder exercisesTest

Entry Level GroupThe Power of Self Talk (5 weeks at Counselor Discretion) Counselor to input sequence of material presented here as it occurs in group.Supplemental Handouts – “Addictive Beliefs” and “Reframing your Automatic thoughts”.

Week17 Neurotransmission Fact Sheet –

Recovery Bingo (with Prizes)

Family Group - Problem solving within the familyHow to do problem solving and why it is important within the family.

Supplemental Materials - Good Parenting Creates Drug Free Kids -

Entry Level GroupThe Power of Self Talk (5 weeks at Counselor Discretion) Counselor to input sequence of material presented here as it occurs in group.Supplemental Handouts – “Addictive Beliefs” and “Reframing your Automatic thoughts”.

Review “The 12-Steps of AA and Basic Elements of the Psychotherapeutic Process: A comparison

Week18 Post Acute Withdrawal Handout

by

Terrance Gorski with Lee Jamison

Family Group – Boundaries: The difference between healthy and unhealthy boundaries and the importance of setting boundaries, both for self and family. Supplemental Materials - Research: Good Parenting Can Prevent Drug Use, Aid Brain DevelopmentEntry Level GroupRefusal Skills – From the Living Skills Series3 Sessions with Workbook (Counselor Discretion – utilize as needed (input outcome of material covered here)

Process and utilize Glossary with Recovery Terms

Turn into Bingo

ENTRY Monday Wednesday FridayWeek 19 Opiate Addiction:

Understanding Replacement Therapy and Opiate Addiction

Family Group – Healthy Relationships & Communication

What are healthy relationships and how to

An Interview with Mark Whillenberg, M.D.

From HBO Video Series on Addiction(Disk 3 – Vignette 2)

12

(HBO Video Series on Addiction – (Disk 4 – Vignette )

develop them within the family which includes good communication skills.

Entry Level Group

Refusal Skills – From the Living Skills Series3 Sessions with Workbook

Counselor Discretion – utilize as needed (input outcome of material covered here)

Discusses the different factors that can lead to alcoholism, including genetics and psychiatric disorders.

Week 20 An Interview with Kathleen Brady, M.D., Ph. D.

Discusses the prevalence of Co-Occurring Disorders, their natural co-occurrence, and the need to treat simultaneously.

Family Group - Taking Control of Your Life & the 7 Habits of a Successful Person

Being honest, open, doing the right thing which includes developing habits that will bring success

Entry Level GroupRefusal Skills – From the Living Skills Series3 Sessions with Workbook (Counselor Discretion – utilize as needed (input outcome of material covered here)

Mark Windholm (75 minutes)

A Comedy of Substance

Second Half of Group to process aspects of video

Supplemental Material: Hazelden videos on addiction.

Advanced

Tuesday – Making Changes (Change Company – EBP)

Thursday-Thinking for a Change-EBP

Making Changes (A component of Starting Point) Staff to utilize supplemental Group

13

Week1 material as deemed appropriate for different sections of curriculum(s). Please enter respective material from brochure and supplemental material used with each session here for discussion in formulation of curriculum.

Supplemental Material (The Stages of Change [depiction] – making changes – static and dynamic factors of change – Change Requiring a Temporary Surrender of Security and change and insecurity – Appropriate Motivational Strategies for each Stage of Change)Values Clarification – What’s Important to You?Related to “7 Examples of Particularly Powerful QuestionsDenial (Explaining and examining defense mechanisms – Supplemental (Anna Freud) Supplemental Material for Groups (from Jeff) - Pessimism and NegativityBuilding Healthy Boundaries - The Story of the Pessimist and the OptimistStress Reduction - Cognitive Distortions - Cognitive Restructuring

Type: Process

Break

Thinking for a Change Topic: Our thinking controls how we act(Thinking report)

Week2 Making Changes (A component of Starting Point) Staff to utilize supplemental material as deemed appropriate for different sections of curriculum(s). Please enter respective material from brochure and supplemental material used with each session here for discussion in formulation of curriculum.


GroupTYPE: Process

Break

Thinking for a Change Paying attention to our thinking( Thinking report)

Week3Making Changes (A component of Starting Point) Staff to utilize supplemental material as deemed appropriate for different sections of curriculum(s). Please enter respective material from brochure and supplemental material used with each session here for discussion in formulation of curriculum.

Supplemental Material (The Stages of Change [depiction] – making changes – static and dynamic factors of change – Change Requiring a Temporary Surrender of Security and change and insecurity – Appropriate Motivational Strategies for each Stage of Change)Values Clarification – What’s Important to You?Related to “7 Examples of Particularly Powerful QuestionsDenial (Explaining and examining defense mechanisms – Supplemental (Anna Freud) Supplemental Material for Groups (from Jeff) - Pessimism and NegativityBuilding Healthy Boundaries - The Story of the Pessimist and the Optimist

GroupTYPE: Process

BreakThinking for a Change Topic: Recognizing thinking that leads to trouble (Thinking report)

14

Stress Reduction - Cognitive Distortions - Cognitive RestructuringAdvanced

Tuesday Thursday



GroupTYPE: Process

Break

Thinking for a Change Topic: Finding new thinking(Thinking report)



GroupTYPE: Process

Break

Thinking for a Change Topic: Using thinking check ins(Thinking report)


Supplemental Material (The Stages of Change [depiction] – making changes – static and dynamic factors of change – Change Requiring a Temporary Surrender of Security and change and insecurity – Appropriate Motivational Strategies for each Stage of Change)Values Clarification – What’s Important to You?

GroupTYPE: Process

Break

Thinking for a Change Topic: Knowing your feelings

15

Related to “7 Examples of Particularly Powerful QuestionsDenial (Explaining and examining defense mechanisms – Supplemental (Anna Freud) Supplemental Material for Groups (from Jeff) - Pessimism and NegativityBuilding Healthy Boundaries - The Story of the Pessimist and the OptimistStress Reduction - Cognitive Distortions - Cognitive Restructuring

Advanced

Tuesday Thursday

Week7

Making Changes (A component of Starting Point) Staff to utilize supplemental material as deemed appropriate for different sections of curriculum(s). Please enter respective material from brochure and supplemental material used with each session here for discussion in formulation of curriculum.


GroupTYPE: Process

Break

Thinking for a Change Topic: Understanding the feelings of others



GroupTYPE: Process

Break

Thinking for a Change Topic: Responding to the feelings of others


GroupTYPE: Process

Break

16


Thinking for a Change Topic: Preparing for a stressful conversation

Advanced

Tuesday Thursday



GroupTYPE: Process

Break

Thinking for a Change Topic: Responding to Anger

Week11 Roots of Addiction – Video: Drug and Behavioral compulsions (32 Minutes)(From CNS Productions)

Second Half of Group – Process Video

GroupTYPE: Process

Break

Thinking for a Change Topic: Dealing with an accusation

Week12 Values and Personal Responsibilities (3 – groups – Living Skills Series)

Delivered at counselors discretion – However, Please enter respective material from brochure and supplemental material used with each session here for discussion in formulation of curriculum.

GroupTYPE: Process

Break

Thinking for a Change Topic: Introduction to problem solving

Week13 Values and Personal Responsibilities (3 – groups – Living Skills Series) GroupTYPE: Process

17


Break

Thinking for a Change Topic: Step 1- Stop and Think

Week14 Values and Personal Responsibilities (3 – groups – Living Skills Series)


GroupTYPE: Process

Break

Thinking for a Change Topic: Step 3- Getting information to set a goal

Advanced

Tuesday Thursday

Week15 DENIAL Brochure ( 2 weeks at counselor discretion)l

Supplemental information from Anna Freud and Therapy Cards to help clients gain insight and understanding that decreases resistance

Counselors to input material covered here…

GroupTYPE: Process

Break

Thinking for a Change Topic: Step 5 – Choose , plan do

Week16 DENIAL Brochure ( 2 weeks at counselor discretion)l

Supplemental information from Anna Freud and Therapy Cards to help clients gain insight and understanding that decreases resistance

Counselors to input material covered here…

GroupTYPE: Process

Break

Thinking for a Change Topic: Self evaluation- what else can I do

18

sedgwick county drug court: substance abuse web viewcounseling inc: entry and advanced levels...

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