Mindfulness-Based Sobriety: A Clinician’s Treatment Guide for Addiction Recovery Using Relapse Prevention Therapy, Acceptance and Commitment Therapy, and Motivational Interviewing

266 Pages·2014·2.86 MB·English

by  Nick Turner

“In this book, Turner, Welches, and Conti have made a much-needed addition to the substance
abuse treatment field. Integrating several of the most important new approaches to helping people
change, the authors have written a concise, lucid, and practical book about their evidence-based
approach. Mindfulness-Based Sobriety details an approach that is not only effective, but one that is
profoundly respectful and compassionate toward those who suffer from addiction.”
—Michael Maslar, PsyD, director of mindfulness and behavior therapies at
The Family Institute at Northwestern University
“The authors have done a thoughtful job of integrating motivational interviewing, acceptance and
commitment therapy, and relapse prevention into a well-designed curriculum for outpatient and
residential groups. … This is what can happen when knowledge and compassion come together.”
—Stan McCracken, PhD, senior lecturer at the University of Chicago, School
of Social Service Administration

PSYCHOLOGY
Help Clients Achieve Lasting Sobriety
Too oft en, clients with substance abuse and addiction problems achieve sobriety only to
MINDFULNESS-BASED
relapse shortly aft er. To make matters worse, clients may see their relapse as evidence of M
personal failure and inadequacy, and, as a result, they may resist more treatment. As a
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clinician in the addiction treatment fi eld, what can you do to help clients break this cycle
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and maintain their progress? SOBRIETY
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Mindfulness-Based Sobriety presents a breakthrough, integrative approach to addiction
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recovery using mindfulness-based therapy, motivational interviewing, and relapse preven-
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tion therapy. Th e practical, evidence-based strategies outlined in this book will help you
identify your clients’ values, strengthen their motivation, and tackle other mental health
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problems that may lie at the root of their addiction. In addition, the book’s strong empha-
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sis on relapse prevention means that you can help clients stay on the path to sobriety.
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S A Clinician’s Treatment Guide for Addiction Recovery Using
“Th e authors have done a thoughtful job of integrating motivational inter- S
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viewing, acceptance and commitment therapy, and relapse prevention into RELAPSE PREVENTION THERAPY,
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a well-designed curriculum for outpatient and residential groups. … Th is is
A
ACCEPTANCE & COMMITMENT THERAPY
what can happen when knowledge and compassion come together.”
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—STAN MCCRACKEN, PhD, senior lecturer at the E & MOTIVATIONAL INTERVIEWING
University of Chicago, School of Social Service Administration D

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NICK TURNER, MSW, is clinical supervisor at Gateway Foundation in Chicago, IL, B
where he specializes in providing staff supervision and individual and group counseling for
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substance abuse and mental health needs.
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E Includes NICK TURNER, MSW
PHIL WELCHES, PhD, is the clinical director for Gateway Foundation’s community
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services division. He is also a member of the Motivational Interviewing Network of Trainers downloadable client
Y PHIL WELCHES, PhD
and the Association for Contextual Behavioral Science.
worksheets &
group facilitation
SANDRA CONTI, MS, works with Guided Path Psychological Services in Palatine, IL,
W SANDRA CONTI, MS
where she provides individual and group counseling for clients with substances abuse issues materials
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and mental health needs. L
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newharbingerpublications, inc. CR
www.newharbinger.com O
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COMPREHENSIVE CLINICAL CURRICULA FOR OPEN GROUP
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THERAPY IN OUTPATIENT & RESIDENTIAL PROGRAMS
MINDFULNESS-BASED
SOBRIETY
A Clinician’s Treatment Guide for Addiction Recovery Using
RELAPSE PREVENTION THERAPY,
ACCEPTANCE & COMMITMENT THERAPY
& MOTIVATIONAL INTERVIEWING
NICK TURNER, MSW
PHIL WELCHES, PhD
SANDRA CONTI, MS
New Harbinger Publications, Inc.
Publisher’s Note
This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold with the
understanding that the publisher is not engaged in rendering psychological, financial, legal, or other professional services. If expert assis-
tance or counseling is needed, the services of a competent professional should be sought.
Distributed in Canada by Raincoast Books
Copyright © 2013 by Nick Turner, Phil Welches, and Sandra Conti
New Harbinger Publications, Inc.
5674 Shattuck Avenue
Oakland, CA 94609
www.newharbinger.com
Cover design by Amy Shoup
Acquired by Catharine Meyers
Edited by Nelda Street
All Rights Reserved
Library of Congress Cataloging-in-Publication Data
Turner, Nick.
Mindfulness-based sobriety : a clinician’s treatment guide for addiction recovery using relapse prevention therapy, acceptance
and commitment therapy, and motivational interviewing / Nick Turner, MSW, Phil Welches, PhD, and Sandra Conti, MS.
pages cm
Summary: “Mindfulness-Based Sobriety presents a breakthrough, integrative approach to addiction recovery for clinicians who
treat clients recovering from substance abuse and addiction. The book combines relapse prevention therapy, acceptance and
commitment therapy (ACT), and motivational interviewing to help clients conquer substance abuse by identifying their own
values, strengthening their motivation, and tackling other mental health problems that may lie at the root of their addiction.
The book also puts a strong emphasis on relapse prevention, so that clinicians can help clients stay on the path to sobriety”--
Provided by publisher.
Includes bibliographical references and index.
ISBN 978-1-60882-853-1 (pbk.) -- ISBN 978-1-60882-854-8 (pdf e-book) -- ISBN 978-1-60882-855-5 (epub) 1. Addicts--
Rehabilitation. 2. Substance abuse--Relapse--Prevention. 3. Substance abuse--Treatment. 4. Mindfulness-based cognitive
therapy. I. Welches, Phil. II. Conti, Sandra. III. Title.
RC564.T87 2014
362.29--dc23
2013038235
Contents
Acknowledgments v
Introduction 1
Part 1
Therapeutic Foundation and Approach
1 Therapeutic Model 9
2 Mindfulness-Based Sobriety in a Continuum of Care 35
3 Therapeutic Principles and Facilitation 43
Part 2
Mindfulness-Based Sobriety Curricula
4 Mindfulness-Based Sobriety: Intensive Outpatient (IOP) Curriculum 55
5 Mindfulness-Based Sobriety: Residential Treatment Curriculum 157
Appendices
A Mindfulness and Urge Surfing 205
B Overview of the MBS Model and Principles 211
C Value-Based Living Presentation 213
D High-Risk Events and Scenarios (Experience in Situation) 217
E Glossary of Terms 219
F Generations of Cognitive Behavioral Therapy 225
G Recommended Readings 227
H Research Support 231
References 243
Index 247

Acknowledgments
We wish to express our thanks to the many Gateway Foundation clients and clinicians
whose enthusiastic participation and valuable feedback helped to refine the MBS
model. Further acknowledgments go to the Gateway administrative and support staff,
who embraced and supported the initiative.