Brief Integrated Motivational Intervention

About the Companion Website xi
 
About the Authors xii
 
Acknowledgments xv
 
1 Introduction 1
 
A Window of Opportunity 1
 
Brief Integrated Motivational Intervention (BIMI) 4
 
Approach 4
 
Timing 4
 
Structure 5
 
2 Getting Started: Engagement and Brief Assessment 8
 
Staying Motivated 8
 
STEP 1: Building Engagement and Assessment 9
 
Session One Overview 10
 
Session One Outline 10
 
BIMI Brief Assessment 12
 
Generating the Personalized Assessment Feedback Sheet 31
 
Session Two Overview 36
 
Session Two Outline 36
 
Frequently Asked Questions (FAQs) 42
 
Alcohol 43
 
Drugs and Mental Health 46
 
Additional Resources 52
 
3 Making Decisions About Change 53
 
How to Decide on the Next STEP 53
 
How to Decide What STEP Is Appropriate for the Client 53
 
STEP 2: Making Decisions with Your Client 56
 
Outline of Sessions 57
 
Identifying the "Benefits" of Using 57
 
Identifying Positive Thoughts and Mis-held Beliefs About Alcohol and Drugs 58
 
Taking Another Look at What You Think About Alcohol and Drugs 60
 
Relationship Between Mental Health Problems and Substance Use 62
 
Reviewing Any "Costs" of Using 65
 
4 Change 69
 
STEP 3: Change Plans and Social Support 69
 
Outline of Sessions 71
 
Taking Steps Toward My Goals 71
 
Coping with Setbacks 72
 
Strategies to Cope with Cravings and Urges 73
 
Social Support for Change 75
 
Developing Supportive Social Networks 76
 
Outline of Sessions 76
 
Helpful Information for Family Members or Supportive Social Network Members 78
 
Understanding Cannabis, Alcohol, and Other Substance Use, and How It Impacts on Family and Others 79
 
Do Others Experience Similar Problems? 80
 
How Do I Make Sense of This?

Hermine L. Graham is a Consultant Clinical Psychologist and Lecturer at the University of Birmingham, UK. She has expertise in Cognitive Behavioural Therapy, and has led the development and research of service models and treatment approaches for people with severe mental health and co-occurring alcohol and drug problems in Birmingham. This work has been highlighted as a model of 'good practice', and is referenced in national policy guidelines for the treatment of 'dual diagnosis' (DoH, 2002). She has published widely in academic peer reviewed journals and is co-author of Cognitive-Behavioural Integrated Treatment (C-BIT): A Treatment Manual for Substance Misuse in People with Severe Mental Health Problems (Wiley, 2004) and co-editor of Substance Misuse in Psychosis: Approaches to Treatment and Service Delivery (Wiley, 2003).
 
Max Birchwood is Professor of Youth Mental Health at the University of Warwick, UK. He pioneered the concept and practice of early intervention in psychosis and opened the UK's first Early Intervention in Psychosis service in 1994. He has published widely in the field of psychosis and is the author of many books, including Early Intervention in Psychosis: A Guide to Concepts, Evidence and Interventions (Wiley, 2000); Cognitive Therapy for Delusions, Voices and Paranoia (Wiley, 1996); A Casebook of Cognitive Behaviour Therapy for Command Hallucinations: A Social Rank Theory Approach (2005); Cognitive-Behavioural Integrated Treatment (C-BIT): A Treatment Manual for Substance Misuse in People with Severe Mental Health Problems (Wiley, 2004); and Substance Misuse in Psychosis: Approaches to Treatment and Service Delivery (Wiley, 2003).
 
Alex Copello is Professor of Addiction Research at the School of Psychology at the University of Birmingham, UK, and Consultant Clinical Psychologist with the Birmingham and Solihull NHS Foundation Trust. His career has combined clinical and academic work and his research has had a major impact on