Highlights
Task:
Purpose: Why read this guide?
The guide examines therapeutic process, the exchange between client and clinician through which the work happens. The focus is not so much on content — how to treat substance use or co-existing concerns — as on the relationship being formed, what helps and the challenges that arise. This is the stuff we grapple with in the moment, in the room with the client. Where we’re wondering how to connect, how to help and what just went wrong. We wanted to get beneath the work, look at the underbelly and offer practical ideas and strategies to take into every therapeutic encounter. While this initial focus is on substance use, the intention was to create a resource that would be helpful in working with a wide range of complex issues. We hope we have succeeded. The work you do matters. It helps real people change their lives for the better.
Guiding principles: What approach does this guide take?
1. The aim was to consolidate a few core concepts into one accessible resource.
2. There is much more left out of this guide than was included. In offering something accessible and practical, we chose not to make it comprehensive.
3. The intention is to work effectively on substance use, by taking other complexities into account, rather than aim to provide fully integrated and simultaneous treatment for both the substance use and mental health concerns. The two are not mutually exclusive, or one necessarily superior to the other, but are separate approaches worthy of attention in their own right.
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