Using Solution-Focused Brief Therapy For Lasting Change

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Using Solution-Focused Brief Therapy for Lasting ChangeCOURSE DESCRIPTION:This training will provide all the basic information about Solution-Focused Brief Therapy as well as give specific examplesthroughout the day regarding how this approach works with mental health disorders, including chronic disorders that requirepsychotropic medications. The “hows and whys” of the approach will be explained including the application to diverse populations, various cultures, all age ranges, and all genders. The focus of this training will be on gaining the knowledge throughdiscussions and other didactic methods and on seeing the approach in action through demonstrations and exercises.COURSE OBJECTIVES: Recognize the unique aspects of the solution-focused mind set and differentiate it from problem-focused models according to key SF principles. Accurately describe why SFBT is effective with a variety of acute and chronic mental health problems based on currentevidenced-based research. Identify five concrete SFBT tools that would be most effective in their work setting based upon each individual client’sneeds.Teri Pichot , LCSW began her career as a psychotherapist over 28 years ago. Teri has worked extensivelywith individuals, couples, and families dealing with many issues including chronic mental illness, substancemisuse, and domestic violence. Teri received her Masters degree in Social Work from the University ofDenver, and she went on to obtain licensure as a Clinical Social Worker in addition to achieving the highestlevel of both state and national certification as an addictions specialist. Teri is a Delta Society Pet Partnerwith her canine companion, Tazman, and she enjoys partnering with him to provide animal assisted interventions to her clients. Teri has designed and implemented innovative programs that utilize SolutionFocused Brief Therapy (with and without therapy dogs) with both adults and adolescents. Teri established her solid reputation inthe field when she transformed an outpatient, publicly funded substance abuse treatment program into one that is now internationally recognized for its innovation and effectiveness with externally motivated, dual diagnosed clientele. She is also thefounder of the Denver Center for Solution-Focused Brief Therapy, where in addition to seeing clients, she provides international training and consultation to agencies and professionals. Teri specializes in demonstrating and teaching how SolutionFocused Brief Therapy can be used effectively with some of the most challenging problems that therapists and agencies face.***Santa Clara County Behavioral Health Services Department (SCCBHSD) is approved by the CA Association ofMarriage and Family Therapist to sponsor continuing education for Santa Clara County LMFTs, LCSWs, LPCCS, and/orLEPs. SCCBHSD maintains responsibility for this program/course and its content. This course meets the qualificationsfor 6 hours of continuing education credit for LMFTs, LCSWs, LPCCs, and/or LEPs, as required by the CA Board ofBehavioral Sciences. The CA Association of Marriage and Family Therapist is the BBS recognized approval agencyProvider #131775. SCCBHSD also is approved by CA Consortium of Addiction Programs and Professionals (CCAPP) andCA Association for Alcohol/Drug Educators (CAADE) and the Board of Registered Nursing to provide CEUs. Lunch andscheduled breaks during the training do not count toward CEU credits.***Please contact Learning Partnership if you need accommodations for one of our trainings at 408-792-3900.***You now can download/print your own CEU Certificate online at sccLearn 2 weeks after the training date.***Do you have a Grievance? Please call Learning Partnership at 408-792-3900.Target Audience: Santa Clara County Behavioral Health Services staff and contracted agencies.PowerPoint/Handouts: Please go to the following link to print your own copy: sccbhd.org/trainingPlease bring your handouts to the training.Our trainings are free - Register on-line at sccLearnLearning Partnership1075 E. Santa Clara St.2nd FloorSan Jose, CA 95116May 10, 20189:00 am-4:30 pmRegistration begins 8:30 am

Using Solution-Focused Brief Therapy for Lasting ChangeTeri Pichot, LCSW, MAC, LACSolution Building Determine the desired goal Assist the client in creating a detailed description of the goal Assist the client in evaluating where he/she is in relation to the desired goal Assist the client in evaluating times in which he/she was successful in moving towardthe desired goal Work backward to discover keys to successSolution-Focused Principles If it’s not broken don’t fix it If something is working, do more of it If it is not working, do something different Small steps can lead to large changes The solution is not necessarily directly related to the problem The language requirements for solution development are different than those needed todescribe a problem No problem happens all the time. There are always exceptions that can be utilized The future is both created and negotiableCommon SFBT Interventions Goal Formation (MQ, Future Focus Questions) Scaling Coping Questions Difference Questions Relational Questions Exception Questions ComplimentsGoal Formation QuestionsThe Key is to help the client envision the end-point Miracle Question What would need to happen in this session. . . Fast Forward Suppose . . .1www.denversolutions.com

Miracle Question“Imagine that when you go to bed tonight, a miracle happens. The miracle is that the problemthat brought you here is gone! However, since you were asleep, you are unaware that a miraclehappened. What would be the first things that you notice that let you know that this miraclehappened?”Five Elements of the Miracle Question The change is of some significance to the client (unlikely to happen naturally) The “Miracle” is typically defined It often has the element of immediacy (“tonight while you are sleeping”) The client is unaware that the miracle occurred The client is to discover the clues that the “Miracle has occurred”Other Helpful Future-Oriented Questions Fast Forwarding-Helpful when issue is centered on an event Imagine it is the end of our time together -Helpful when client is overwhelmed and unsure what is needed Suppose . . .Scaling Questions Make concepts measurable Provide assessment information Provide the tool to measure change Neutral tool to explore exceptions and highlight change Use 0-10 or 1-10 scales The 10 equals the desired goal The 1 must be definedCoping Questions Help to demonstrate empathy Effective when client is not ready to take the next steps Help client to identify what’s working despite pain, loss, trauma, feelings of beingoverwhelmedException Questions Times in which the problem does not exist or is less severe Assist the therapists in exploring if something that a client tried was useful Highlight various verbal paths Client driven (Only useful if the client sees them as useful in helping to get to the“Miracle”)Compliments Key Component: Should be client driven(highlight areas of success that the client has already identified as useful) Focus on aspects within the client’s life rather than on behavior during the session2www.denversolutions.com

(behavioral reinforcement vs. compliment)Must be genuineDifference Questions Explore meaning (has a deepening effect) Increase hope that change will make a meaningful difference Encourage clients to explore if potential changes are realistic, feasible, and worthwhile Enhance motivation by making the benefits more “real”Relationship Questions Assist the client in exploring how the changes impact all elements of his/her system Assist the client in keeping the plan realistic and inclusive of all factors Increase the client’s ability to “step into someone else’s shoes” (Increases empathy)3www.denversolutions.com

Presented by:Teri Pichot, LCSW, MAC, LACtpichot@denversolutions.com Evaluate the problemDiagnose the problemUtilize known information about the diagnosedproblemEvaluate client resources/strengthsDetermine the best course of treatmentImplement the treatmentwww.denversolutions.comProblem SolvingProblemwww.denversolutions.comDenver Center for SFBTwww.denversolutions.com1

Determine the desired goalAssist the client in creating a detaileddescription of the goalAssist the client in evaluating where he/sheis in relation to the desired goalAssist the client in evaluating times in whichhe/she was successful in moving toward thedesired goalWork backward to discover keys to successwww.denversolutions.comSolution BuildingProblemwww.denversolutions.comDefinition of a “Client” in SFBTCommunityLegal System/Social solutions.comDenver Center for SFBTwww.denversolutions.com2

If it’s not broken don’t fix itIf something is working, do more of itIf it is not working, do something differentSmall steps can lead to large changesThe solution is not necessarily directly relatedto the problemwww.denversolutions.com The language requirements for solutiondevelopment are different than those needed todescribe a problemNo problem happens all the time. There arealways exceptions that can be utilizedThe future is both created and negotiablewww.denversolutions.com Do we explore the problem? (i.e., thecause, the outcome of bad decisions, the“whys” of bad choices)Do we explore what is important to theclient or what is helping the client getcloser to what he/she wants? (i.e.,successes, good decisions, the “whys” ofgood choices)www.denversolutions.comDenver Center for SFBTwww.denversolutions.com3

Insight to understand the cause of aproblem often increases resistance (feeljudged or criticized - will protect self)Insight to understand who a person is,what they value, or what is going well oftenincreases relationship and opennesswww.denversolutions.com Goal Formation (MQ, Future Focus Questions)ScalingCoping QuestionsDifference QuestionsRelational QuestionsException QuestionsComplimentswww.denversolutions.comThe Key is to help the client envision the endpoint Miracle QuestionWhat would need to happen in this session. . .Fast ForwardSuppose . . .www.denversolutions.comDenver Center for SFBTwww.denversolutions.com4

“Imagine that when you go to bed tonight,a miracle happens. The miracle is thatthe problem that brought you here isgone! However, since you were asleep,you are unaware that a miraclehappened. What would be the firstthings that you notice that let you knowthat this miracle happened?”www.denversolutions.com The change is of some significance to theclient (unlikely to happen naturally)The “Miracle” is typically definedIt often has the element of immediacy(“tonight while you are sleeping”)The client is unaware that the miracleoccurredThe client is to discover the clues that the“Miracle has occurred”www.denversolutions.com Fast Forwarding-Helpful when issue is centered on anevent Imagine it is the end of our timetogether -Helpful when client is overwhelmedand unsure what is neededwww.denversolutions.comDenver Center for SFBTwww.denversolutions.com5

Make concepts measurableProvide assessment informationProvide the tool to measure changeNeutral tool to explore exceptions andhighlight changeUse 0-10 or 1-10 scalesThe 10 equals the desired goalThe 1 must be definedwww.denversolutions.comHelp to demonstrate empathyEffective when client is not ready to take thenext stepsHelp client to identify what’s working despitepain, loss, trauma, feelings of beingoverwhelmed www.denversolutions.comTimes in which the problem does not exist oris less severe Assist the therapists in exploring ifsomething that a client tried was useful Highlight various verbal paths Client driven(Only useful if the client sees them as useful inhelping to get to the “Miracle”) www.denversolutions.comDenver Center for SFBTwww.denversolutions.com6

Key Component: Should be client driven(highlight areas of success that the client hasalready identified as useful) Focus on aspects within the client’s life ratherthan on behavior during the session(behavioral reinforcement vs. compliment) Must be genuinewww.denversolutions.com1. Express positive surprise in reaction to one ofthe client’s accomplishments2. Ask the client how he/she did itwww.denversolutions.com Explore meaning (has a deepening effect)Increase hope that change will make ameaningful differenceEncourage clients to explore if potentialchanges are realistic, feasible, and worthwhileEnhance motivation by making the benefitsmore “real”www.denversolutions.comDenver Center for SFBTwww.denversolutions.com7

Assist the client in exploring how the changesimpact all elements of his/her system Assist the client in keeping the plan realisticand inclusive of all factors Increase the client’s ability to “step intosomeone else’s shoes”(Increases empathy) www.denversolutions.com Pichot, T. (2012). Animal-assisted briefTherapy: A solution-focused approach (2nd ed).New York, NY: Routledge.Pichot, T., with Smock, S. A. (2009). Solutionfocused substance abuse treatment. New York,NY: Routledge.Pichot, T., & Dolan, Y. (2003). Solution-focusedbrief therapy: Its effective use in agencysettings. Binghamton, NY: Haworth.www.denversolutions.comDenver Center for SFBTwww.denversolutions.com8

Using Solution-Focused Brief Therapy for Lasting Change Learning Partnership May 10, 2018 9:00 am-4:30 pm Registration begins 8:30 am 1075 E. Santa Clara St. 2nd Floor San Jose, CA 95116 COURSE DESCRIPTION: This training will provide all the basic information about Solution-Focused Brief Therapy as well as give specific examples

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