SHEFFIELD ALCOHOL ADVISORY SERVICE PROBLEM TO SOLUTION….. . THE INTRODUCTION OF SOLUTION FOCUSED BRIEF THERAPY
WHO ARE OUR CLIENTS? WHAT DO THEY KNOW? WHAT IS OUR SERVICE?
Long Waiting List No extra resources Offering mid to long term counselling
High DNA rate Do something different SAAS SAAS
Invite to Information Session Send pre session questionnaire Inform clients of how we work, what we do and what we believe See counsellor for individual session THE SOLUTION THE SOLUTION
WHAT ARE THE MAIN THINGS YOU WANT TO DISCUSS IF COMING HERE WAS USEFUL, HOW WOULD YOU KNOW? WHAT’S HAPPENING IN YOUR LIFE THAT YOU WANT TO KEEP HAPPENING? IF YOU’VE ALREADY MADE CHANGES, NOTE THEM DOWN. PRE-SESSION QUESTIONNAIRE
WHAT WE SAY - 1
You are the expert and have your own unique solutions
The problem is the problem.
You are much more than the problem
You’ve already made changes
Cycle of change (lapse)
Discover what’s already happening that you want to happen more
WHAT WE SAY - 2
Identify and agree goals
When is this not a problem or less so?
Focus on what you do well and your coping skills.
What is happening in your life that you want to happen more.
Try things out
“ IF IT WORKS DO MORE OF IT, IF IT DOESN’T, DO SOMETHING ELSE.”
Acknowledge client self agency Looking for stories of difference which focus on strengths THINGS THAT ARE ALREADY HAPPENING WHY DO WE DO THIS?
Relax and get a feel for us Begin to re-evaluate themselves Build confidence and move up the scale HOW DOES THIS IMPACT ON CLIENTS?
Waiting list reduced
Number of clients seen has trebled
62% (23 of 37) made significant changes
Average reduction of those who changed was 133 units/week. 19/day.
Average number of sessions was 3.
WHAT’S GOOD ABOUT THIS?
Keeps it simple
Adapts to client
Uses clients’ own language
Utilise any useful characteristics
Change happens quickly
Brief and optimistic
PROBLEM FREE TALK
We know a little about what’s brought you here, but ALMOST NOTHING about you.
Finding Strengths and Resources
Talk about areas of competence, NOT deficits.
Emphasis on times when the ‘problem’ is not happening, or happening less.
Clues to Solutions
Changes Already Made
Most clients have made some changes between contacting SAAS and their first appointment.
Almost all will have made some attempts to change.
It is our job to find out what’s been tried.
> we find out what works and what to do more of
> we find out what hasn’t worked, what was learned from that experience and what not to do
> to promote client self agency. The client has the answers, they may just not have realised it.
What’s brought you here?
A brief outline of the reasons that clients have come to SAAS.
Acknowledgement and validation of their story.
A measure of drinking ‘at it’s worst’, now and ‘best hopes’.
Emphasising the expectation that things will already be changing and that the client has some idea of where they want to get to.
Where are you trying to get to?
The task for the counsellor is to find out where the client wants to go and then work out the best ( maybe quickest) way to get there.
Miracle Question / Goals / Preferred Future.
This accesses a conversation about WHAT THE CLIENT WANTS.
About strengths and competence.
Promotes an atmosphere of HOPE and expectation.
WHAT YOU NOTICE GROWS
Clients will inevitably know their ‘problem’ inside out, it will have been rehearsed and discussed in great detail.
In these circumstances, people concentrate on problems to the exclusion of the rest of their lives.
This way of talking reminds them of all the other stuff going on in their lives.
THE TIMES WHEN THE PROBLEM ISN’T HAPPENING OR THE SOLUTIONS!!