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George Braucht details the use of the ORS and GSRS with groups.

George Braucht details the use of the ORS and GSRS with groups.

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GroupsNutsandBoltsSlides GroupsNutsandBoltsSlides Document Transcript

  • www.heartandsoulofchange.com April 30, 2012 CDOI/PCOMS Groups The Nuts and Bolts George S. Braucht, LPC Brauchtworks Consultation & Training www.brauchtworks.com The Georgia State Board of Pardons and Paroles www.pap.state.ga.us www.heartandsoulofchange.com What’s Up  The Measures (Nuts)  The Group RCT  Group Logistics (Bolts) George S. Braucht, LPC www.brauchtworks.com 1
  • www.heartandsoulofchange.com April 30, 2012 The Nuts: Outcome & Alliance Feedback The ORS The GSRS Download free working copies at: www.heartandsoulofchange.com The Group Session Rating Scale George S. Braucht, LPC www.brauchtworks.com 2
  • www.heartandsoulofchange.com April 30, 2012 The First RCT of CDOI Group Treatment Schulman, D.,  300 solders in outpatient Reese, J. & substance abuse group Duncan, B. (in treatment at Fort Hood preparation). Using client 57% White feedback to 89% Male improve outcomes with Iraq and 79% Ages 20-30 Afghanistan 62% Afghanistan or Iraq veterans. Veterans 63% Primary substance = alcohol Fort Hood Feedback Study: Shulman, Reese & Duncan  Random assignment to either feedback or control groups  18 civilian therapists; did not disclose which clients were in the Feedback group  Limited Feedback: therapists received colored rate-of-change feedback based on ORS scores after each of the first five sessions George S. Braucht, LPC www.brauchtworks.com 3
  • www.heartandsoulofchange.com April 30, 2012 Ft. Hood Feedback Study: Shulman, Reese & Duncan  Average ORS change in five sessions Feedback = 8 points Control = 5.2 points p < .05  Average number of sessions attended Feedback = 4.05 Control = 2.98 p < .01  Feedback group had 22% fewer drop outs The Bolts: ASAM Level 1 CDOI Groups 1. Motivation, Assessment & Planning (MAP) Group  1.5 hours, <11 participants  attend only once 2. Recovery Action & Planning (RAP) Group  1 hour, <11, ORS available before group begins  planned transfer (successful discharge) criteria: attend 6 consecutive session and 2 consecutive negative drug tests  return anytime George S. Braucht, LPC www.brauchtworks.com 4
  • www.heartandsoulofchange.com April 30, 2012 The Bolts: GA State Parole Board’s Personal Recovery & Offender Discharge Program March, 2012: # Groups # Participants MAP 169 536 RAP 744 3,394 59 counselors, 64 locations The Nuts and Bolts: CDOI Group Materials 1. Outcome Rating Scale 2. Group Session Rating Scale 3. Self-Completed Overview of Recovery Experience (SCORE) Board 4. Recovery Group Handout George S. Braucht, LPC www.brauchtworks.com 5
  • www.heartandsoulofchange.com April 30, 2012 MAP 22 38 G G G G G G G G G G G G G O O O O O O O O O O O O O George S. Braucht, LPC www.brauchtworks.com 6
  • www.heartandsoulofchange.com April 30, 2012 Thanks CDOI/PCOMS Groups For The Nuts and Bolts Your George S. Braucht, LPC Attention Brauchtworks Consultation & Training www.brauchtworks.com And The Georgia State Board of Pardons and Paroles www.pap.state.ga.us Participation! www.heartandsoulofchange.com George S. Braucht, LPC www.brauchtworks.com 7