Goal-Setting for Recovery

Goal-Setting for Recovery

This Node-Link-Mapping workbook will help you to prioritise and plan goals to work on, to break them down to small steps and review your progress with a keyworker or sponsor.

Workshop Timetable

• Introduction [5 mins]• Node-link mapping as an engagement tool

[10 mins]• NLM exercise [10 mins]

• Goal setting and the Recovery Plan [15 mins]• Exercise [10 mins]• Summary [5 mins]

SUPPORT, STRUCTURE & GOAL DIRECTION

•Quality of client-therapist alliance consistently associated with outcome •Therapists who stick more closely to an underlying theory of treatment experience better outcomes•Setting goals + greater clarity and organization are associated with more positive reactions to treatment and better outcomes

REWARDS & REWARDING ACTIVITES

•Rewards during treatment for remaining substance-free [CM, CRA]•Planning for a generally more rewarding lifestyle [TSF, CBT, BFC]

SELF-EFFICACY & COPING SKILLS

• Focus on building self-efficacy and skills to manage high-risk situations and life stressors + obtain rewards that are an alternative to substance use [CBT, CRA]

• Use group interactions to provide opportunities for sober behaviour leading to improvements in coping and self-efficacy [TSF]

ABSTINENCE-ORIENTED NORMS

•Accepting abstinence-oriented norms and learning from abstinent role models [TSF, CRA]•Use role models who monitor sobriety [CBT, BFC}•Normative feedback about substance use and consequences [MET]

Common Components of

Effective Treatment

Moos R. Theory-Based Processes That Promote The Remission of Substance Use Disorders. Clin Psychol Rev (2007) 27(5): 537-551

NODE-LINK MAPPING

Main “Parts” of Node-Link Maps

• A node, which is just an idea captured in a box, circle, or other shape

For Example:

• Links (named or not) show the relationship between nodes

For Example:

Premier League football teams

Premier League football teams WBA

“An Example of a Premier League football team is WBA”

6

7

Node-LinkMapping

Knowledge Maps Free Mapping Guide Maps

WorkerProduced Structured

ConveyInformation

Represent & ExplorePersonal Issues


JointlyProduced Spontaneous Structured/

Free

FrameworkProvided by

Worker

Over 50 publications haveshown its effectiveness

An example of a ‘Free Map’ produced during a counselling

session

8

9

Node-LinkMapping



ConveyInformation




Free


Worker


H I V

HumanImmuno-

DeficiencyVirus

People Only Can not be

spread by animals,plants, or insects

A major problem with the Immune

System that fightsdisease

Smallest livingmicrobe (germ)

Survives by invadingcells and destroying

them

A I D

Acquired Immune Deficiency

Can be acquired. In other words,it can be spread

Refers to theimmune system.White blood cellsthat fight disease

Not working.Deficient.

Unable to fightgerms

S

Syndrome

A group of illnessesor symptoms relatedto a specific cause

(HIV)

HIV is a human virus that invades and destroys the cells of the immune system.

AIDS is the late stage of HIV infection, resulting in illnesses and cancers the body can no longer fight off.

R R R

R R R R

C C C

C C C C

An example of a

‘Knowledge’ Map

10

12

Node-LinkMapping



ConveyInformation




Free


Worker


StrengthsExploring Self

I’m pretty good looking; tall; mostly

healthy When I’m clear headed I make

pretty good decisions.I can also talk well.

I try hard to do the right thing.

I love my daughter.

How can you use your strengths to improve your life?

What are your strengths?

Job/Career?

Emotions/Temperament Beliefs and Values

Social Relationships

Health

Problem Solving

I have computer skillsI have had three jobsin the last 12 years

I take work seriously

I really want to change my life! I do know what it’s like to be happy.

I have a couple of friends and I get

along pretty well with my

daughter.

Once I get control of my drug habit, maybe I can use my skills to go into secretarial work

How useful was this map and discussion?Not useful 1---2---3---4---5---6---7---8---9---10 Very useful

Comments:

An example of a ‘Guide Map’

(filled in)

13

Free-Mapping

Exercise• Interview the person next to you for 5

minutes

• Ask about– education history and career to date– hobbies and interests– family

• Use a free map to record the

conversation

Ed

Senior LecturerAddiction Psychiatry

Teaches:• MSc• Medical students

Slade RoadCDT

Enjoys:• Spending time with his kids • Running• WBA / Warwickshire

Born in Bedford

Birmingham Psychiatry Training Scheme

University of Birmingham

?

BA/MA

BM BCh, and later DM

MRCPsychFocused onaddictions

University

Medical School

BENEFITS OF MAPS

Provide a workspace for

exploring problems and solutions

Improve therapeutic alliance

Focus attention on the topic at hand

Train clearer and more systematic thinking

Create memory aids for client and keyworker

Provide a method for getting “unstuck”

by providing new ideas

Provide easy reference to earlier discussions

Useful structure for clinical supervision

GOAL SETTING

Worker: Date: __/__/__Name:

Life Area Satisfaction out of 10

What would have to change to increase my score out of 10?

Priority

Drug and/ or Alcohol use

Mental Health Anxiety, Mood,

Stress, Relaxation

Social life & peer support

Relationships (Partner or family)

Housing

Legal & crime

Physical Health, Diet & Exercise

Money/ Debt

Job/ Education

Goalsetting Recovery planner

1 2 3 4 5 6 7 8 9 10It can’t get any worse…………………...............….…It can’t get any better

Goal Planner Rating Sheet

Give each area of the Goal Planner map a score between 1 and 10 to show how happy you are now with this area of your life

1 = it can’t get any worse5 = not unhappy, but not happy either

10 = it can’t get any better

How useful was this map and discussion? 1 2 3 4 5 6 7 8 9 10 Signatures:

Name: Worker: Date: _ _ / _ _ / _ _

Goals

ettin

g Recovery

p

lan

My GOALS What I am AIMING to achieve? Small SMART goals and when I will achieve them

How useful was this map and discussion? 1 2 3 4 5 6 7 8 9 10 Comments:


Goals

ettin

g Th

e S

MA

RT G

oal G

ette

r

Specific Actions (3 – 5 small SMART steps)

How will we know this has happened, what will be different? Possible problems and solutions

By When

Strengths you have or need Helpful people and useful thoughts

My Goal

Collaborative Goalsetting - (Insoo Kim Berg, 1999)

• 1. What and Who is important to the client. • 2. Use this information to engage with the client. • 3. What the client might want.

• 4. Is the client able and willing to do what it takes?

• 5. Negotiate small, simple, easy steps that client knows how to do. (S.M.A.R.T.)

• 6. The client actually carries out according to his/her plan. • 7. Review and reassess what is the next small step.

• 8. This gets repeated until the client reasons the level where it is “better enough” to stop.

• 9. All the credit for successes goes to the client.

How useful was this map and discussion? 1 2 3 4 5 6 7 8 9 10 Signatures:


Goals

ettin

g Recovery

pla

n re

vie

w

What is left to do and who will help to do it?My GOALS Progress I have made in tackling them

How useful was this map and discussion? 1 2 3 4 5 6 7 8 9 10 Comments:

Goals

ettin

g Targ

ets

an

d T

asks


TargetWhat are we currently

AIMING to achieve?SMART TASKS

Freedom from

dependency on drugs or

alcohol

Health and well being

Citizenship & employability

Quality of life andfreedom

from offending

Goals

ettin

g You

r Ach

ievem

en

t

Nam

e:

Work

er:

Date

: _ _ / _ _ / _ _

How

use

ful w

as th

is map

an

d d

iscussio

n? 1

2 3

4 5

6 7

8 9

10 C

om

ments:

Wh

at d

id y

ou

learn

ab

ou

t you

rself?

How

did

you

decid

e

wh

at m

igh

t work?

Wh

at d

id y

ou

do to

m

ake

it hap

pen

?

Wh

at w

as y

ou

r su

ccess?

How

did

you

make it

happ

en

?

How

can

you

use

wh

at y

ou

learn

ed

from

this e

xp

erie

nce

in th

e fu

ture

?

Goals

ettin

g Th

e B

rick W

all

Nam

e:

Work

er:

Date

: _ _ / _ _ / _ _

How

use

ful w

as th

is map

an

d d

iscussio

n? 1

2 3

4 5

6 7

8 9

10 C

om

ments:

Wh

at w

ere

you

feelin

g?

Wh

at w

as g

oin

g th

rou

gh

you

r min

d?

Wh

at d

id y

ou

do?

What m

ade it u

nsu

ccessfu

l?

Wh

at h

ave y

ou

learn

ed

from

this e

xp

erie

nce

?

How

will y

ou

do it d

iffere

ntly

next tim

e?

Goal-Setting for Recovery

Documents

Transcript of Goal-Setting for Recovery