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Project MATCH Monograph Series

Volume 3

COGNITIVE-BEHAVIORAL COPING SKILLS THERAPY MANUAL

A Clinical Research Guide for Therapists Treating Individuals With Alcohol Abuse and Dependence

Compiled and edited by:

Ronald Kadden, Ph.D.
Kathleen Carroll, Ph.D.
Dennis Donovan, Ph.D.
Ned Cooney, Ph.D.
Peter Monti, Ph.D.
David Abrams, Ph.D.
Mark Litt, Ph.D.
Reid Hester, Ph.D.

Project MATCH Monograph Series Editor:
Margaret E. Mattson, Ph.D.

 

U.S. Department of Health and Human Services
Public Health Service
National Institutes of Health

National Institute on Alcohol Abuse and Alcoholism
5635 Fishers Lane
Bethesda, Maryland 20892–9304


Project MATCH is supported by grants under a cooperative agreement funded by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) and implemented by nine clinical research units and a data coordinating center. It was initiated and is administered by the Treatment Research Branch, NIAAA.

COPYRIGHT STATUS

This volume is adapted from copyrighted material that is reproduced herein with the permission of the copyright holders. Before reprinting any part, readers are advised to determine the copyright status and to secure permission of the copyright holders. The authors would particularly like to thank Guilford Press for their kind permission to use extensive portions of the book Treating Alcohol Dependence: A Coping Skills Training Guide in the original version of the Project MATCH manual and in the overview of this volume.

The views and opinions expressed on the following pages arc solely those of the authors and do not necessarily constitute an endorsement, real or implied, of the Institute or the U.S. Department of Health and Human Services.

NIH Publication No. 94–3724

Reprinted 2004

This document can be downloaded in its original graphic format—[ PDF ] | Ordering Information.

CONTENTS

Acknowledgments
Foreword
Preface
Introduction

Modifications to Monti et al.

Additions
Group Versus Individual Therapy
Length of Treatment

Supporting Data
References

Overview of the Program

Rationale for Outpatient Treatment
Treatment Goals
Client Role
Therapist Role
Adherence to the Manual
Menu of Topics
Outpatient Versus Aftercare Settings
Discussion of Clients’ Recent Problems
Structure of Sessions
Guidelines for Behavior Rehearsal Role Plays
Homework
Coping Skills Training With Significant Others
Preventing Attrition
Alcohol and Other Drug Use
Absences
Lateness
Extra Sessions
Concurrent Treatment
Clinical Deterioration
Termination

Core Sessions
Session 1: Introduction to Coping Skills Training
&nbsp&nbspBuilding Rapport
&nbsp&nbspConceptualizing Treatment: What Is Alcoholism?
&nbsp&nbspAssessing High-Risk Situations
&nbsp&nbspMotivation
&nbsp&nbspContract and Ground Rules
&nbsp&nbspHomework

Session 2: Coping With Cravings and Urges to Drink
&nbsp&nbspRationale
&nbsp&nbspSkill Guidelines
&nbsp&nbspIn-Session Exercises

Session 3: Managing Thoughts About Alcohol and Drinking
&nbsp&nbspRationale
&nbsp&nbspSkill Guidelines
&nbsp&nbspIntroducing the Practice Exercise

Session 4: Problem Solving
&nbsp&nbspRationale
&nbsp&nbspSkill Guidelines
&nbsp&nbspBehavior Rehearsal Role Plays
&nbsp&nbspReminder Sheet and Practice Exercise

Session 5: Drink Refusal Skills
&nbsp&nbspRationale
&nbsp&nbspSkill Guidelines
&nbsp&nbspIn-Session Practice
&nbsp&nbspModeling
&nbsp&nbspBehavioral Rehearsal Role Play
&nbsp&nbspReminder Sheets and Practice Exercises

Session 6: Planning for Emergencies and Coping With a Lapse
&nbsp&nbspRationale
&nbsp&nbspSkill Guidelines
&nbsp&nbspPractice Exercise
&nbsp&nbspReminder Sheets


Session 7: Seemingly Irrelevant Decisions
&nbsp&nbspRationale
&nbsp&nbspGroup Discussion
&nbsp&nbspExercise in Group
Final Core Session: Termination

Elective Sessions
Elective Session: Starting Conversations
Elective Session: Nonverbal Communication
Elective Session: Introduction to Assertiveness
&nbsp&nbspSkill Guidelines
&nbsp&nbspBehavior Reversal Role Play
&nbsp&nbspModeling
&nbsp&nbspPractice Exercise

Elective Session: Receiving Criticism
&nbsp&nbspRationale
&nbsp&nbspSkill Guidelines
&nbsp&nbspModeling
&nbsp&nbspBehavior Reversal Role Play
&nbsp&nbspPractice Exercise

Elective Session: Awareness of Anger
Elective Session: Anger Management
Elective Session: Awareness of Negative Thinking
Elective Session: Managing Negative Thinking
Elective Session: Increasing Pleasant Activities

Skill Guidelines

Elective Session: Managing Negative Moods and Depression
&nbsp&nbspRationale
&nbsp&nbspSkill Guidelines
&nbsp&nbspThinking Errors
&nbsp&nbspIn-Session Exercise


Elective Session: Enhancing Social Support Networks
&nbsp&nbspRationale
&nbsp&nbspSkill Guidelines
&nbsp&nbspIn-Session Exercise


Elective Session: Job-Seeking Skills
&nbsp&nbspRationale
&nbsp&nbspSkill Guidelines
&nbsp&nbspThe Resume
&nbsp&nbspThe Job Application
&nbsp&nbspGenerating Job Leads
&nbsp&nbspTelephone Skills Training
&nbsp&nbspRehearsal of Interview Process
&nbsp&nbspGoal Setting

Elective Session: Couples/Family Involvement I
&nbsp&nbspRationale
&nbsp Skill Guidelines
&nbsp&nbspIn-Session Exercise
&nbsp&nbspIntroducing the Practice Exercise


Elective Session: Couples/Family Involvement II
&nbsp&nbspReview of Practice Exercises
&nbsp Rationale
&nbsp&nbspSkill Guidelines
&nbsp Behavioral Rehearsal Role Plays
&nbsp&nbspWrap-Up
&nbsp Introducing the Practice Exercise


Appendix A—Bibliography
Appendix B—Therapist Selection, Training, and Supervision in Project MATCH
&nbsp&nbspTherapist Selection
&nbsp&nbspTherapist Training
&nbsp Ongoing Monitoring