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PART ONE: INTRODUCTION TO COGNITIVE-BEHAVIOURAL INTEGRATED TREATMENT (C-BIT). |
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1. Issues in Working with those with Coexisting Severe Mental Health Problems Who Use Substances Problematically. |
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The Nature of Coexisting Severe Mental Health and Alcohol/Drug Problems. |
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Obstacles to Treatment and Behaviour Change. |
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2. Overview of C-BIT Approach. |
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How to Know When to Move on to the Next Phase. |
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3. Overview of C-BIT Theory and Techniques. |
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Brief Introduction to Cognitive Therapy. |
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Cognitive Therapy Techniques in C-BIT. |
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PART TWO: COGNITIVE-BEHAVIOURAL INTEGRATED TREATMENT (C-BIT), |
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C-BIT CORE COMPONENTS. |
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4. Assessment Phase: Screening and Assessment. |
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Clinical Assessment of Drug/Alcohol Use. |
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Assessment and Screening Tools. |
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5. Treatment Phase 1: Engagement and Building Motivation to Change. |
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Strategies to Increase Engagement. |
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How to Put Drug/Alcohol Use on the Agenda. |
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Building on Motivation for Change. |
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Identifying Social Networks Supportive of Change. |
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Finances/Money Management. |
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6. Treatment Phase 2: Negotiating Some Behaviour Change. |
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Identifying and Setting Achievable Harm-Reduction Goals. |
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Working with Resistance to Goal Setting. |
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Identifying Activities of Interest. |
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Engaging the Client’s Interest in the Activity. |
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How to Build Social Networks Supportive of Change. |
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Strategies to Increase Awareness of Problematic Links Between Mental Health and Substance Use. |
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7. Treatment Phase 3: Early Relapse Prevention. |
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Formulating Problems: Cognitive Model of Substance Use. |
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Relapse Prevention: Helping Your Clients Manage Their Substance Use. |
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Relapse Prevention: Including Social Network Member(s). |
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Coping with Cravings and the Abstinence-Violation Effect. |
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Relapse Prevention: For Substance Use and Its Links with Mental Health. |
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8. Treatment Phase 4: Relapse Prevention/Relapse Management. |
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Including Social Network Member(s) in Relapse Prevention. |
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Identifying a Relapse Signature to Psychotic Relapses and Role of Substance Use. |
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Developing a Comprehensive Relapse-Prevention/Relapse-Management Plan. |
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Using a Comprehensive Relapse-Prevention/Management Plan—Relapse Drill. |
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ADDITIONAL TREATMENT COMPONENTS I—SKILLS BUILDING. |
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9. Coping with Different Moods: Anxiety. |
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The Role of Substances in Creating or Maintaining Anxiety. |
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Starting Out: Assessing Anxiety. |
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Strategies to Manage Anxiety. |
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10. Coping with Different Moods: Anger and Impulse Control. |
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The Role of Drugs/Alcohol in Creating/Maintaining Anger. |
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The Role of Psychosis in Creating/Maintaining Anger. |
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Starting Out: Assessing Anger. |
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Strategies to Manage Anger. |
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11. Coping with Different Moods: Depression. |
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The Role of Drugs/Alcohol in Creating and Maintaining Depression. |
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The Role of Psychosis in Creating/Maintaining Depression. |
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Starting Out: Assessing Depression. |
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Strategies to Manage Depression. |
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12. Communication: Social Skills. |
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Social Skills Training for Mental Health Problems and Substance Use. |
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Applying Social Skills to Specific Situations. |
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Strategies to Tackle Lack of Assertiveness. |
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Applying Assertiveness Skills to Specific Situations. |
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Effect of Low Self-Esteem on Mental Health and Drug/Alcohol Use. |
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Effects of Psychosis and Drugs/Alcohol on Self-Esteem. |
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Starting Out: Assessing Self-Esteem. |
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Strategies to Improve Self-Esteem. |
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Strategies to Encourage Lifestyle Balance. |
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Increasing Activity Levels. |
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ADDITIONAL TREATMENT COMPONENTS II—FAMILIES AND SOCIAL NETWORK MEMBERS. |
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15. Working with Families and Social Network Members. |
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Provision of Psychoeducation. |
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Practical Coping Strategies and Skills. |
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PART THREE: IMPLEMENTATION ISSUES. |
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16. Implementation Issues. |
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Implementation Obstacles and Solutions. |
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Training and Supervision (Capacity Building). |
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Overview of the Evidence Base and Future Directions for Research. |
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