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Clinical Supervision With Difficult Cases: Using The Science of Change to Enhance Effectiveness in Mental Health and Substance Abuse Treatment
Click here for text of Clinical Supervision With Difficult Cases (52 pages of text)
OUTLINE
I: What Makes A Case Difficult? a. Multi-Problems: A Big Hook b. Number of Systems Involved & Relationship to Systems c. Stage of Change d. Rigid Simplicity or Complexity
II: What Is The Science of Change? a. The Primary Factor in Change b. First Order Solutions Come in Opposites c. Second Order Solutions are Opposite of the Opposite
III: The Therapeutic Relationship is an Intervention!
IV: Necessary Information From the Science of Change Determine the Problem; a. History of the Problem b. Vagaries of Change c. Hope d. Medical Involvement e. Advice From Others and Response to Advice f. Aspirations g. Client’s Belief System
V: Second Order Positioning: a. Homework Assignment Strategies b. Strategies to Solve the Problem, Stop the Problem, Acknowledge the Problem, Simplify the Problem and/or Acknowledge the Complexity of the Problem
Goal: Participants will learn how to teach supervisees to use the science of change to improve clinical services.
Objectives: 1. Participants will define what is a difficult case.
2. Participants will learn about the science of change, what is first and second order change, and what information is necessary to to effect change.
3. Participants will learn how to construct homework assignments.
4. Participants will learn how to address supervisees concerns about utilizing the science of change.
Methods: Text; Case Examples; Post Test
Presenter: Andy Solovey, LISW is the Clinical Director of Scioto Paint Valley Mental Health Center in Chillicothe, Ohio. He has 25 years of experience in the behavioral healthcare field, is a co-author of Changing The Rules: A Client-Directed Approach To Therapy, has served on the faculty of Dayton Family Therapy Institute and has performed presentations for many years. This presentation is based on a book Andy has co-authored with Scott Fraser entitled Second Order Change in Psychotherapy: The Golden Thread That Unifies Effective Treatments. He is also currently directing a state funded project at Pickaway County Head Start for children and adolescents who are highly aggressive.
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