Module 3 - Behavioral Interventions: Integrating Tobacco Use Interventions into Chemical Dependence Services. Welcome. Add Trainer Names. This training was developed by the Professional Development Program, under a contract with the NYS Department of Health, Tobacco Control Program.
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Module 3 - Behavioral Interventions:Integrating Tobacco Use Interventions into Chemical Dependence Services
This training was developed by the Professional Development Program, under a contract with the NYS Department of Health, Tobacco Control Program.
PDP developed five classroom-based curricula and seven online modules, which are available at www.tobaccorecovery.org
Module 1 - The Foundation
Module 2 - Assessment, Diagnosis, Pharmacotherapy
Module 3 - Behavioral Interventions
Module 4 - Treatment Planning
Module 5 - Co-occurring Disorders
E-Learning - All Modules (www.tobaccorecovery.org)
Module 3 Objectives
Unit 1Motivational Interviewing
Understanding and Applying the
Stages of Change
Treating Tobacco Use and Dependence:
Clinical Practice Guideline
When MIis Most Effective
MI is considered an evidence-based practice for the treatment of substance use disorders, including tobacco dependence
“A patient-centered, directive method for enhancing intrinsic (internal) motivation to change by exploring and resolving ambivalence” (Miller and Rollnick, 2002)
What is the “spirit” of Motivational Interviewing?
PM 16 - 17
What are the four guiding principles of Motivational Interviewing?
What ambivalence usually looks like…
What is resistance?
What does resistance look like?
What makes resistance worse?
O - open questions
A - affirmation
R - reflective listening
S - summarizing
Identifying open and closed questions
What are the different kinds of reflective responses?
PM 23 - 25
What is “problem talk”?
What is “change talk”?
The more change talk that patients demonstrate, the more likely it is that they will move towards making a change.
D - Desire to Change
A - Ability to Change
R - Reasons to Change
N - Need to Change
C - Commitment
Identifying change talk
Ten strategies for eliciting change talk
PM 29 - 31
What are the Five Rs?
PM 32 - 34
Providing Information vs. Giving Advice
PM 36 - 38
Unit 2Cognitive-Behavioral Therapy (CBT) andRelapse Prevention
When to shift from MI to CBT?
Is Most Effective
CBT Helps a Patient to Examine and Change:
PM 45 - 46
PM 48 - 54
What stage of change is each patient in regarding his/her tobacco use?
Is the patient in the same or a different stage of change for their alcohol/other drug use?
What treatment approaches might work best regarding the patient’s tobacco use?
PM 58 - 63
Unit 4Facilitating Tobacco Awareness Groups
Group Facilitation Skills – using EPE, open and closed questions, non–judgmental approach, and supporting self-efficacy
Shifting to Recovery Language
Tobacco Awareness Group
Tobacco Recovery Group
PM 70 - 71
PM 70 - 71
Leading a tobacco awareness group
PM 72 - 84
Participants practice facilitating a tobacco awareness group
PM 85 - 97 and 98 - 105
The Tobacco Recovery Resource Exchange http://www.tobaccorecovery.org
E-Learning and Online Resources
Workshop Evaluations and Post Test